The nurse is completing the admission assessment for a patient scheduled for cataract surgery in the...

The nurse is completing the admission assessment for a patient scheduled for cataract surgery in the outpatient center. Because the patient is over the age of 70 and has several chronic conditions, including hypertension and congestive heart failure, the nurse focuses on completing a thorough medication history. (Learning Objective 4)

What questions should the nurse include in the medication history?

The patient states that she stopped taking one of her medications due to cost, since her health insurance would not reimburse for the medication. What are other reasons that older adults may be noncompliant with ordered medications?

How does aging affect drug absorption, metabolism, distribution, and excretion?

Expert Solution

The nurse should ask has she taken anti hypertensive drug and specially any anti coagulant for CHF, because this drug is blood thinner and there are chances she may land up bleeding after or during surgery. Medication like digoxin has yo be checked.

She should probably have taken Medicaid services which doesn't include the medication. The reasons probably should be old age ,medical conditions

Ageing affect the rate of medication absorption.This is because of loss of mucosal intestinal lining,decrease in gastrointestinal blood flow, decreased gastric acid in absorption.The drug distribution is affected by the plasma and tissue protein binding capacity becomes lower after aging.Alteration in protein concentration, fat and intracellular fluid content leads to distribition problem.The renal system and liver are the main part of excretion but when ageing occurs the size becomes smaller, functions comes down and it affects the excretion.

Nightingale answered 2 years ago

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