Nursing Management - Case Study

15 Pages3718 Words95 Views

Added on 2021-06-18

Nursing Management - Case Study

Added on 2021-06-18

BookmarkRelated Documents

Running head: NURSING MANAGEMENT 1Nursing ManagementName Institution

NURSING MANAGEMENT21. Describe the patients presenting problem focusing on the pathopsychological issuesThe presenting problem, in this case, is the amount of physical and psychologicaldiscomfort that the patient exhibits. The case study presents a Mr. Fugerson exhibit heavybreathing, paleness and short of breath. The initial symptom for which a person seeks helps froma doctor, and in this case is the service provider at the emergency room (Groth, 2003). He has ahistory of 2/24 chest heaviness, and on the attack, he administered himself the pump spray.Apart from being pale and having short breaths he also appeared diaphoretic. However,we first have to look into his demographic details to know and be sure to issued rugs that wouldwork for him. Being 76 years old makes it easier to see the amount of dosage at that particularage is to be administered (Jones et al., 2006). The presenting problem can also necessarily not bethe real problem. The patient might exhibit symptoms that may later disappear or not appear atthat particular time and be shown at a later time. When Mr. Fugerson was being admitted, he had chest heaviness and up entering theemergency department bed, he appeared to be pale, diaphoretic and at the same time hadshortness of breath. While presenting, the problem the patient's history is also a crucial matter tolook. , before the diagnosis of the patient, a close analysis should be done to identify the sourceof pain, as well administer drugs in case of an emergency. There is need actually to check on thedemographic information of the patient.His regular medication indicates specific dosage that he was given upon arrival at the EDhe was also administered the drugs. The first symptoms and physical symptoms are the doctor ornurse see and draw a conclusion. The case study of Mr. Fugerson exhibits conditions that arecritical and needs medical attention as soon as possible (Linnebur et al., 2005).

NURSING MANAGEMENT32. Review and use literature review to explain the pharmacokinetics of the prescribedmedications and indicationsPharmacokinetics is an area of pharmacology concerned with the time course ofabsorption, distribution, metabolism and the excretion of drugs from the biological system tofully comprehend the effect of an administered drug or the impact of the drug administered to agiven individual or subject.INTRODUCTIONPharmacokinetics can be defined as the study of absorptions, the overall distribution,modification and transformations and eventually excretion of drugs in the human body NationalCenter for Biotechnology Information (Long, 2013). For the safe and efficient admission of drugs, clinical pharmacokinetics has to be appliedin a therapeutic application with the primary aim being the elimination or minimization of thetoxic effects of drugs on patients under therapy. To develop a relationship between the drugconcentration and their impact, the clinicians ought to apply the principles of pharmacokineticswhich entail distribution quantity, bioavailability and exposure duration (Krantz, Kutinsky,Robertson & Mehler, 2003). The effects of a drug are often directly related to its concentrationgenerally in the human body and on the receptor sites. However, it is not possible to practicallymeasure the level of a drug directly through these sites and therefore the incorporation of blood,plasma or other body fluids samples for analysis. This yields kinetic homogeneity which entailsthe relationship between the drug concentration on the sample and that of the receptor site wherea change in the sample content depicts a change in the receptor site concentration (Guay, 2007).Most of the drug’s side effects are related to their concentration on the receptor siteexcept for a few other factors such as receptor density regulatory factors and modes of signal

NURSING MANAGEMENT4transmission. On the contrary, there exists a case of tolerance where the continued use of thedrug exhibits a decrease in its effectiveness which is usually as a result of increased metabolismwith the intake of a specified dose over time (Linnebur et al., 2005). A case ofpharmacodynamics tolerance can also be reported where the same amount of drug concentrationat the receptor site produces a lower effect over a continued exposure (Herr, 2002).Pharmacokinetics, therefore, brings us to the concept of DDI- Drug-Drug Interaction.This is to what extent a given drug when administered works efficiently with other medicationsto be able to function correctly without an effect or negative impact on the patient. Morphineappears to have negligible interaction with aspirin (McCarthy et al., 2016).According to (Amsterdam et al. (2014), it appears clinically relevant whether morphinealso affects the pharmacokinetics (PK) and pharmacodynamics (PD) of aspirin. According to(Bruce and Bing (1965), majorly in medical terms morphine has been used for pain relief in theclinical management of myocardial infarction. A Morphine Sulphate IV 2.5 mg/4cc PRN to Mr.Fugerson. Morphine has been for a while been administered for chest pains relief to patients withthe symptoms. Use of aspirin reduces the mortality rate among patient (Gordon et al., 2004).Mr. Fugerson regular medications include; Aspirin 100mg PO, ODMetoprolol 50mg, PO, ODRosuvastatin 10mg, PO, ODGlyceryl Trinitrate Pump Spray PRNThe medicines administered upon arrival at the Emergency Department include;Aspirin 300mg PO

End of preview

Want to access all the pages? Upload your documents or become a member.

Case Study of Mr. Ferguson: Pathophysiology, Pharmacokinetics, Nursing Management, and Health Education

|10

|2437

|399

Pharmacology Based on Patient medication PDF

|11

|3337

|60

Nursing management of a patient case study

|2775

|162

Case Study Assessment: Pathophysiology, Pharmacokinetics, Nursing Strategies, and Clinical Considerations

|2413

|375

Assignment on Nursing Process

|2024

|43

Ferguson Chest Heaviness Case - Pathophysiology, Pharmacokinetics, and Nursing Management

|2121

|330

Nursing Management - Case Study