In: Nursing
how would you determine which of the following medications to give a patient who
1. has just had breast augumentation surgery
2. has chronic neck and back pain from a car accident
3 has terminal metastatic cancer
4. had their wisdom teeth removed
5 suffers from migraines
6. has rheumatoid arthritis
QUESTION-1
The medications administer after breast augumentation surgery as follows;
1 -ANTIBIOTICS
-The drug of choice is keflex or clindamycin
-drug used to prevent the occurance of infections
-help to reduce superficial or periprosthetic infections
-antibiotics should be depends on nature,degree and extent of an infection
-it may administer for 7-10 days
2- OPIOID ANALGESICS OR PAIN MEDICATIONS
-is a drug used to reduce the intensity and duration of pain
-the main pain medications are PERCOCET or NORCO or VALIUM
-used to control post operative pain
-used to handle discomfort of healing after surgery
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3-MUSCLE RELAXANT
-the drug of choice is FLEXERIL
-to prevent the consriction of the chest muscles
-to reduce the chest discomfort
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4-STOOL SOFTNER
-pain medications may cause constipation ,so have to provide stool softner
-the drug of choce is COLACE
5-SEDATIVES
-is a drug used to induce sleep
-post operative pain can cause disturbed sleep
-the drug of choce is AMBIEN
6-ANTI-NAUSEA DRUG
-The drug of choice is PHENERGAN
-can reduce post-operative nausea and vomiting
7-ARNICA
-is a drug used to reduce bruising and spped up recovery
8-VITAMIN SUPPLEMENTATION
-it may minimize bruising and swelling
QUESTION-2
The main medications after a car accident include;
-NON-STEROIDAL ANTI-INFLAMMATORY DRUGS
-to treat neck and back injuries
-drug of choice is IBUPROFEN
-have anti-inflammatory effects
-PAIN MEDICATIONS
-can reduce the intensity of the pain
-car acciden may cause injuries in the spine,disc injuries and facet joint injuries
-the drug of choice is ACETAMINOPHEN
-car acciden may cause disc herniation,spinal stenosis and lumbar sprains
-ANTI-EPILEPTICS
-there is a chances for seizure activity
-seizure activity may associated with degenerative spinal disorders
-it may cause spinal osteoarthritis and spinal nerve damage
-so there is a chances for seizure or epilepsy
-ANTI-DEPRESSANTS
-due to nerve damage they may have nervous system features like depression
-SPINAL MANIPULATIONS
-can cause a number of different injuries to the spinal cord
-spinal manipulation can reduce the further damage of the spinal cord
-EPIDURAL STEROID INJECTIONS
-to reduce the intensity and duration of pain due to spinal stenosis
QUESTION-3
Drugs for terminal metastatic cancer;
-CHEMOTHERAPEUTIC AGENTS
-is a drug used to rece the further growth of cancerous cells
-reduce the multiplication of cancerous cells
-destruction or killing of the cancerous cells
-CORTICOSTEROIDS
-drug act as an anti-inflammatory drug
-reduce the inflammatory process and also act as analgesics
EXPECTORANTS
-is a drug used to reduce the viscosity of the lung secretions
-due to decreased mobility chances for lung infections
SEDATIVES
-due to pain they cant able to sleep
-so we can administer sedatives
-LAXATIVES
-is a drug used to constipation
-due to decreased activity,there is a chances for constipation
-ANTI-DEPRESSANTS
-during the end life ,they may go for depressive mood
-so have to administer anti-depressants
QUESTION-4
The main medications after wisdom tooth removal includes;
- OPIOID ANALGESICS
-the drug of choice is VISCODIN
-to manage the post-operative pain
-ANTI-INFLAMMATORY DRUGS
-improves healing process
-prevent inflammation
-reduce the discomfort
-PAIN MEDICATIONS
-the drug of choice is ACETAMINOPHEN
-used to reduce the intensity ,severity and duration of pain
-ANTI-NAUSEAL DRUGS
-after intravenous sedation or general anesthesia,there is a chances for nausea
-so have to administer anti-nauseal medications
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