Which drug brings Chronic Obstructive Pulmonary Disease? Explain.
Albuterol is the drug which brings Chronic Obstructive Pulmonary Disease (COPD) conditions among the patients. Furosemide has the function of Fluid Retention in gastro intestinal track. Glipizide is a hyperglyceromic drug which inhibits the excessive blood glucose. Indomethacin is used against tenderness, swelling, stiffness, over swelling due to rheumatoid or chronic gout arthritis. Ipratropium is a bronchospasmic releaser as it clears the tracheal passage of the patient suffering from Chronic Obstructive Pulmonary Disease. Prazosin is a hypertension relieving drug generally acts at the neuro vascular junctions. Theo-dur is used in the pulmonary systems which clears the clear passage of pulmonary veins and pulmonary arteries connecting the heart and the lungs (Brenner and Stevens, 2013). Triamcinolone is an arthritis barrier. A combination of the above mentioned drug can be used as a medication for the patient. Drugs generally used for Type II Diabetes Mellitus is Metformin which is generally opens the GLUT system and Sitagliptin which is Dipeptidyl Peptidase-4 Inhibitor which acts on the concentration of the insulin.
There is basically three contraindications of Metaformin are so enlisted. First is the renal impairment where high concentration of creatinine in the blood level (generally more than 124 mmol/l in woman) is generally observed (Howland et al., 2006). Heart Failure is another issue supported along with various other hepatocytes issues. Sitagliptin’s contraindications include kidney impairement, high creatinine level. Since the patient is below 80 years with no cardio problems, hence Metformin and Sitagliptin can be easily used for the treatment of diabetes mellitus.
Patient variables are important while assessing drug therapies of patients. The patient variables that are important for assessing the drug intervention for her are age, weight, height, gender.
The aspects of core drug knowledge that are need consideration as they may interfere with the patient variables are side effects of drugs and contraindications of drugs.
The first finding from the nursing assessment that demonstrates drug therapy’s effectiveness isblood pressure at 112/72. The reference range for normal blood pressure is 120/80-140/90. The patient had been suffering from hypertension and the drug took care of it. The reference range of electrolytes sodium, potassium and chloride are 135-145 mEq/L, 3.5-5.0 mEq/L and 95-105 mEq/L respectively (Musom.marshall.edu, 2015).In the patient they were found to be 137 mEq/L, 3.8 mEq/L and 95 mEq/L respectively. It confers that fluid retention is been carried out an effect of the drug.
The findings from the nursing assessment that demonstrate adverse effect from drug therapy are high cholesterol level at 315 mg/dLand borderline high triglyceride at 218 mg/dL. The reference ranges of these are 90 mg/dL and 150mg/dL respectively.
Several measures need to be taken for maximising the therapeutic therapy. The patient must reduce her weight and start doing physical exercise in order to treat Diabetes along with the medication. She must also quit smoking for taking care of pulmonary diseases.
Adverse effects of can be minimised by following proper guidelines for contraindications.
Teaching is very much required for the patient about her drug therapy. This is because the teaching will make her knowledgeable about the drugs she is taking. Educating her will reduce the chances of her readmission. The severity of the allied complications of drug intake can be lessened if the patient has prior knowledge of the contraindications and adverse effects of drug therapy. The patient’s background information is needed for determining appropriate teaching (Stenfors-Hayes et al., 2015).
Brenner, G. and Stevens, C. (2013). Pharmacology. Philadelphia, PA: Elsevier/Saunders
Howland, R., Mycek, M., Harvey, R., Champe, P. and Mycek, M. (2006). Pharmacology. Philadelphia: Lippincott Williams & Wilkins
Musom.marshall.edu, (2015). Normal Lab Values. [online] Available at: https://musom.marshall.edu/usmle/USMLELabValues.htm [Accessed 25 Aug. 2015]
Stenfors-Hayes, T., Berg, M., Scott, I. and Bates, J. (2015). Common concepts in separate domains? Family physicians’ ways of understanding teaching patients and trainees, a qualitative study. BMC Medical Education, 15(1)
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