This document provides information about medication management for Mrs Melanie Bradford and Mrs Ally Peterson. It includes the pharmacology of current medicines, their uses, desired effects, and possible adverse effects. The document also discusses the assessment and evaluation process for Mrs Ally Peterson's condition.
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Running head: MEDICATION MANAGEMENT MEDICATION MANAGEMENT Name of the Student Name of the University Author’s Note:
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1MEDICATION MANAGEMENT Answer to the question number 1: Pharmacology of current medicines in case of MrsMelanie Bradford: Medicine NameCategoryUsesDesired effectPossible adverse effect LisinoprilAntihyperten siveAgents, ACE Inhibitors and Diuretics Hypertension treatment,lisinopril isused.Reducing hypertensionhelps tothwartstrokes, heartattacks,and renal disease and is alsousedtreat cardiacimpairment andenhances survival following a heart attack. It can take 2 -4 weeks to fullyadvantagefrom thisdrugforthe treatment of high blood pressure.Itcantake weeks to months to get the maximum benefit of this medication for the treatmentofcardiac failure. Headache, fatigue,or dizzinesscan happenasbody adjuststothe drug. Dry cough can occur as well (Silberstein, 2015). FrusemideDiureticThismedicineis oftenusedtotreat hypertension. Reducing hypertensionhelps toavoidstrokes, problemswiththe kidneys,and heartattacks. Furosemide is generally prescribedtodecrease additionalbodywater (edema) which generally causesbyheart impairment,liver disease,andkidney disease conditions. Light headedness, dizziness, headache,or blurry vision can happenwhile taking themedicationfi rsttimeasthe bodyadjustto this medication. AspirinSalicylate and a NSAID ornon- steroidal anti- inflammatory drug Aspirinisoften prescribedtolower thefeverandto alleviateslightto modestpain.In situationssuchas arthritis, it can also beusedto reduceswellingand pain. A lowerdose of aspirin preventsbloodclot. This reduces the risk of heart attack and stroke (Zhang et al., 2014). Heartburnand upsetstomach might happen. Coloxyland Senna LaxativeItisused forsoftening thestool.Itsoftens and facilitates bowel movements.It inducesthebowel muscle movement. Normalandregular bowel movement. Thisrug hasseriousside- effectslike: rectalbleeding, highstomach pain,vomiting, andnausea. NexiumPPIsorTreatment Of GERDIthelpscurestomachAcute Interstitial
2MEDICATION MANAGEMENT protonpump inhibitors or Gastroesophageal RefluxDisease (GERD) acidandoesophagus damage, helps to reduce ulcers,andalsocan preventoesophageal cancer (Conley, Wolcott & Wong, 2017). Nephritis, FundicGland Polyps, Hypomagnesemi a, Cutaneous and SystemicLupus Erythematosus IbuprofenNon- steroidal anti- inflammatory drug Ibuprofen is used as apainrelieverfor headache, toothache,muscleac hes,menstrual cramps,or arthritis. It helps to regulate the developmentofcertain natural materials causing inflammationinyour body.Thiseffect reduces inflammation,fever,orp ain. Vomiting,upset stomach, nausea, diarrhoea, headache, dizziness, constipation,or drowsiness might happen. Pharmacology of current medicines in case of Mrs Ally Peterson: Medicine NameCategoryUsesDesired effectPossible adverse effect Baclofeninhibitory neurotransmitter gamma- aminobutyric acid (GABA) Baclofenis commonlyused totreatmuscle spasmscaused byconditions likespinalcord injury or disease, multiple sclerosis.It worksby helpingthe muscles relax. Baclofentreatment will support residual function restoration. Hypotension, Confusion, headache, impotence, urinary retention,dysuria, Nausea, constipation DiazepamBenzodiazepinesDiazepamis usedforthe treatment ofdrinking, anxiety,and seizures. Muscle spasms will berelievedand sedationcanbe implementedbefore treatmentbythis medication. It works bysoothing thenervesandbrain . hallucinations, agitation, restlessness, confusion, depression (Papineni McIntosh,Ashley &Lourenço‐ Matharu, 2015) Coloxyland Senna LaxativeItisused forsoftening thestool.It softensand facilitatesbowel Normal and regular bowel movement. Thisrug hasseriousside- effects like: rectal bleeding,high stomachpain,
3MEDICATION MANAGEMENT movements.It inducesthe bowelmuscle movement. vomiting, andnausea. Gabapentinantiepilepticor anticonvulsant drug Forpreventing andcontrolling seizures, gabapentinis usedwithother medications. It is alsousedto alleviatenerve painafter shingles preventionand control of seizures Suicidalthoughts orattempts, depression,or othermentalor mood problems. Answer to the question number 2: Before visiting her, all the background information and medical history of the patient should be collected. In addition to that, medical report of her latest visit also needs to check for the up to date information of the patient’s current condition. Also, the information about the patient current medication management needs to be updated as well. Assessment and evaluation is important for the patient with the conditions Mrs Ally Peterson. After visiting her, the information need to be collected for the measurement of Fatigue (PT and OT), Weakness (PT and OT), Walking difficulties (PT), Cognitive changes (OT), Reduced manual dexterity (OT), Poor balance/fall risk Stiffness, spasms, spasticity (PT and OT),Pain (PT and OT), Sensory changes (including proprioception), (PT and OT) Poor vision (OT) Decreased functional independence, and Tremor/Ataxia (PT and OT) (National Multiple Sclerosis Society, 2019).
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4MEDICATION MANAGEMENT References: Conley, J. G., Wolcott, R. C., & Wong, E. (2017). AstraZeneca, Prilosec, and Nexium: marketing challenges in the launch of a second-generation drug.Kellogg School of Management Cases, 1-20. National Multiple Sclerosis Society. (2019). Assessment and Intervention. Retrieved from https://www.nationalmssociety.org/For-Professionals/Clinical-Care/Managing-MS/ Rehabilitation/Rehabilitation-Paradigm/Assessment-and-Intervention Papineni McIntosh, A., Ashley, P. F., & Lourenço‐Matharu, L. (2015). Reported side effects ofintravenousmidazolamsedationwhenusedinpaediatricdentistry:a review.International journal of paediatric dentistry,25(3), 153-164. Silberstein, S. D. (2015). Preventive migraine treatment.Continuum: Lifelong Learning in Neurology,21(4 Headache), 973. Zhang, Y., Neogi, T., Chen, C., Chaisson, C., Hunter, D. J., & Choi, H. (2014). Low-dose aspirin use and recurrent gout attacks.Annals of the rheumatic diseases,73(2), 385- 390.