Kelly, an 82 year old patient admitted 2 weeks ago for pain with urination, fever over 24 hours and change in her mental status. She has completed the antibiotic therapy and fluid therapy for her dehydration and UTI. She has been diagnosed with COPD and insomnia while at…
Decreased kidney function can cause drug accumulation and toxic effects. Ensure that patient maintains adequate fluid intake (minimum 2500-3000 mL/day) to minimize risk of kidney stone formation.
Inhibits an enzyme that I is responsible for catalyzing an early step in synthesis of cholesterol. Therapeutic Effects: Lowers total and LDL cholesterol and triglycerides. Slight increase in HDL cholesterol as well
Blocks pain impulses in CNS, reduces inflammation by inhibiting protoglandin synthesis. Therapeutic Effects: antipyretic resulting from vasodilation of peripheral vessels,decreases risk for thrombosis, MI, and TIA, reduces fever and pain from inflammation at higher doses
Blocks stimulation of beta1(myocardial)-adrenergic receptors. Does not usually affect beta2(pulmonary, vascular, uterine)-receptor sites. Therapeutic Effects: Decreased BP and heart rate by vsaodilation. Decreased frequency of attacks of angina pectoris. Prevention of MI.
Angiotensin-converting enzyme (ACE) inhibitors block the conversion of angiotensin I to the vasoconstrictor angiotensin II. ACE inhibitors also prevent the degradation of bradykinin and other vasodilatory prostaglandins. ACE inhibitors also plasma renin levels and aldosterone levels. Net result is systemic vasodilation. Therapeutic Effects: Lowering of BP in hypertensive patients. Increased survival and decreased symptoms in patients with heart failure. Increased survival after myocardial infarction.
Advair contains both both fluticasone propionate and salmeterol. They are synthetic corticosteroids and long acting Beta2 receptor agonist respectively. The drugs have anti-inflammatory properties as well as relaxation of the airway muscles thus easement of breathing (Nelson, 2001)
Obtain the respiration rate, blood pressure and pulse rate before administering the drug. Monitor blood glucose and potassium level as well since the drug has got quick alteration on cardiac functionality and electrolyte imbalance. Use with ...
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Considering the result of the biochemical analysis done for the patient, it can be concluded that the patient has not been monitoring his blood sugar effectively. Each of those outlined results point towards different analysis and help in the assessment of a poorly controlled blood sugar.
The patient started hearing voices since 3 years prior to consult (PTC), and receiving signals 1 year PTC, with it stopping only when he would bite his lip really hard or pull his hair. He also claims the voices can be drowned out by outside interferences such as wind-blowing.
One significant recent change is loss of weight by 6 kgs in 4 months’ period. This loss is attributed to poor intake of adequate nutritious diet secondary to decreased appetite. Implications of poor nutrition and the impact of malnutrition on existing disease process needs to be evaluated to help Anita combat her current health issues.
It was decided a detailed history and clinical examination will be undertaken to reach a clinical diagnosis. In this study, the findings and a critical analysis of his findings are presented, which also includes evidence from literature as to how this clinician could reach a diagnosis from the available information.
The author states that the symptoms caused by heart disease result most commonly from myocardial ischemia, from disturbance of the contraction and/or relaxation of the myocardium, or from obstruction to blood flow. Ischemia is manifest most frequently as chest discomfort, while reduction of the pumping ability commonly leads to hypotension.
It covers the topic of ethical issues in the practice of clinical supervision looking at them from both, the supervisor’s and the intern’s, sides. Lily began supervising an intern, Jack. Then Lily went to a medical leave for six months, since she was the
Elena says she has never seen them arguing and their marriage is an example for her. When she was talking about her fiancée she seemed sad and told that her parents had always been against their relationships;
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