Case Study Pharmacology on Ms Johnson

April 5, 2022
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Case Study Pharmacology on Ms Johnson

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Ms. Johnson, a 29-year-old female presents to your clinic today with complaints of left hip and left shoulder pain. She reports not feeling too well today. She reports that she has been in pain for the last 6 years. She denies trauma. There is no neurological involvement including bowel or bladder changes or dysfunction, radiation of pain to the lower extremities, numbness or tingling. The pain is constant, dull and boring.

Recently, she started an exercise program to build her muscles. She reports her personal trainer is a body builder and suggested that she starts taking Creatinine to help build her muscles, and Coenzyme Q10, an antioxidant. The trainer suggested to start these 2 supplements at the same time when she begins working out. She also takes Kava Kava for anxiety and garlic to help lower her blood pressure.

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Past medication history includes: Type II diabetes since age 19, High blood pressure, Recurrent deep vein thrombosis.

Current medications: Glyburide 3 mg daily with breakfast, Lisinopril 20 mg daily, Ibuprofen 400mg BID, and Warfarin 7mg daily.

1. After reviewing the patient’s medication list, state your findings and explain your concerns in detail.

2. What additional information would you obtain? Please discuss rationale.

3. Give your recommendations to manage this patient’s medications?

4. Provide patient education.

5. If your plan is to prescribe a medication/s, create a prescription and discuss, what are the important components necessary on the packaging or on the label?

A) Introduction, Drug Administration Routes

 

1. four-year-old child is admitted to the hospital with fever, cough, breathing trouble, and chest pain. 
On examination, he is found to have high pulse (118/min), rapid breathing (RR 55/min), indrawing of the lower chest on inspiration, wheezing, crepitations, and slight dehydration. 
The temperature in my body is 40 degrees Celsius (1040F). 
tentative diagnosis of acute pneumonia is made by the doctor, who then orders pertinent haematological and bacteriological tests. 
He makes the decision to start antibiotic medication.

 

a) Which mode of administration will be most appropriate in this scenario if he chooses an antibiotic that may be administered orally as well as by i.m. or i.v injection?

 

b) Should the paediatrician start treating the child with antibiotics right immediately or wait for the laboratory results?

 

Answers

 

1.

 

a) Because the youngster is critically unwell, the antibiotic must operate quickly and predictably; parenteral method of administration is appropriate. 
Furthermore, because the youngster is dull and fussy, oral dosing may be problematic in this scenario. 
In youngsters, getting vein for an i.v. injection might be challenging, especially if they are dehydrated. 
As result, the antibiotic can be injected intramuscularly; however, if an intravenous line is set up for rehydration, the antibiotic can be given through the intravenous line.

 

b) Because the child is critically unwell, the provisionally selected antibiotic may be amoxicillin, which should be begun as soon as feasible. 
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