Adderall: A Case Study

Medication adherence is very important in achieving patient’s therapeutic goal as it is the pinnacle of good therapeutic outcome and effective pharmacological response of drugs. The points below will help us understand the important role and how critical medication adherence is in the healthcare system. I. In particular disorder like epilepsy, medication adherence is important to maintain a constant serum drug concentration to avoid convulsion in epileptic patients. Sodium valproate is considered as an epileptic drug that requires high adherence to reduce the risk of convulsive episodes in patients.

You can assess much of patients’ mental status via simple observation and through their answers to your questions during history taking. For a screening exam, you are done if the patient makes appropriate eye contact and does not drift off or need things repeated, is able to converse normally with you, and answers questions about medical history and recent events in a consistent manner. Obviously, if the patient’s spouse or child is sitting there shaking his or her head, repeatedly correcting the patient, or giving you a completely different account of historical or recent events, you will need to do a more formal assessment. Seven areas of mental status need to be considered: 1. Level of awareness.

Prospective DUE: Prospective review includes reviewing a patient's planned medication therapy before a medication is dispensed. This process allows the pharmacist to identify and rectify problems before the patient has obtain the drugs. Pharmacists periodically perform prospective evaluation in their daily practice by reviewing a prescription medications dosage and directions while evaluating patient information for possible drug interactions. When part of an online claims adjudication process, prospective DUE sometimes relies on computerized algorithms to perform key checks involving drug interactions, duplications or contraindications with the patient’s disease state or

NSAIDs work to reduce prostaglandins………… Opioids are an artificial drugs have the same effect as the opiate on the body. Opioids have two categories semisynthetic and synthetic opioids drugs. The opioids drugs affect the brain by acting on the opioids receptors. After taking high doses of opioids, addiction occurs that the body gets used to it, and will not respond

To ensure the best care, your doctors need to know the history of the medicines you have taken and the ones you are currently taking in order to prevent drug interactions. Jotting down your medicines in a journal or a medication log can save you the stress of trying to recall the name of these medicines. Remembering the dosage, intervals, and duration of multiple drugs can be really hard, especially for busy people. Inquire.

The most important medical treatment for Parkinson’s disease is Carbidopa-Levodopa, which is a combination of two different drugs; Carbidopa is added to reduce nausea, which Levodopa often causes when taken by itself. The drug Levodopa is absorbed by blood from the small intestines and travels to the brain, where it converts into dopamine and stays in the neurons until needed (“Carbidopa-Levodopa”). Recommended exercises for victims with Parkinson’s include stretching, yoga, Pilates, and strengthening exercises (“Exercise”). Often used as a last resort, surgical treatments are available those whose Parkinson’s related symptoms cannot be cured through medicine. One of the these treatments is called Deep Brain Stimulation, a neurosurgical procedure used to treat symptoms such as tremor, stiffness, and difficulties walking.

For inspection, the axillae will be examined for any rash for infection. Palpation of the axillae will occur with the following steps (Jarvis, 2009, pp. 417-418): 1. The nurse will lift the patient’s arm and support it on his/her left arm so that the patient’s muscles are relaxed and loose. 2.

Peplau’s theory include three phase: orientation phase, working phase and termination phase. The first phase is the “orientation phase”, it is initiated when patient go for professional assistance, I introduce myself because before that we are strangers to each other and analyze patient’s situation,explain the reasons of learn Ryles tube feeding technique and know more about how the patient feel and also some basic information the patient, giving the leaflet is one of example. Patient comes with anxiety, through the communication process, nurse should help patient to identify what the problem is and comfort patient mentally, have you heard about attitude determined everything?

The wide ranges of medications on the market provided have similar names, packaging and possibly come in more than one dose, thus, pharmacists and nurses have to take special care when giving treatment to wards and patients respectively, since these provide higher incidence of medication error. This is why double checking is very important even though sometimes both parties are restrained with time, workload and interruption. Nurses play a key role in the course of medication administration, and therefore they must be active in the avoidance of medication errors (Aiken et al., 2002, Benjamin 2002, cited by MRAYYAN et al., 2007).Although each and every hospital has policies and protocols these may still be violated due to a number of reasons, including interruption, distraction, disruption and many activities to take care of at the same time whilst administering medication. It is never over-emphasized to promote the importance of the 5 rights. The 5 rights are right drug, dose, patient, route and time of which can be easily neglected due

Nurses can give the prescribed medications to their clients, but it is the nurses’ jobs to ensure that their clients are reaching maximum potential. If a client is in crisis or a manic state, the nurse can provide different therapy techniques to calm them down or ground them to. It is priority for the nurse to keep their patient safe during an episode. It is pertinent for a nurse to be empathetic during the aftermath of the episode. After an episode of acute mania, a client may feel embarrassed or disoriented.

There could be serious effects that include anemia, seizures, thrombocytopenia, cardiomyopathy, hepatotoxicity, depression, and increased risk for suicide (Caple, Uribe, & Pravikoff, 2015). Corticosteroids are used as the main treatment for relapses and are used to shorten the duration of attacks. Anti-inflammatory helps restore the blood-brain barrier. There are side effects from long-term use such as hypertension, diabetes, osteoporosis, cataracts, and ulcers. Immunotherapeutic agents help to reduce inflammation and hinder the immune response, and they may reduce relapses by about 30%.

meds2.JPG Dangerous Mix When a doctor prescribes medications to treat disease, he or she knows the patient 's weight, warns of side effects, and prescribes a specific dose and form of the drug. When an abuser buys the medication on the street, he or she knows none of this, and problems—sometimes lethal—can occur. Emergency room doctors see many patients who have taken the wrong dose of a prescription drug or mixed over-the-counter (OTC) medications or prescription drugs with alcohol or other drugs. Alcohol is especially dangerous when mixed with drugs. Alcohol slows the heart and respiratory system, and changes the way messages travel in the brain.

Which is generally also an option that is being overprescribed instead of finding other alternatives of treatment. Cacioppo and Freberg (2013) also further discussed medication and its usage in the treatment of ADHD. Their treatment is done with medication and a behavior therapy. The most common drug name is Ritalin that I have seen several children on the medication. In my personal opinion, when children are diagnosed with ADHD they are immediately prescribed some form of medication like Ritalin.

As for her safety, the bed must be lowered down, side rails up if necessary and all her needs must be placed within her reach. In addition, nurses should use the appropriate antibiotic prophylaxis, as she will be undergoing arthroplasty to prevent postoperative infections. (US Department of Health and Human Services, 2001) She will also be given

Preventatives for Medication Errors Administration of medications has become more complex and the process more exacting. About 15% of adverse events occurring in hospitals are related to medication. An estimated 98,000 people die every year from medical errors in U.S. hospitals, and a significant number of those deaths are associated with medication errors (Tzeng, Yin & Schneider, 2013). About 700,000 emergency department visits and 120,000 hospitalizations are due to ADEs annually ("Medication safety basics," August ). These errors occur commonly when the nurse becomes easily distracted and loses focus on the task at hand.