{"id":252,"date":"2015-02-21T21:50:19","date_gmt":"2015-02-21T10:50:19","guid":{"rendered":"http:\/\/casestudyhelp.com\/sample-questions\/?p=252"},"modified":"2018-01-30T17:54:05","modified_gmt":"2018-01-30T06:54:05","slug":"case-study-mrs-a","status":"publish","type":"post","link":"https:\/\/casestudyhelp.com\/sample-questions\/case-study-mrs-a\/","title":{"rendered":"Case Study Mrs A"},"content":{"rendered":"
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      1. Explain the mode of action and the rationale for administering Frusemide (how it works and why it\u2019s given)
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        Case Study Mrs A<\/strong>\u00a0<\/span>Mrs A is a 71 year old widow admitted to your ward this morning with chronic heart failure and osteoarthritis who has recently been exhibiting quite unusual behavior. Over the last 2-3 months, Mrs A has become confused, easily fatigued and very irritable. She has developed disturbing obsessive\/compulsive behavior constantly complaining that her lace curtains were dirty and required frequent washing. Detailed questioning revealed that she thought they were yellow-green and possibly moldy. Her usual prescribed medications are:<\/p>\n

        \u00b7\u00a0\u00a0\u00a0\u00a0\u00a0 Frusemide 40 mg daily in the morning<\/p>\n

        \u00b7\u00a0\u00a0\u00a0\u00a0\u00a0 Digoxin 250 micrograms daily<\/p>\n

        \u00b7\u00a0\u00a0\u00a0\u00a0\u00a0 Mylanta suspension, 20 ml prn<\/p>\n

        \u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

        Explain the mode of action for digoxin (how does it work)<\/p>\n

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        1. Review Mrs A\u2019s prescribed medications and discuss any possible interactions that may occur between Frusemide, Digoxin and Mylanta (please use AusDi or the AMH in the Tafe Library where possible)<\/li>\n<\/ol>\n

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          Mrs A is being prepared for discharge 4 days later. Her discharge prescriptions are completed by the doctor.<\/p>\n

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          Age related changes alter the pharmacodynamics and pharmacokinetics of drugs, please briefly discuss the influence of Absorption<\/span>, distribution<\/span>, metabolism<\/span> and excretion<\/span> of drugs in general<\/span> for the older client<\/p>\n

          .Case Study Mr B<\/strong><\/p>\n

          \u00a0<\/strong><\/p>\n\n\n\n
          Case Study Mr B<\/p>\n

          Mr B is a 65 year old man admitted to your ward, diagnosed with community-acquired pneumonia. At 10am, the Registered Nurse dilutes his intravenous Amoxicillin 1gm in 100ml minibag and connects it to his IV cannula. He has frail veins so the flow rate is set to run slowly via gravity infusion.<\/p>\n

          After a short period of time Mr B buzzes for a nurse, when you enter the room, Mr B states that he is feeling itchy all over (especially the chest area). You note that he has noisy breathing and he can\u2019t talk properly because his tongue is swelling. Mr B is having trouble breathing, and pointing to his chest, indicating chest tightness.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

          Define adverse drug reaction.<\/p>\n

          Describe your role as an EN responding to Mr B\u2019s nurse call bell. Include in your answer,<\/p>\n

          \u00a0<\/span><\/p>\n