Rasmussen College Pharmacology Drug Case Study

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Question Description

pharmacology drug case study on a patient. choose a client that can be interviewed.

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1. A-G) Discuss the medical condition(s) for which the client is receiving pharmacological therapy.  Contrast the medical condition with the reason the drugs are being used.

A) Identify the client’s medical condition(s):

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Case Study Requirement See Case Study Document and Rubric Assignment Guidelines: 1. Choose a client that can be interviewed (client must be cognitively aware and willing to discuss how their medications are being used). Please do not jeopardize your relationship with family or friends with this assignment. It may be difficult for you and for the family member. 2. The client must be taking at least 4 medications. 3. Research the client’s medical condition(s) and the prescribed medications the client is taking. Form questions that are not intrusive to interview the client to collect comprehensive subjective & objective data. 4. Use various resources such as the Nurse’s Pocket Guide, Pharmacology textbook chapters or the Drug Guide to identify at least 2 actual or potential nursing diagnoses, plan goals, nursing interventions and evaluation of response. 5. Use resources to develop a patient education/teaching plan for this client. 6. Case study is due on date scheduled. PHARMACOLOGY DRUG CASE STUDY Student’s Name Client’s Gender and Age __________________________________________ __________________________________________ Use the rubric provided to understand the grading process 1. A-G) Discuss the medical condition(s) for which the client is receiving pharmacological therapy. Contrast the medical condition with the reason the drugs are being used. A) Identify the client’s medical condition(s): B) List the medical condition(s) and discuss the causative factors: C) List at least 4 textbook signs or symptoms for each medical condition. Attempt to list both subjective and objective symptoms. Cite resource(s) used to gather information in parts B and C. D) List the name of at least 4 prescribed medications that this client is taking and state the indication for use of each medication: Name of medication (generic and trade) Indication 1. 2. 3. 4. E) Describe the drug action for each of the 4 medications the client is taking: Name of medication Drug action 1. 2. 3. 4. F) State the therapeutic effect for each of the medications the client is taking: Name of medication 1. 2. 3. 4. Therapeutic effect G) Discuss the non pharmacological treatment options available for the medical condition(s): 2. Describe the subjective and objective data collected related to a medication the client is prescribed. This will require interviewing the client. Make sure you understand the difference between subjective and objective data and ask specific questions of the client to gather this data. A. List (2) subjective signs or symptoms the client recalls having experienced before drug therapy was initiated for the medical condition. If the client can’t recall any details please list textbook subjective signs or symptoms typical for the identified medical condition. List subjective sign/symptom prescribed List medical condition List medication 1. 2. B. List (2) subjective signs or symptoms the client has experienced after medication therapy was initiated. These may be a therapeutic effect or side effect related to a specific medication. If the client can’t state any subjective data then please list textbook therapeutic effects or common adverse effects for the specific medication prescribed. List subjective sign/symptom prescribed 1. List medical condition List medication 2. C. List (3) objective signs or symptoms related to the client’s medical condition(s) and what specific drug is relevant for this data. The objective data may be from before or after medication therapy was initiated. The objective data may be related to a medications indication for use, therapeutic effect or side/adverse effect. List objective sign/symptom prescribed List medical condition List medication 1. 2. 3. 3. A-D) Identify at least 2 actual or potential nursing diagnoses. (1 nursing diagnosis must be knowledge deficit for development of a detailed patient teaching plan). Develop goals, nursing interventions and complete an evaluation of the goals. NURSING DIAGNOSIS PLANNING GOALS IMPLEMENTATION EVALUATION List appropriate nursing Realistic, specific, diagnosis with R/T factor measurable and timed. and AEB data if applicable. Include 3 relevant interventions for each goal listed. State if the goal is met, partially met or unmet and list supportive data 1. 1a. 1. 1. 1b. 1c. 2. 2. 2a. 2b. 2c. 2. List and describe at least 5 teaching components for this client. Be specific as to how the teaching components relate to the specific patient or list the specific medication the teaching component relates to. Examples of things to include would be special Instructions regarding a medication such as storage, dosing schedules, interactions, required laboratory testing, administration instructions or techniques, common or toxic side/adverse effects, when to call the doctor and identifying the preferred method of learning or barriers to learning for this client or an involved family member. This is not an exhaustive list. Case Study Requirement See Case Study Document and Rubric Assignment Guidelines: 1. Choose a client that can be interviewed (client must be cognitively aware and willing to discuss how their medications are being used). Please do not jeopardize your relationship with family or friends with this assignment. It may be difficult for you and for the family member. 2. The client must be taking at least 4 medications. 3. Research the client’s medical condition(s) and the prescribed medications the client is taking. Form questions that are not intrusive to interview the client to collect comprehensive subjective & objective data. 4. Use various resources such as the Nurse’s Pocket Guide, Pharmacology textbook chapters or the Drug Guide to identify at least 2 actual or potential nursing diagnoses, plan goals, nursing interventions and evaluation of response. 5. Use resources to develop a patient education/teaching plan for this client. 6. Case study is due on date scheduled. Pharmacology Name_______________________ Student Assignment Due Date___________________ Assignment – Drug Case Study Rubric *RETURN THIS COPY WITH YOUR CASE STUDY Successful completion of this assignment will meet the course competency: Provide for a patient’s need to know by giving, translating, or transmitting information. For this assignment select a client during your clinical experience that is receiving at least 4 medications. Review the client’s medical history and medication profile. The drug case study will be evaluated using the criteria below. NO PARTIAL POINTS WILL BE GIVEN for any of the objectives. This activity is worth 65 points. 1. A, B and C. points 8 pts Met Includes the following criteria: 1) identifies client’s primary medical condition(s). Using a textbook for reference: 2) discuss causative factors 3) lists signs and symptoms 4) cites resource(s) used Identification of medical condition, causative factors and signs and symptoms: 0 - 8 6 pts Partially Met Three out of the four criteria are addressed. 4 pts Needs Improvement Two out of the four criteria are addressed. 2 pts Minimal One out of the four criteria is addressed 0 pts Unmet None of the criteria are addressed. 1. D, E and F. List the generic and trade names, indication for use, action and therapeutic effect for 4 different medications prescribed for this client. 0 - 10 pts 10 pts Met 8 pts Partially 6 pts Partially 4 pts Needs 2 pts 0 pts Unmet Met Met Improvement Minimal Includes the Four out of Three out of Two out of five One out of None of the following criteria: Five criteria are five criteria are criteria are five criteria criteria are 1) generic name for 4 addressed. addressed. addressed. are addressed. drugs addressed. 2) trade name for 4 drugs 3) indication for each of 4 drugs 4) action for each of 4 drugs 5) therapeutic effect for each of 4 drugs 1. G. Discuss the non pharmacological treatment options available for the medical condition. 0-3 pts 3 pts Met 1 pts Partially Met 0 pts Unmet Provides satisfactory detail Minimally addresses non No non pharmacological treatment regarding non pharmacological pharmacological treatment options are discussed. treatment options. options. 2. A. List subjective data for the patient’s primary medical condition that that the patient experienced premedication therapy. Also lists the medical condition and the medication prescribed to treat the condition. 0 - 6 points 6 pts Met 4 pts Partially Met 2 pts Minimal 0 pts Unmet Includes the following criteria: 1)lists 2 subjective signs or symptoms 2)lists medical condition for each sign or symptom 3)lists medication prescribed for each sign or symptom Two out of three criteria are addressed. One out of three criteria are addressed. None of the criteria are addressed. B. List subjective data for the patient’s primary medical condition that that the patient experienced postmedication therapy. Also lists the medical condition and the medication prescribed to treat the condition. 0 - 6 points 6 pts Met 4 pts Partially Met 2 pts Minimal 0 pts Unmet Includes the following criteria: Two out of three criteria One out of three None of the criteria are 1)lists 2 subjective signs or are addressed. criteria are addressed. addressed. symptoms 2)lists medical condition for each sign or symptom 3)lists medication prescribed for each sign or symptom 2. 2. C. List objective data for the patient’s primary medical condition. Also lists the medical condition and the medication prescribed to treat the condition. 0 - 9 points 9 pts Met 6 pts Partially Met 3 pts Minimal 0 pts Unmet Includes the following criteria: Two out of three criteria One out of three None of the criteria 1)lists 3 objective signs or are addressed. criteria are addressed. are addressed. symptoms 2)lists medical condition for each sign or symptom 3)lists medication prescribed for each sign or symptom 3.A. Identifies 2 (appropriate) actual or potential nursing diagnoses regarding the patient’s use of a particular medication or the patient’s drug regimen. One diagnosis must be Knowledge Deficit: 0 - 4 points 4 pts Met 3 pts Partially Met 2 pts Needs Improvement 0 pts Unmet Identifies 2 appropriate Identifies 2 nursing diagnoses Identifies only 1 nursing No diagnosis nursing diagnoses with but only one is an appropriate diagnosis that is identified or the correct R/T factor nursing diagnosis that appropriate that includes diagnoses incorrectly and AEB data (if includes the correct R/T the correct R/T factor and written or appropriate) factor and AEB data (if AEB data (if appropriate) inappropriate appropriate) selection(s) 3.B. Planning Goals for the patient: 0 - 4 points 4 pts Met 3 pts Partially Met Includes at least 2 goals that are realistic Includes 2 goals (1 for and include written criteria for each diagnosis – 1 may be specificity, measurability and are timed. unrealistic or incorrectly (1 for each nursing diagnosis) written) 2 pts Needs Improvement Includes 2 goals (both are unrealistic or incorrectly written) 1 pt Minimal Includes only 1goal (may be unrealistic or incorrect written) 3.C. Implementation of interventions related to the goals: 0 - 6 points 6 pts Met 4 pts Partially Met 3 pts Needs Improvement Includes at least 3 relevant Includes at least 2 relevant Includes at least 3 relevant interventions for each of the 2 interventions for each of the 2 interventions total between the goals (6 total) goals (4 total) 2 goals Evaluation of the patient goals: 0 - 4 points 4 pts Met Includes one correct evaluative statement for each of the 2 goals. Statements must indicate whether the goal is met, unmet or partially met and the data to support this. 2 pts Minimal Includes at least 2 relevant interventions total between the 2 goals A in be 3.D. 3 pts Partially Met Includes 2 evaluative statements with at least 1 statement written correctly Teaching plan for the patient: 0 - 5 points 5 pts Met 4 pts Partially Met Identifies and describes 5 Identifies and describes 4 different, relevant teaching different, relevant teaching components related to any components related to any medication(s). 1 pt each. medication(s). 1 pt each. 2 pts Needs Improvement Includes 1 evaluative statement for 1 goal that is written correctly 1 pt M Evaluative do not matc 4. Drug Case Study Point Summary by Rubric Criteria: #1 A, B and C total: #1 D, E and F #1 G #2 A, B and C total: #3 A, B, C and D #4 ___________ total: __________ total: ___________ ___________ total: ___________ total: ___________ Student’s points: ___________ Possible points: ____65 ____ Grade percentage: ___________ 3 pts Needs Improvement Identifies and describes 3 different, relevant teaching components related to any medication(s). 1 pt each. 2 pts Minimal Identifies and describes at least 2 different, relevant teaching component related to any medication(s). 1 pt each. ...
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Tutor Answer

ProfJamesmiller
School: Rice University

Hey there, I have completed the assignment. please find attached. its nice working with you😇

Pharmacology Drug Case Study
Topic: Pharmacology Drug Case Study
Thesis statement: Advanced Liver Cirrhosis is as a result of late-stage fibrosis which is the
scarring of the liver as it tries to repair itself after damage. In the case of the client, the cause of
liver damage is infection with chronic hepatitis B virus.
1. Medical Conditions and Drugs Used
a. Client’s Medical Conditions
b. Medical Conditions and Causative Factors
i.

Advanced Liver CirrhosisChronic Hepatitis B

c. Textbook Signs and Symptoms
i.

Advanced Liver Cirrhosis

ii.

Chronic Hepatitis B

d. Prescribed Medication
e. Drug Action
f. Therapeutic Effect
g. Non-Pharmacological Treatment
2. Subjective and Objective Data
a. Subjective Signs and Symptoms Before Medication
b. Subjective Signs and Symptoms After Medication
c. Objective Signs and Symptoms
3. Nursing Diagnosis
4. Teaching Components
a. Storage

b. Dosing schedules
c. Interactions
d. Required laboratory testing
e. Administration instructions or techniques
f. Common or toxic side/adverse effects
g. When to call the doctor


Running head: PHARMACOLOGY DRUG CASE STUDY

Pharmacology Drug Case Study
Institutional Affiliation
Date

1

PHARMACOLOGY DRUG CASE STUDY

2

Pharmacology Drug Case Study
Student’s Name ___________________________________________________
Client’s Gender and Age: Female, 51
1. Medical Conditions and Drugs Used
a. Client’s Medical Conditions
The client, female and aged 51, has decompensated liver cirrhosis due to chronic
hepatitis B infection (Mayo Clinic, 2018). As a result, she is suffering from both
advanced liver cirrhosis (cirrhosis) and chronic hepatitis B (HBV) (National
Institute of Diabetes and Digestive and Kidney Diseases, 2017).
b. Medical Conditions and Causative Factors
i.

Advanced Liver Cirrhosis
Advanced Liver Cirrhosis is as a result of late-stage fibrosis which is the
scarring of the liver as it tries to repair itself after damage. In the case of
the client, the cause of liver damage is infection with chronic hepatitis B
virus. The liver cannot keep up with the rate of damage caused as a result
of the infection causing decompensation. At the advanced stage, reversal
of the damage is rare (Mayo Clinic, 2018).

ii.

Chronic Hepatitis B
It is a viral infection that inflames and damages the liver and which is
contagious after contact with an infected person's body fluids. Chronic
HBV is long-term and develops mostly due to exposure from childhood. It
is usually a consequence of the body's inability to fight off the virus
(National Institute of Diabetes and Digestive and Kidney Diseases, 2017).

PHARMACOLOGY DRUG CASE STUDY

3

c. Textbook Signs and Symptoms
i.

Advanced Liver Cirrhosis
1. The patient said she was experiencing fatigue
2. She also complained of feeling consistent itchiness
3. Her leg. feet and ankles were swollen
4. Her skin and eyes had a yellow discolorization consistent with
jaundice (Mayo Clinic, 2018).

ii.

Chronic Hepatitis B
1. The patient described her urine as dark yellow
2. She also claimed her stool was gray
3. She complained that she was experiencing consistent pain in the
abdomens
4. After a blood test and transient elastography, tests results were
consistent with HBV (National Institute of Diabetes and Digestive
and Kidney Diseases, 2017).

d. Prescribed Medication
Name of medication (generic and

Indication

trade)
Bumetanide, Bumex

Bumetanide is a diuretic Cirrhosis
drug that is used to create more urine
and facilitate the reduction of body
fluids that cause edema (Skidmore-

PHARMACOLOGY DRUG CASE STUDY

4

Roth, 2012).
Lactulose, Cholac

Lactulose is a synthetic sugar that is
not digestible that treats constipation
by pulling water into the colon. In the
process of acting as a laxative,
Lactulose is also useful in removing
ammonia from the body and reducing
its levels in the blood (Skidmore-Roth,
2012).

Rifaximin, Xifaxan

Rifaximin is an antibiotic that reduces
the chances of the dev...

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Anonymous
Good stuff. Would use again.

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