Question

Choose a medication type from the following list, note why the medication is used, and consider adverse effects. Invent a scenario where giving this medication could result in an ethical or legally charged situation. Try not to choose a category that has been well addressed by your peers.

Bethanaechol / cholinergics: Consider risks of inducing urgency or bradycardia in a clients with dementia issues

Benztropine /anticholinergics: Consider harms that can occur with comorbidities like glaucoma or BPH

Albuterol /adrenergics: Consider harms that can occur is asthmatic children are in charge of their own inhalers

Atenolol/ beta blockers: Consider harms that could occur if heart rate was low or patient was asthmatic

Lorazepam /benzodiazepines: Consider vulnerability issues related to sedation and induction of memory loss

Oxycodone / opiates: Consider addiction, drug seeking and patient vulnerability in impaired nurses

Amitriptylline /tricyclics: Consider vulnerability issues with risk of suicidal overdose given anticholinergic effects

Phenelzine /MAOIs: Consider consequences of nonadherence to dietary restrictions on these medications

Haloperidol / neuroleptics: Consider risks of chemical sedation, especially long term risks

Lithium: Consider risks of mismanagement by clients whose behaviors are unpredictable

Phenytoin / antiepileptics: Consider risks of Class D in young women vs risks of going without anti-epileptics

Secobarbital / barbituates: Consider risks related to availability of barbituates to teens via the internet

Kava or Valerian: Consider risks of availability of compounding poorly controlled over the counter sedatives

Sumatriptan / triptans: Consider risks of cerebral ischemia when giving vasoconstrictors for migraine control

Cyclobenzaprine for back spasms: Consider risks of impaired function when nurses take muscle relaxants

Prednisone / steroids: Consider long term effects, when other immune suppressors are too expensive to access.

Aspirin / NSAIDs: Consider vulnerability of elders due to over the counter, affordable nature of this analgesic

Answer 1

Bethanaechol: is cholinergic is used to relieve difficulties in urinary caused by surgery,drugs or other factors..side effects: stomach upset,vomiting,dizziness,sweating or flushing..call the doctor if you experience with this following symptoms: shortness of breath,fainting,slow heart beat..dosage usually is taken at evenly spaced intervals during the day..take in empty stomach before 1hour meals to prevent stomach upset..
? Benztropine is a anticholinergics..used to treat symptoms of parkinson's disease and tremors..side effects include tachycardia,constipation,vomiting,nausea, dry mouth,visual hallucinations,numbness of fingers and nervousness..used for psychiatric patient usually daily dose is 1 to 2 mg with a range of 0.5 to 6mg orally or parenterally..
?    Albuterol is a adrenergics is useful to prevent bronchospasm in people with reversible obstructive airway disease..side effects are migraine headache,nausea,flulike symptoms,bronchitis,cough,wheezing,shortness of breath,tremor..dosage: for patients 2 to 12 years 0.63,1.25,2.5mg given by nebulization 3 or 4 times daily...
?    Atenolol: this is a beta blocker can affect the heart and circulation useful for patient with angina,hypertension..side effects are slow or uneven heartbeat,light headed feeling,shortness of breath,cold feeoling in hand and feet,dizziness,feeling tired,depressed mood..intial dose 50mg orally once a day...
?    Lorazepam: is a benzodiazepines useful to treat anxiety disorder and depression,,side effect severe drowsiness,confusion,aggression,hallucination,vision changes,upper stomach pain ,jaundice..dosage 2 to 3mg orally per day,maintenance dose 1 to 2 mg orally 2 to 3 times a day...
? Oxycodone is a opioid grug to treat moderate to severe pain..side effcects are noisy breathing,shallow breathing,confusion,seizure,light-headed feeling,severe constipation...dosage 5mg to 15mg orally every 4 to 6 hours...after that 2.5mg every 6th hourly as a maintenance dose..
Amitriptyline: is a tricyclics also antidepressants to treat depression or nighttme bed wetting in children..side effects are confusion,numbness,headache,blurred vision,skin rash,nausea,swelling of face and tongue,unexpected weight gain or loss..dosages starting dose 75mg per day..
? Phenelzine is sued for depression,clinical depression..side effects are constipation,dizziness,headache,sleeping problems,tiredness,tremors,twitching..dosages should be increased according to patient tolerence 60mg per day..
? Haloperidol is a neuroleptics used to treat psychosis,schizophrenia..side effects are nausea,weight gain,insomnia,impotence and vomiting daosages for schizophrenia 0.5-5mg 2 to 3 time daily..
?    Lithium is used to treat the manic episodes of bipolar disorder..side effects weakness,nausea,loss of appetite,itching skin,thinning hair and tremors..dosage 1800mg/day.
? Phenytoin is a anti-epileptic drug ..side effects are dizziness,drowsiness ,nervousness,tremors,slurred speech,insomnia..doses 1g orally divided in 3 doses,given at 2hours intervals..100mg orally 3times a day..