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 1 year ago
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