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Developing Critical/Clinical Thinking by Identifying Clinical Relationships - Case Study Example

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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…
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Developing Critical/Clinical Thinking by Identifying Clinical Relationships

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 ... Read More
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