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

Please make your initial post by midweek, and respond to at least one other student's post by the end of the week.

Answer 1

Bethanaechol--Is used to relieve difficulties in urinating caused by surgery,drugs ot other factors..side effects are upset stomach,vomiting,dizziness,sweating or flushing..must call the doctor if you have shortness of breath,fainting,slow heart beat..this drugs usually is taken at evenly spaced intervals during the day..Take in empty stomach befor 1 hour meals to prevent stomach upset..
?Benztropine: is used to trat symptoms of parkinson's disease and tremors.side effects are tachycardia,constipation,vomiting,nausea,dry mouth,visual hallucination,numbness of fingers and nervous ness..this is useful for psychiatric patient usually daily dose is 1 to 2mg with in a range of 0.5 to 6mg orally or parenterally.
?Albuterol is a adrenergics useful to prevent brochospasm in people with reversible obstructive airway disease..side effects: migraine head ache,nausea,flu like symptoms,bronchitis,cough,wheezing,shortness of breath,tremors dasage include 2 to 12years 0.63,1.25,2.5mg by nebulization 3 or 4 times daily..for adults 2 inhalation every 4 to6 hours..
?Atenolol: is a beta blockers this can affect the heart beat and circulation..this is useful for angina,hypertension..side effects are uneven heart beat,light headed feeling,shortness of breath,cold feeling in hand and feet, dizziness..dosages 50mg oral once a day..
?Lorazepam: is a benzodiazepines useful to treat anxiety disorder and depression..side effects severe drowsiness,confusion,agitation,hallucination,vision chnges,stomach pain,jaundice,,dosage 2 to 3mg oral per day,maintenance dose 1 to 2mg oral 2 to 3 times a day..
?Oxycodone: is a opioid to treat moderate to severe pain,,side effects noisy breathing,shallow breathing,confusion,seizure,light-headed feeling,severe constipation..dosage 5mg to 15mg orally every 4 to 6 hours..
?Halloperidol is a neuroleptics used to treat psychosis,schizophrenia..side effects are nausea,weight gain,insomnia,impotence and vomiting..dosage foe schizophrenia 0.5 to 5mg 3 to 3 times daily..
?Lithium is used to treat the manic episodes of bipolar disorder side effects are weakness,nausea,loss of appitite,itching skin,thinning of hair and tremors ..dosage 1800mg/day
Pheneytoin is a anti-epileptic drug..side effects of this drug dizziness,drowsiness,nervousness,tremors,slurred speech,insomnia..dosage 1g orally divided in 3doses,given at 2hour intervals..
?secobarbitual:- is a barbiturate that slows the activity of your brain nad nervous system..it should not be given with severe liver disease,severe breathing problem or porphyria..side effcets are itching,shortness of breath,wheezing,cough,swelling of face and lips,tongue or throat,anxiety,agitation,headache..this is for short term use only..100mg at bed time..
?Kava or valerian: it is a sedative used for anxiety,stress,restlessness..dose 60 to 120mg daily not more than 3months use..it should not be taken when having renal diseases,thrombocytopenia,neutropenia,depression,liver disease..side effects are increased CNS adverse reaction..
?Sumatriptan is used to treat migraine headache. it may cause heart attack,arrhythmias,chest,throat,jaw or neck pain,brain hemorrhage or stroke..side effects feeling warm or cols,tingling sensation,dizziness,tiresness..dose 25mg,50mg,100mg..don't take more than 200mg
?cyclobenzaprine is a muscle relaxant..it should nor be used when having thyroid disorder,heart block..side effcts are severe drowsiness,tremors,pounding heart rate,agitation,hallusination,headache,dizziness,blurred vision..dosage 5mg oral 3times a day..
?Prednisone is a corticosteroid used for suppressing the immune system and inflammation..dosage 5mg to 60mg per day as a starting dose..with drawal symptoms are nausea,vomiting,weakness,fatigue,weight loss,diarrhea,shock..side effects weight gain,high bloodpressure,head ache,nausea,vomiting,acne..psychiatric symptoms are depression,insomnia,mood swings..
?Aspirin is NSAID drug used to treat mild to moderate pain or inflammation..side effects nausea,vomiting,rapid breathing,upset stomach,heartburn,drowsiness,mild headache..dosage 50 to 6000mg daily depending on the use..for mild to mederate pain 350 to 650mg every 4 hours or 500mg every 6hours..
?Amitriptyline is a tricyclics also antidepressant to treat depression or night time 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..dosage starting 75mg per day..
?Prenelzine is used for depression,clinical depression..side effects are constipation,dizziness,headache,sleeping problems,tiredness,tremors,twitching,,dose should be increased according to patient tolerance 60mg per day..