Sample Assessments
Browse through the curated selection of our completed assessments to get a sense of the quality and depth of our work. Whether you need guidance, inspiration, or just want to evaluate our work, this page is your go-to resource.
Nurses are responsible for evaluating all the factors surrounding the health condition of a patient. Understanding the medications that a patient takes and their effects is the first thing that needs to be done to help devise an effective care plan.
This latter approach pays attention to the importance of combining information from pharmacology and the pathophysiology of a disease for purposes of maximizing the benefits and reducing the negative effects of clinical interventions.
By studying Mrs K’s case, Mrs Enough has the opportunity of evaluating the interaction between more than one health disorder and its pharmacology. Mrs K has a history of blood pressure that is considered to be in the upper limits of normal. This has been managed for over a decade with a combination of diuretics, in particular hydrochlorothiazide (HCTZ).
But lifestyle choices such as the increase of LDL cholesterol and fat intake of food, sedentary life, obese condition, and CAD development as well as an AMI experienced by the patient three days earlier, these factors undoubtedly contributed. These factors underscores the necessity to understand how chronic conditions develop over time in order to change approaches in clinical management.
Coronary artery illness (CAD) refers to the narrowing or blockage of the coronary arteries, lowering blood float to the coronary coronary heart. Following her CAD evaluation, Mrs Adequate has been prescribed atorvastatin (Lipitor), a statin medication that permits a decrease in LDL cholesterol and triglyceride degrees inside the bloodstream.
Furthermore, atorvastatin is thought to lower the threat of significant cardiovascular complications, which include angina, stroke, myocardial infarction, and distinctive coronary heart-related conditions, especially in individuals with predisposing threat factors (U.S. Countrywide Library of Medicine, 2013).
At the same time as atorvastatin is distinctly effective, it isn’t always appropriate for all patients. Healthcare companies want to work caution in prescribing it to human beings with identified allergies to the drug, humans with present liver illness or pregnant and breastfeeding ladies on account of its capability outcomes on fetal improvement.
As part of patient training, Mrs. ok must be informed of the feasible element effects of atorvastatin, which encompass allergic reactions, modifications in urination, darkish-coloured stools or urine, and jaundice, which may also advise liver sickness. Tracking liver enzymes is critical to making sure the affected person is protected at the same time as on statin remedy.
Following a massive laboratory assessment, it was found that Mrs Adequate also has advanced type two diabetes mellitus alongside coronary artery disorder. Kind two diabetes is a continual metabolic circumstance that impairs the body’s ability to alter glucose levels successfully (Mayo Medical Institution, 2013).
Owing to this evaluation, the health practitioner prescribed metformin 250 mg twice daily to help control her blood glucose levels. Metformin is an oral antihyperglycemic agent that decreases hepatic glucose production and enhances glucose uptake through peripheral tissues, consequently enhancing insulin sensitivity (Karch, 2013).
However, positive precautions need to be taken at the same time as prescribing this medication. Metformin is contraindicated in individuals with stated drug allergies, substantial hepatic or renal sickness, and throughout pregnancy or lactation by virtue of potential complications.
Mrs. ok should be knowledgeable of the feasible adverse effects of metformin, which embody allergic reactions, abnormal coronary heart rhythms, immoderate thirst, hypoglycemia, profound weak factor, fever, and chills. Moreover, patients taking metformin must be monitored for signs of lactic acidosis, a rare however serious condition that calls for fast clinical interest.
To further control her prolonged-fame high blood pressure, Mrs Adequate was as soon prescribed enalapril, an angiotensin-converting enzyme (ACE) inhibitor. Enalapril features the aid of stopping the conversion of angiotensin I to angiotensin II, a device that generally ends in vasoconstriction and expanded blood strain. By inhibiting this pathway, enalapril promotes vasodilation, efficiently reducing blood strain and reducing the workload on the coronary coronary heart.
No matter its advantages, enalapril isn’t always suitable for all patients. It ought not to be utilized in people with hypersensitivity to ACE inhibitors, a record of angioedema, bilateral renal artery stenosis, or inside the path of pregnancy as a result of the hazard of fetal harm.
It’s imperative to train Mrs OK on the possible consequences of enalapril, which include continual cough, chest soreness, diarrhoea, and dizziness, which are central to fainting episodes and blurred vision and memory. Monitoring kidney function and electrolyte levels is quintessential to preventing complications related to ACE inhibitor remedies.
Coaching Mrs. enough about her clinical situation and the prescribed pharmacological interventions is a key step in selling her recovery. Providing smooth statistics on lifestyle adjustments, which include a balanced weight-reduction plan, ordinary physical hobbies, and sodium restriction, can significantly beautify her everyday fitness. Those changes no longer entirely decorate disease results; however, they may additionally reduce her dependence on certain tablets through the years.
Moreover, discussing the functionality and consequences of every prescribed drug permits Mrs. ok to be proactive in identifying destructive reactions early. Empowering patients with understanding about their remedies fosters adherence to treatment regimens and prevents pointless health facility readmissions due to preventable complications. The feature of nurses in affected individual schooling and medication management is indispensable in ensuring high fantastic fitness consequences.
Karch, A. (2013). consciousness on nursing pharmacology (6th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Mayo clinic. (2013, January 15). kind two diabetes. Retrieved from http://www.mayoclinic.com/health/type-two-diabetes/DS00585
U.S. countrywide Library of medication. (2013). Atorvastatin. PubMed fitness. Retrieved from http://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0009143
All orders at our writing service are delivered exceptionally for research purposes.
