NURS 6521 UMES Week 1 Advance Pharmcology Discussion

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NURS 6521 Week 1 Discussion Sample Paper

A 23-year-old African American female with a history of sickle cell illness, asthma, and anemia is the subject of this case. The patient presented with symptoms of back and leg discomfort that had not been eased by the home prescription of Norco 10/325 mg three times daily. The patient’s blood results indicated leukocytosis and moderate dehydration. Since the discomfort began 3-4 days ago, the patient has reported a loss of appetite. Pharmacokinetics studies how the body reacts to drugs, whereas pharmacodynamics studies the effects of medication on the body (Rosenthal, & Burchum, 2021).

When developing a care plan for this patient, I would examine the present state of their body (dehydration), as lower nutritional status can impair any drug that I may provide. Drug metabolism can be altered in individuals suffering from dehydration or nutritional deterioration (Rosenthal, & Burchum, 2021). Understanding illness processes and which drugs will effectively treat the majority of the symptoms given is required before providing medication. NURS 6521 UMES Week 1 Advance Pharmcology DiscussionOne of my first orders would be to replace the fluids they have lost. Dehydration and a lack of oxygen can cause an increase of the sickling of cells which can cause a sickle crisis to become more severe (McCance, & Huether, 2019). While the patient is being hydrated I would provide pain relief since the by mouth prescriptions home meds failed I would provide the patient with some IV medication to obtain pain control if they were in a true crisis and after pain control was achieved attempt to wean them off to by mouth pain medications that are effective.

Patients that suffer from sickle cell disease have a continuous complication with pain control due to drug adherence and many other factors but it has been found that when in severe crisis opioids are a good first line of defense for pain control (Chu et. al, 2020).

In my experience, I have found that sickle cell patients often get accustomed to remarkably high dosages of pain medicines quickly especially if they have very frequent sickle cell crises. Hopefully, these combined measures will relieve the patient’s pain and allow the patient’s labs to stabilize, and the patient’s dietary intake will also have to be measured before discharge. NURS 6521 UMES Week 1 Advance Pharmcology Discussion

Care is completed when the patient affirms that adequate proficiency of care has been provided (Fowler, M. D. M., & American Nurses Association, 2015). I have found that it is extremely important to discuss the treatment plan and expectations with patients so that they have an understanding of the healthcare goals you are attempting to achieve. When it comes to prescribing medication I plan to provide adequate education to my patents to ensure that they know how, when, and why taking the medication as prescribed is important.

NURS 6521 UMES Week 1 Advance Pharmcology Discussion References

Chu, R., Claus, L., Orhurhu, M. S., Orhurhu, V, Roberts, J., Salisu, B., & Urits, I. (2020). Neuropathic Pain and Sickle Cell Disease: a Review of Pharmacologic Management. Current Pain and Headache Reports, 24(9), 1-14.
Fowler, M. D. M., & American Nurses Association. (2015). Guide to the Code of Ethics for Nurses with Interpretive Statements: Development, Interpretation, and Application: Vol. Second edition. American Nurses Association.
McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.

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