Mrs. Wigglesworth is a 76-year-old female client who has been diagnosed with ost
ID: 240031 • Letter: M
Question
Mrs. Wigglesworth is a 76-year-old female client who has been diagnosed with osteoarthritis of the right knee. She also has a history of hypertension and is taking a diuretic and an ACE inhibitor to manage her blood pressure. She is being seen at the medical clinic with complaints of increasing pain in her knee. She states that she has been researching herbal and dietary supplements and has recently started taking glucosamine, chondroitin, ginkgo, and ginseng for her arthritis. She also takes one aspirin a day "to keep me from having a heart attack." During this visit, she is given a prescription for ibuprofen. 1. Discuss the potential interactions that may occur when the ibuprofen is added to the other drugs and supplements that Mrs. W. is currently taking. What areas should the nurse include when teaching Mrs. W. regarding the ibuprofen? 2. John Stokes is a 42-year-old banking executive who has been diagnosed with a duodenal ulcer due to H. pylori infection. He reports persistent abdominal pain associated with the ulcer. His medical history includes a recent knee injury, and he has been taking ibuprofen as needed for knee pain. His physician has prescribed treatment with Prevpac. 1. John asks the nurse about the Prevpac. When he is informed that it contains three drugs, he responds, "Wait a minute. I don't like to take a lot of medications. Isn't three drugs excessive?" How should the nurse respond? John informs the nurse that he has been taking Mylanta for relief of abdominal pain and asks if he can continue taking the Mylanta with the Prevpac. How should the nurse respond 2.Explanation / Answer
A. 1. The interactions of drug ibuprofen:potential for serious interactions with aspirin which need close monitor ing for the development of decrease antiplatelet action of aspirin.
With ACE inhibitors , it may cause kidney dysfunction in elderly.
With ginseng, it increase the risk of side effects and cause bleed and bruising.
2. The nurse should teach the client about the potential risks and the signs of developing drug interaction. Also teach about the precautions to be taken and the importance of stoppage of medication while they experience the first symptom of drug interaction.
B.1. Convince the patient through effective education about the medication, explain the neee of medication, and it's effect on his health condition.
2. There is no known drug interaction between mylanta and prevpac so the nurse can advice the patient to continue the medications as previous.
Related Questions
drjack9650@gmail.com
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.