Nursing Question

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CZhfrzov

Health Medical

Description

DescriptionClinical scenario:
Mrs Rachel A. is a 73-year-old retired hairdresser with a past history of bipolar disorder and osteoarthritis. Because of her history, Rachel is required to take Panadol Osteo (paracetamol), Lithicarb (lithium), Epilim (valproate), and Kalma (alprazolam). Rachel presents to her psychiatrist for a routine six-month review and complains about worsening of her hand tremor, tiredness, and weight gain.
Discuss three (3) physical health implications of using lithium, sodium valproate, and alprazolam in older people with a focus on Rachel. Once you have discussed physical health implications, analyse Rachel’s presenting signs and symptoms in relation to the medications she is on, and discuss the results of your analysis with Rachel.

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Explanation & Answer

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Mrs Rachel A. is a 73-year-old retired hairdresser with a past history of bipolar disorder and
osteoarthritis. Because of her history, Rachel is required to take Panadol Osteo (paracetamol),
Lithicarb (lithium), Epilim (valproate), and Kalma (alprazolam). Rachel presents to her
psychiatrist for a routine six-month review and complains about worsening of her hand tremor,
tiredness, and weight gain.
Discuss three (3) physical health implications of using lithium, sodium valproate, and alprazolam
in older people with a focus on Rachel. Once you have discussed physical health implications,
analyse Rachel’s presenting signs and symptoms in relation to the medications she is on, and
discuss the results of your analysis with Rachel.
Physical health implication of
Lithium
Lithium is the drug of choice in bipolar maniac disorder in elderly patient. It has greater efficacy
compared to other mood stabilizers in treating mania episodes and decreasing suicidal thoughts.
Lithium also is shown to reduce the risk of developing memory loss and has neuroprotective
properties
Sodium valproate
It is used in elderly for treat maniac disorders
Alprazolam
It is used to treat tremors and bipolar in elderly because the agents do not accumulate in the
blood, are rapidly cleared from circulation, and offer greater dosage flexibility

This leads to reduced side effects experienced by most benzodiazepine class of drugs hence are
we tolerated.
Presenting signs and symptoms
Racheal presents with worsening hand tremor, tired ness and weight gain which are related to the
side effects of the drugs she is taking Worsening hand tremor is due to reduced efficacy of
alprazolam which might be due to increased clearance hence reduced blood level to attain
therapeutic effect
Weight gain and tiredness is due to sodium valproate side effects.

Please view explanation and answer below.hello I had power issue and I'm requesting for an extension to be able to coplete all the question
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CASE STUDY
Mrs Rachel A. is a 73-year-old retired hairdresser with a past history of bipolar disorder and
osteoarthritis. Because of her history, Rachel is required to take Panadol Osteo (paracetamol),
Lithicarb (lithium), Epilim (valproate), ...


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