NR 293 Week 7 Discussion: Unfolding Case Study (graded A)
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NR 293 Week 7 Discussion: Unfolding Case Study Lillian is scheduled for discharge today. What key information should she know about her medications? For your second post this week, answer the 'Hot Flash' question. Hot Flash What are the current recommendations for hormonal replacement therapy in wo...
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NR 293 Week 7 Discussion: Unfolding Case Study
Lillian is scheduled for discharge today. What key information should she know about her
medications?
For your second post this week, answer the 'Hot Flash' question.
Hot Flash
What are the current recommendations for hormonal replacement therapy in women? Choose
either a prescription or herbal treatment to discuss.
Hello class and professor,
Part 1
Looking back at the list from week 1, Lillian has a lot of medications that she is currently taking:
Captopril, Alprazolam, Insulin lispro, Tramadol, Furosemide, Ciprofloxacin, Pilocarpine, and
Lasix. Lillian must follow the proper dosages and times for the medications to be taken. This
prevents any unwanted interactions and complications of drugs. Drug interactions can occur at
any time. The reasons that clients may experience drug interactions include polypharmacy, a
patient's lack of knowledge of medication instructions, and interactions that may occur when
taking over-the-counter and herbal supplements (Lilley, Collins, & Synder, 2020). Some
strategies to prevent drug interactions include keeping a list of medications and bringing them to
each doctor's appointment. The nurses should educate Lillian about the medication's interactions
with foods or other medications that may increase or decrease efficacy. Educate Lillian on proper
storage of the medications and what to do when she misses a dose, how to refill, potential side
effects of each drug, and when to call her physician when she has any concerns.
Part 2
The current recommendations for hormonal replacement therapy in women is estrogen therapy.
When it comes to choosing the best type of hormone replacement therapy for the patient, it
depends on their health, personal preference, and symptoms (Webmd, 2020). This therapy comes
with different forms of pills. For example, patch, pills, suppositories, topical, vaginal, etc.
Vaginal administration of low doses of estrogen is a therapy of choice for the treatment and
prevention of urogenital atrophy and its consequences (Fait, 2019). Estrogen is needed for the
development and maintenance of the female reproductive system and the development of
secondary sex characters (Lilley, Collins, & Synder, 2020). Estrogen pills are the most common
treatment for menopausal symptoms. A prescription would be oral medications such as
conjugated Estrogens (Premarin), estradiol (Estrace), and Estratab. Most estrogen pills are taken
once a day without food. However, some have more complicated dosing schedules. Patients
should follow the physician's instructions for dosing.
References
Fait, T. (2019). Menopause hormone therapy: latest developments and clinical practice. Drug
Context. doi: 10.7573/dic.212551
Lilley, L. L., Collins, S. R., & Snyder, J. S., (2020). Pharmacology and the nursing process (9th
ed.). St. Louis, MO: Elsevier.
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