Patient Teaching Instructor University Patient Teaching Metoprolol Metoprolol is a beta adrenergic blocker drug and by definition acts by blocking beta receptors. Beta receptors are present on various tissues but their effect on heart and bronchioles are of clinical importance…
This is the reason beta blockers are contraindicated in asthma patients. Metoprolol is more selective in choosing its target as compared to other drugs in the same class such as propanolol. Metoprolol is more cardio selective and has minimal effect on bronchioles at low dose, making it suitable for asthma patients. It is still contra indicated in patients suffering from heart failure or heart blocks. Certain drugs, such as cimetidine, flouxitine and ritonavir can interfere with the normal metabolism of beta blockers potentiating their antihypertensive properties. Barbiturates, Rifampicin and phenytoin may increase its metabolism and decrease potency. Recommended dose of metoprolol for heart patient is about 50-100mg 2-3 times a day. (Mehta & Royal Pharmaceutical Society of Great Britain 2009) Metformin Metformin is an oral antidiabetic drug and the only medicine from Biguanides class currently available in the market. It is classified as insulin sensitizer and as the name suggest it increases the sensitivity of insulin in body. It works by inhibiting the production of glucose from liver, a process called gluconeogenesis. Metformin is also known to promote glucose uptake by tissue cells and enhance its utilization, hence, decreasing its plasma concentration. Known adverse effect of metformin is lactic acidosis; therefore, it is contraindicated in patients suffering from ketocidosis. Other side effects include gastrointestinal disturbances and nausea. There are no significant drug interactions as it does not bind to any plasma proteins or get metabolized within the system. Recommended dose is 500mg once, twice or three times a day depending on the glycemic control. (Mehta & Royal Pharmaceutical Society of Great Britain 2009) Lisinopril Lisinopril is an antihypertensive drug that inhibits angiotensin converting enzyme (ACE) responsible for conversion of angiotensin I into angiotensin II. The latter is a strong vasoconstrictor substance and reduction in its production lowers blood pressure by decreasing peripheral vascular resistance. Conversion of angiotensin I to angiotensin II takes place in the lungs and same enzyme also mediates the breakdown of bradykinin. Its inhibition, therefore, increases bradykinin and patient experiences dry cough as a side effect. Other side effects include hyperkalemia, skin rash, hypotension and fever. These drugs are also toxic during pregnancy (teratogenic) and may cause renal dysfunction in growing fetus. Recommended dose is 10 mg once daily. (Mehta & Royal Pharmaceutical Society of Great Britain 2009) Ezetimibe It is a cholesterol inhibiting drug and selectively inhibits absorption of both dietary and biliary cholesterol in small intestines. This cause reduction in blood cholesterol levels which is a crucial requirement in patients suffering from ischemic heart disease and other related disorders. Gastrointestinal disturbance is a more frequent side effect along with headache, fatigue, and myalgia. There is no significant drug interaction. Conversely, it is usually administered in combination with other cholesterol lowering drugs such as simvastatin. Recommended dose is 10mg once a day for adults and children over 10 years. (Mehta & Royal Pharmaceutical Society of Great Britain 2009). Warfarin Warfarin is an anticoagulant and is widely used for preventing thrombotic incidences in patients at risk of ischemic heart di ...
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(Patient Teaching Research Paper Example | Topics and Well Written Essays - 750 Words)
“Patient Teaching Research Paper Example | Topics and Well Written Essays - 750 Words”, n.d. https://studentshare.net/health-sciences-medicine/88573-patient-teaching.
The advocacy meaning for nurses in practice is intensively complicated than the legal meaning, and the concept of advocacy has been the central focus of various nursing studies and research. Patient advocacy entails a therapeutic bond and a dialogue amidst the nurse or the advocate and the sick person.
They further explain that education is critical for both breast cancer patient and their families. Education program enhances the knowledge of the patient about the health problem and cure and this makes them empowered in participating in making decisions about their care.
The previous and present diagnosis indicates fever, shortness of breath, decrease appetite and increase chest congestion. The patient presents signs of aspiration, particularly coughing and choking when eating or drinking. Patient produces “drenched” and “gurgled” vocal quality sounds during meals due to amplified congestion following oral intake.
A condition called ‘breast engorgement’ can threaten to devastate the mother with intense pain and discomfort. There are both medical and non-medical methods suggested as potential remedies to breast engorgement. Some of these include the use of cabbage leaves or alternative creams with cabbage extract, use of breast binders and provision of medical and non-medical support by nurses.
He has attempted suicide twice in the past, but when questioned he denies harboring any suicidal ideas or thoughts this time. In addition to this, he has a history of Type II Diabetes that he normally controls by using oral medications. He explains that he regularly monitors his blood glucose at home and for the past month it has fallen in the 200mg/dl range.
Nurse educators aim at encouraging patients to seek informed medication for their illnesses while encouraging them to comply with treatment regimes that promote healthy lifestyles. The emergence and growth of advanced nursing practices have led to the expansion of direct care component to incorporate the aspect's medical care while maintaining patient education (Goldman, Shah, Greenberg & Cogen, 2012).
The spread of HIV/AIDS in the 21st century has led to increased concentration of nurse teachers on educating people about the causes and effects of HIV/AIDS infections (Prater, 2011). The nurses have produced varieties of materials, which provide excellent starting points when educating people.
ence towards the results, going to the hospitals with insufficient or inadequate facilities, avoiding follow-up care, attaining unexpected results of surgery. FDA conducted a research to determine the fatal errors of medication experienced in the years between 1993 and 1998
Perception of Front-line Healthcare Providers Toward Patient Safety: A Preliminary Study in the University of Egypt. Topics in Advanced Practice Nursing, 8(2). Retrieved October 19, 2011, from Web Site: http://www.medscape.com/viewarticle/570921_2 is the article taken up
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