Medication Management: Pharmacology, Assessment, and Patient Care

This assignment focuses on medication management, presenting two patient cases, Mrs. Melanie Bradford and Mrs. Ally Peterson, with detailed analyses of their current medications, including pharmacology, uses, desired effects, and possible adverse effects. The assignment requires an understanding of the clients' medical histories and current medications, including the drugs Lisinopril, Frusemide, Aspirin, Coloxyl Senna, Nexium, Ibuprofen, Baclofen, Diazepam, and Gabapentin. The solution includes a pharmacology overview of each medication, addressing hypertension, heart disease, gastroesophageal reflux, relapsing-remitting multiple sclerosis (RRMS), and other relevant conditions. Furthermore, the assignment emphasizes the importance of patient assessment, including the collection of background information, medical history, and evaluation of symptoms such as fatigue, weakness, walking difficulties, cognitive changes, reduced manual dexterity, balance issues, pain, and sensory changes. The provided solution offers a comprehensive approach to medication management and patient care.

Running head: MEDICATION MANAGEMENT
MEDICATION MANAGEMENT
Name of the Student
Name of the University
Author’s Note:

1MEDICATION MANAGEMENT
Answer to the question number 1:
Pharmacology of current medicines in case of Mrs Melanie Bradford:
Medicine
Name Category Uses Desired effect Possible adverse
effect
Lisinopril Antihyperten
sive Agents,
ACE
Inhibitors
and Diuretics
Hypertension
treatment, lisinopril
is used. Reducing
hypertension helps
to thwart strokes,
heart attacks, and
renal disease and is
also used treat
cardiac impairment
and enhances
survival following a
heart attack.
It can take 2 - 4 weeks to
fully advantage from
this drug for the
treatment of high blood
pressure. It can take
weeks to months to get
the maximum benefit of
this medication for the
treatment of cardiac
failure.
Headache,
fatigue, or
dizziness can
happen as body
adjusts to the
drug. Dry cough
can occur as well
(Silberstein,
2015).
Frusemide Diuretic This medicine is
often used to treat
hypertension.
Reducing
hypertension helps
to avoid strokes,
problems with the
kidneys, and
heart attacks.
Furosemide is generally
prescribed to decrease
additional body water
(edema) which generally
causes by heart
impairment, liver
disease, and kidney
disease conditions.
Light
headedness,
dizziness,
headache, or
blurry vision can
happen while
taking
the medication fi
rst time as the
body adjust to
this medication.
Aspirin Salicylate
and a NSAID
or non-
steroidal
anti-
inflammatory
drug
Aspirin is often
prescribed to lower
the fever and to
alleviate slight to
modest pain. In
situations such as
arthritis, it can also
be used to
reduce swelling and
pain.
A lower dose of aspirin
prevents blood clot. This
reduces the risk of heart
attack and stroke (Zhang
et al., 2014).
Heartburn and
upset stomach
might happen.
Coloxyl and
Senna
Laxative It is used
for softening
the stool. It softens
and facilitates bowel
movements. It
induces the bowel
muscle movement.
Normal and regular
bowel movement.
This rug
has serious side-
effects like:
rectal bleeding,
high stomach
pain, vomiting,
and nausea.
Nexium PPIs or Treatment Of GERD It helps cure stomach Acute Interstitial

2MEDICATION MANAGEMENT
proton pump
inhibitors
or Gastroesophageal
Reflux Disease
(GERD)
acid and oesophagus
damage, helps to reduce
ulcers, and also can
prevent oesophageal
cancer (Conley, Wolcott
& Wong, 2017).
Nephritis,
Fundic Gland
Polyps,
Hypomagnesemi
a, Cutaneous and
Systemic Lupus
Erythematosus
Ibuprofen Non-
steroidal
anti-
inflammatory
drug
Ibuprofen is used as
a pain reliever for
headache,
toothache, muscle ac
hes, menstrual
cramps, or arthritis.
It helps to regulate the
development of certain
natural materials causing
inflammation in your
body. This effect
reduces
inflammation, fever, or p
ain.
Vomiting, upset
stomach, nausea,
diarrhoea,
headache,
dizziness,
constipation, or
drowsiness
might happen.
Pharmacology of current medicines in case of Mrs Ally Peterson:
Medicine Name Category Uses Desired effect Possible adverse
effect
Baclofen inhibitory
neurotransmitter
gamma-
aminobutyric
acid (GABA)
Baclofen is
commonly used
to treat muscle
spasms caused
by conditions
like spinal cord
injury or disease,
multiple
sclerosis. It
works by
helping the
muscles relax.
Baclofen treatment
will support residual
function restoration.
Hypotension,
Confusion,
headache,
impotence, urinary
retention, dysuria,
Nausea,
constipation
Diazepam Benzodiazepines Diazepam is
used for the
treatment
of drinking,
anxiety, and
seizures.
Muscle spasms will
be relieved and
sedation can be
implemented before
treatment by this
medication. It works
by soothing
the nerves and brain
.
hallucinations,
agitation,
restlessness,
confusion,
depression
(Papineni
McIntosh, Ashley
& Lourenço‐
Matharu, 2015)
Coloxyl and
Senna
Laxative It is used
for softening
the stool. It
softens and
facilitates bowel
Normal and regular
bowel movement.
This rug
has serious side-
effects like: rectal
bleeding, high
stomach pain,

3MEDICATION MANAGEMENT
movements. It
induces the
bowel muscle
movement.
vomiting,
and nausea.
Gabapentin antiepileptic or
anticonvulsant
drug
For preventing
and controlling
seizures,
gabapentin is
used with other
medications. It is
also used to
alleviate nerve
pain after
shingles
prevention and
control of seizures
Suicidal thoughts
or attempts,
depression, or
other mental or
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).

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
of intravenous midazolam sedation when used in paediatric dentistry: 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.