Medication Management Education For Multimorbidity - Indications And Interactions

Understanding the Indications and Actions of Metronidazole IV tds

1.What are the Indications and actions of the prescribed Medications?

2.What are the most Common Interactions of the prescribed Medications?

3.Discuss the Medication Management Education that is required to Enable Angela to manage her Medications at home.

1.The condition that Mrs Angela Brown aged 68 undergoes is what is medically referred to as multimorbidity. Basically, multimorbidity is condition where two or more chronic disease affects the patients. This situation is mostly prevalent among the older people. The cations that were taken at first to give het Metronidazole 500mg was ideal at that particular time since the results of such prescription plays a very major role in the state of person (Pinnell & Hoopla digital, 2014).  From the patients who have undergone the same challenge they are given the same prescription to relieve the situation or most importantly relive the severity of the chronic problem indicated above. However, some precautionary measures ought to be taken before taking this medication since it contains some high level of carcinogenic which may incredibly affect the patient who has history of kidney or liver problem (Herbert-Ashton & Clarkson, 2008). It is therefore important for the nurses to take full history of the patient regarding the past history so as to see or rather determine the relevancy of being given the said medication before being administered to the patient so as not to cause some risk factors that are associated with it. Probably, Mrs Angela Brown may be experiencing some form of discomfort if the previous doctor was not able to clearly capture her past history on her conditions (Hogan, Burke, Gingrich & Taylor, 2013).  It is always prudent that before this medicine is administered the medic should have prior knowledge of the patient so as to know how best to medicate them. Regular checkup also amounts to gradual improvement of the patient. However, all this squarely depend on the readiness of the patients to discloses all the information regarding their health so as to have clear knowledge on how to be assisted by the concerned medic in their area of expertise (Lilley, Collins & Snyder, 2017).  It has been observed that the cooperation of the patient with the doctor or practitioner is very instrumental in seeing to it that they are in a position of getting the best services.

2.Metronidazole 500mg IV tds should be taken as prescribed by the doctor as there are some complexity that may be evident if it not taken according to the prescription to the latter (Brenner & Stevens, 2013).    It is ideal to note that the aforementioned drug should be taken 2 hours upon completion of taking meals. Similarly, this drug ought not to be chewed, crushed or broken in the process of taking it as it may have dire problems to the patient taking it. This also implies it may not play its major role as intended and thereby it is always recommended that it should be taken like that in its totality (Toy, 2008). To ensure that the aforesaid drug does not have effect to one’s body, it is ideal for one to get some regular testing on blood and liver so as to ascertain that their condition is stable. Therefore, it is always important for the patient to tell the doctor that they are using Metronidazole 500mg IV tds so as to give their doctor easier time to know how to treat orc which medicine to prescribe for the patient. It has been established that skipping of this medicine results to higher risks to the patients (Sammour, 2010).  For this reason, it would be prudent for the patient to visit the medic and tell them their situation if they discover they have not taken the drug for some days since taking it without the consent of the doctor may have negative impact to its taker. Another area of concern is that, there is also need for the patient to have close contact with the medical care taker so as to guide them on appropriate step to take in case the side effect of such medicine becomes conspicuous.  There is also need to have home nursing care because of its notable role in adding the person to recover well. This is also met to see to it that the patient observes the prescription to the latter.

3.For Mrs Angela to manage her medication, it will be importantly for her to have regular checkup and medical consultation so as to aid her fully recuperate from that worsening condition. Regular checkups are very instrumental to such patients since it would provide a clear report of her performance or progress and thereby allowing the doctor to know how best to go about her conditions (Lehne, 2010).  To add on that, basing on Angela’s age, it is important for her to get some home nursing which will significantly play noble roe in her quick recuperations. Her conditions may be termed as the one that needs palliative care and thereby this close monitoring and nursing will allow her to fully recover fast than anticipated. There are some of the practices that one has to avoids while taking this medication (Kee, Hayes & McCuistion, 2015).  This is like issue of one taking alcohol or liquor. Nonetheless, it has been observed that Metronidazole 500mg IV tds has innumerable side effects if the precautionary steps are not fully put into consideration for the safety of the patient. Therefore, Angela needs someone who will always monitor her condition for better recovery.  It may be taken twice for seven days and most practitioner prefer this since it shows great improvement in the part of the patient. Some of its side effects are diarrhea slurring in speech and many others (Burchum & Rosenthal, 2015). Angela may be able to manage her nursing at home if she is in constant communication with her nurse who offers her, palliative care there at home (Katzung & Trevor, 2015).  Since this is multimorbidity condition, it requires very close monitoring and thereby Angela may be able to realize her objective of recovery well she needs to get full support from the nurse who us responds to her health issues on time
                                                     Interactions of drugs and its effects

drug to drug interactions	These are drugs that raises the interactions for other medicines. Drug to drug interactions may at time decrease the functionality of one’s normal medicine and thereby hinder their way of recovery as such. This in essence may increase the chances of developing serious form of illness and to solve causing side effects which are very prone in magnitude (Katzung & Trevor, 2015).  For instance, if one takes a verity of drugs such as antihistamine, Benadryl and Vicodin, they may develop drowsiness to reactivity if such drugs in the body. Some medicine such as nonsteroidal antiinflammatory drugs in indomethacin, lowers the functionality of kidney and thereby hinder the excretion of lithium, a drug used for bipolar disorder. The remedy of this is a dose adjustment and clear monitoring of the patient.
drug to food interactions	It is ideal to note that there are some of the drugs that can negatively interact with some food such grapefruit juicer. This is because the said food reduces the level of enzymes that is very crucial in breaking down the said medication. As such blood level for a particular drug increases and thereby resulting to high level of toxic in the body (Lehne, 2010). For example  Salbutamol 2 puffs prn  • Amiodarone 200mg daily  • Aspirin 300mg daily   On the same breath, the result of this may be pains in the muscles which is medically known as rhabdomyolysis. Bronchodilators for instance, theophylline or albuterol, and epinephrine may have great effect to the person especially if used with food. It is for this reason that one is advanced to avoid beverages that contain caffeine. Taking much of this increases the bioavailability of theophylline level in patient
drug to herbal interactions	Herbal interactions may have adverse effect to its consumers for a number of reasons explicated below.  This is majorly attributed to the fact that most of the herbal drugs have not been labeled with safety warning which is a major characteristics of other medicine. As such the consumer may take the supplement only to find it is reacting negatively with either food or any other drug. This may incredibly interfere with the normal taking of drugs as it does hinder the breaking down of the drug and as such may result to other side effects (Brenner & Stevens, 2013).   It is important for one to always check with the doctor to ascertain the safety of a particular herbal before its consumption.

References

Brenner, G. M., & Stevens, C. W. (2013). Pharmacology. Philadelphia, PA: Elsevier/Saunders.

Burchum, Jacqueline., & Rosenthal, Laura. (2015). Lehne's Pharmacology for Nursing Care. W B Saunders Co.

Herbert-Ashton, M. J., & Clarkson, N. E. (2008). Pharmacology. Sudbury, MA: Jones and Bartlett Publishers.

Hogan, M. A., Burke, S. O., Gingrich, M. M., & Taylor, T. (2013). Pharmacology. Boston: Pearson.

Katzung, B. G., & Trevor, A. J. (2015). Basic and clinical pharmacology.

Kee, J. L. F., Hayes, E. R., & McCuistion, L. E. (2015). Pharmacology: A patient-centered nursing process approach.

Lehne, R. A. (2010). Pharmacology for nursing care. St. Louis, Mo: Saunders/Elsevier.

Lilley, L. L., Collins, S. R., & Snyder, J. S. (2017). Pharmacology and the nursing process.

Pinnell, N. N., & Hoopla digital. (2014). Nursing pharmacology. United States: Dot EDU.

Sammour, S. G. (2010). Pharmacology for nursing.

Toy, E. C. (2008). Pharmacology. New York: M