Ok I'm taking pharmacology online for college because I couldn't take the classes that I needed because they got full in the 1st day. I'm not that good in pharmacology, I can answer some questions but I don't even know if they are correct. So please can someone help me out!!!!!
Case Study – Group # 3 – Due to date to Instructor is noted on Course Calendar
One of your clients was hospitalized a week ago for an acute myocardial infarction and today presents to your clinic for a follow-up visit. Mr. Adams recounts the episode of fainting at his home, being transported by EMS to the hospital where he was treated in the emergency department. The ED records revealed an electrocardiogram with a severe ventricular dysrhythmia.
His blood pressure was normal, but the heart rate was 45 beats/minute and irregular.
Mr. Adams has a past medical history of heart failure and was taking digoxin and furosemide (Lasix). The drugs given during the hospital stay included: Lidocaine in the ED; Aspirin; Hydromorphone (Dilaudid); reteplase (Retvase) and Quinidine.
He presents today with blood pressure of 110/75, heart rate 65 beat/minute, weight of 180 lbs, height of 5’10”. He complains of light-headedness and has used the nitro tablets twice this week for chest pain with relief. He is starting a cardiac rehab program in two weeks.
His present medication includes lisinopril (Zestoretic) 20 mg daily, acebutolol hydrochloride (Sectral) 200 mg twice daily; nitroglycerine (Nitrostat) 0.3 mg sublingual tablets (use as needed for chest pain) and ticlopidine (Ticlid) 250 mg twice a day. He is taking over-the-counter (OTC) Coenzyme-10, 120 mg daily with Vitamin E, 400 IU twice a day at the suggestion of the Health Food Store attendant.
The Physician Assistant, after Mr. A.’s physical assessment, orders blood work and plans client teaching.
II. A. QUESTIONS
1. What is the rationale for the drugs given at the hospital emergency department? Please, also give appropriate dosing most likely utilized.
2. Mr. A. was not placed on a beta-blocker during the hospital stay. What reasons can you give for this action?
3. What pharmacological explanation can you give for Mr.A.’s initial symptoms in the emergency department? Can you give a possible physiological explanation for his initial symptoms? Please elaborate on your answers.
4. Mr. D. has several new drugs at his follow-up visit. Give the rationale for their use and should any changes be made to this new drug regime? Give reasons why or why not.
5. What blood work do you think the PA ordered to assess Mr. A’s health status? Please give reasons for your answers.
II. B. QUESTIONS
1. What type of diet might you suggest for Mr. A.? Be specific.
2. Can you make any lifestyle suggestions for this client? Give rationale for your answers.
3. What issues would you be sure to include for teaching Mr. A. about his new medication regime?
4. After suffering a myocardial infarction, many clients go through an emotional adjustment period. What would you be alert to note with Mr. A. at this and future
visits; and are there medications and/or community support to help during this period? Give reasons for your answers.
5. What comments can you make to Mr. A. when he asks if the OTCs he is using will help him?
My dog has congestive heart failure. He has been doing bad lately and the docter hasn't been in to see him. We are going to put him down tuesday but until then we want to make him as comfortable as possible. I was wondering if anyone knows if it is okay to give him a second dose of furosemide 20mg pills even if it wasn't directed by the doctor to do so?
a. suppression of aldosterone secretion
b. suppression of anti-diuretic hormone secretion
c. inhibition of Na+/K+ syporter in the thick ascending limb of the nephron loop
d. inibition of ANP secretion
A. infuse 1000ccD5 0.25NS and 40mEq KCl at 100ml/hr
B. give KCl elixir 40mEq ac Qid
C. hold furosemide today only
D. give metoclopramide 10mg ac PO
My answer is C....let me hear yours...thanks
acutally D does make sense..because hypok+ causes decreased smooth muscle contraction therefore decreased peristalsis...so we give him something for constipation...
about C..i am thinking instead of using a loop diuretic, we can use a K+ sparing diuretic..so we don't have to hold diuretic for a day...
you know what guys, this is so stupid...the correct answer is B....because it was written "ac PO"...you never give it ac but pc....by the way, i got 70% on this quiz...am i stupid or this quiz stupid?
Toxic dose or lethal dose of furosemide. Cant seem to find this in the net or my books. All i can find in the net is the toxic dose of furosemide for animals.
I have looked at examples of a medical report but I don't understand where to put these words. I'm not asking for an answer or for someone to write this for me but I am asking if anyone knows a website or something I can check out to help me! Thanks. Here is what the assignment asks for:
Write a medical report describing the history, symptoms, and physical examination findings of a patient with pancreatitis. Make sure to include the following terms in your report.
Acute Chronic
Gallstones Furosemide
Azathioprine CT Scan
Stethoscope Amylase
Lipase Prognosis
Endoscopy Pseudocyst
Cystic Fibrosis Hypercalcemia
Hyperlipidemia Hypertriglyceridemia
ERCP Insulin
Diagnosis Pancreas divisum
Thanks for any help!!
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this really interesting post my friend, especially those tags are cool, congratulations read more
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