Question

In: Nursing

Rx age: 45 years Gender: male Diagnosis: HTN Lsinopril T 10 mg , one-tab bid Omol...

Rx

age: 45 years

Gender: male

Diagnosis: HTN

Lsinopril T 10 mg , one-tab bid

Omol 500 mg sos

Bisacodyl 5 mg morning

sediproct cream bid

Note: patient uncontrolled HTN and persistent cough for 2 week

according to this prescription find the mistakes, the interaction, dose of each medication , the toxicity level , antidotes and the counselling  for all medication

Solutions

Expert Solution

Lisinopril

  • angiotensin converting enzyme inhibitor
  • indication: Hypertension, myocardial infarction etc..
  • dosage: 20 - 40mg/day administered in single day dose
  • 10 mg /day consider as initial dose in adults
  • Adverse reactions: discontinuation therapy may lead to heart failure, acute myocardial infarction
  • drug interactions: diuretics, anti diabetics, NSAID and lithium
  • toxicity level: more than priscribed dose may leads to hypotension
  • antidote:no antidote available
  • patient counselling: 1, Patient have to report immediately if they experience any signs of angio edema like swelling of face, extremities, eyes, lips, and difficulty in swallowing or breathing.

2, Patient have to report if there is any light headedness especially during the first few days of therapy.

3,Patient should not use any salt substitutes containing potassium without physicians consultation.

4, Patient have to report if any chances for infection which may sign of leukopenia.

omol 500 mg sos

  • Nonsteroidal Anti-inflammatory Drugs
  • indication:reduce fever, pain and prevent clotting of blood.
  • dosage:500-1000mg every 4-6 hrs
  • adverse reaction:bleeding, breathing disability etc.
  • drug interactions:imatinib , antiemetic drug, anti coagulants, anti neoplastic agents and anti hyperlipidemic agents
  • toxicity levels: 4000 mg/day
  • antodote:charcoal and n-acetylcysteine
  • patient councelling: 1, avoid consumption of alcohol while taking this drug.

2, Avoid fingure cut or anything else which may results the bleeding.

3, only take if have fever or painBisaco

Bisacodyl 5mg

  • laxative
  • indication: constipation, to clean stomach
  • dosage:5 -10 mg
  • adverse reaction:trouble breathing, abdominal pain , weakness etc.
  • drug interaction:ranitidine and omeprazole.
  • toxic levels: will cause severe stomach pain and dehydration.
  • antidote:no specific antidote, have lots of water
  • patient counselling: 1, maintain fluid intake while taking this drug.

Sediproct cream bid

  • ingredients: cinchocaine and hydrocortisone
  • indications: piles , anal fissure and anal pruritis
  • dosage: insert cream with applicator every day and night
  • side effects: local irritation.
  • antidote: nil
  • patient counselling: store at temprature not exceeding 30 C

Conclusion:

  • According to priscription patient having hypertension and persistant cough as complains but there is no medication for persistant cough ,instead of that physician priscribed medication for constipation and anal hemmoroids
  • unnecessorly priscribed laxative and sediproct cream, there is no complaints regarding it .
  • omol can use if there is any chance of fever because patient having persistant cough it may leads to raise in body temperature.
  • priscription is not proper and it is not ressolving all complains of patient.
  • there is no chance for drug drug interaction according to this priscription.
  • patient have to avoid alcohol while taking omol and have to drink lot of water to avoid dehydration.

Nightingale answered 2 years ago
Next > < Previous

Related Solutions

Age: 85 years Gender: male diagnosis: HTN+CHF Rx Indapamide 2.5 mg daily Bisoprolol 5 mg bid...
Age: 85 years Gender: male diagnosis: HTN+CHF Rx Indapamide 2.5 mg daily Bisoprolol 5 mg bid Digoxin 0.25 mg bid Aspirin 81 mg od Nifedipine 10 mg od Note: if bisoprolol not available in your pharmacy , what in the alternative? according to this prescription find the mistakes, the interaction, dose , the toxicity level , antidotes , the counselling and what the suitable medication for this patient ?
Rx age: 30 years Gender: female Diagnosis: HTN in pregnancy methyldopa T 500 mg bid lasix...
Rx age: 30 years Gender: female Diagnosis: HTN in pregnancy methyldopa T 500 mg bid lasix T 40 mg, 1/2 tab od valsartan 80 mg, 160 mg od ferrous sulphate 200 mg , tid Note: patient cannot tolerate ferrous sulphate. according to this prescription find the mistakes, the interaction, dose of each medication , the toxicity level , antidotes and the counselling  for all medication
Age: 45 years gender: male diagnosis: HTN, NSTEMI, PCI Rx Tabnalapril 5 mg od Atenolol 50...
Age: 45 years gender: male diagnosis: HTN, NSTEMI, PCI Rx Tabnalapril 5 mg od Atenolol 50 mg bid Aspirin 75 mg od Amlodipine 5 mg od Clopidogrel 75 mg Atorvastatin 10 mg od GTN spry every 8 hrs what the interactions in this case and what the alternative if there ? if GTN spray not available, what you will recommended?
Age: 45 years gender: male diagnosis: HTN, NSTEMI, PCI Rx Tabnalapril 5 mg od Atenolol 50...
Age: 45 years gender: male diagnosis: HTN, NSTEMI, PCI Rx Tabnalapril 5 mg od Atenolol 50 mg bid Aspirin 75 mg od Amlodipine 5 mg od Clopidogrel 75 mg Atorvastatin 10 mg od GTN spry every 8 hrs Note: if GTN spray not available, what you will recommended? according to this prescription find the mistakes, the interaction, dose , the toxicity level , antidotes , the counselling and what the suitable medication for this patient ?
Age: 45 year Gender: Male Diagnosis: Angina.P. Rx Trimetazidine tablets 35 mg MR , 1 bid...
Age: 45 year Gender: Male Diagnosis: Angina.P. Rx Trimetazidine tablets 35 mg MR , 1 bid Atenolol 100 mg , 1/2 tablet od Isoket 10 mg Tid according to this prescription find the mistakes, the interaction, dose for adult and Paediatric , the toxicity level , antidotes , follow up,  the counselling and what the suitable medication for this patient ?
Age: 63 years Weight: 85 Kg   Diagnosis: HTN Gender: female Rx Hydralazine 50 mg, bid, hs...
Age: 63 years Weight: 85 Kg   Diagnosis: HTN Gender: female Rx Hydralazine 50 mg, bid, hs Fluvastatin 80 mg, one tab od Spironolactone tab 25 mg, 1/2 tab bid Amitriptyline 25 mg, od all medication for 3 months Note: patient has sever muscle pain with fever, what is your advice? discuss this prescription and why give the patient this medication and what the recommendation for the patient?
Age: 39 years Gender: Female Diagnosis: DVT with Arrythmia Rx Warfarin Tab 1 mg , one...
Age: 39 years Gender: Female Diagnosis: DVT with Arrythmia Rx Warfarin Tab 1 mg , one od Warfarin Tab 5 mg , 1.5 tab od Furosemide tabs 40 mg , 1.5 od Aspirin Tab 75 mg, one od Ketoprofen gel prn Amiodaron 200 mg od Note: what are the new anticoagulants? differentiate between them and warfarin? according to this prescription find the mistakes, the interaction, dose for adult and Paediatric , the toxicity level , antidotes , follow up,  the counselling...
Age: 63 years Diagnosis: asthma Gender: female Rx Symbicort Turbohaler 160/4.5 mcg 1 puff bid for...
Age: 63 years Diagnosis: asthma Gender: female Rx Symbicort Turbohaler 160/4.5 mcg 1 puff bid for 90 days Beclomethasone MDI 2 puff PRN for 90 days Theophylline 1 tabs bid for 90 days Co-codaprin for back pain 1 tabs prn for 5 days discuss this prescription and why give the patient this medication and what the recommendation for the patient?
Age: 26 day Gender: female Diagnosis: PUD in nursing mother Rx Omeprazole T one od Note:...
Age: 26 day Gender: female Diagnosis: PUD in nursing mother Rx Omeprazole T one od Note: urea breath test was +ve , patient is allergic to penicillin. according to this prescription find the mistakes, the interaction, dose , the toxicity level , antidotes , the counselling and what the suitable medication for this patient ?
Hydralazine 50 mg, bid, hs Fluvastatin 80 mg, one tab od Spironolactone tab 25 mg, 1/2...
Hydralazine 50 mg, bid, hs Fluvastatin 80 mg, one tab od Spironolactone tab 25 mg, 1/2 tab bid Amitriptyline 25 mg, od what is the monitoring measure for the common side effect of each drug, the toxicity range and antidote the recommended management of toxicity?
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT