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Pharmacology Case Study

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Running head: PHARMACOLOGY 1

Barbara Cameron

09/10/19

Pharmacology

Rasmussen College

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PHARMACOLOGY 2

Antipsychotics

Zac, a 25-year-old patient diagnosed with paranoid schizophrenia, has experienced three

episodes of psychoses in the past three years. He is currently treated with olanzapine 15 mg daily

and has not experienced any delusions in the past eight months. He now has a good

understanding of his condition, family relationships have improved and he has started working

again. Zac wants to stop his olanzapine because he has been symptom-free and is very concerned

about his significant weight gain. There is also a family history of type 2 diabetes.

1. What type of medication is olanzapine?

2. What patient teaching would you give to a client prescribed olanzapine?

3. What assessments are necessary for the nurse to complete for this client?

Opioid Antagonist

Jeffrey Smith is a 17-year-old Caucasian boy who is driven to the emergency department after he

collapsed at a party. After examining the patient and talking to others at the party, the physician

suspects Mr. Smith has overdosed on oxycodone.

1. The physician orders naloxone (Narcan) 0.2 mg IV at 2-minute intervals. The emergency

department has 1-mg/mL vials of naloxone. How many milliliters will the nurse administer per

dose?

2. Before naloxone (Narcan) is administered to Mr. Smith, what should be included in the

nurse’s preadministration assessment?

3. During the third dose Mr. Smith vomits; how should the nurse handle this situation?

Anticoagulants

Rita Simms is a 28-year-old Caucasian woman. She is being discharged from the hospital today

after a recent deep venous thromboembolism. She currently takes Ortho Tri Cyclin Lo for

contraception. She is being discharged with a prescription for warfarin (Coumadin) 5 mg with

directions to take one tablet daily at 5 p.m. The physician has asked the nurse to complete

discharge counseling with Ms. Simms.

1. How often will Ms. Simms need her prothrombin time and international normalized ratio

tested?

2. What are the signs of warfarin overdosage?

3. What should Ms. Simms be told about starting new medications?

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Running head: PHARMACOLOGY 1 Barbara Cameron 09/10/19 Pharmacology Rasmussen College PHARMACOLOGY 2 Antipsychotics Zac, a 25-year-old patient diagnosed with paranoid schizophrenia, has experienced three episodes of psychoses in the past three years. He is currently treated with olanzapine 15 mg daily and has not experienced any delusions in the past eight months. He now has a good understanding of his condition, family relationships have improved and he has started working again. Zac wants to stop his olanzapine because he has been symptom-free and is very concerned about his significant weight gain. There is also a family history of type 2 diabetes. 1. What type of medication is olanzapine? 2. What patient teaching would you give to a client prescribed olanzapine? 3. What assessments are necessary for the nurse to complete for this client? Opioid Antagonist Jeffrey Smith is a 17-year-old Caucasian boy who is driven to the emergency department after he collapsed at a party. After examining the patient and talking to others at the party, the physician suspects Mr. Smith has overdosed on oxycodone. 1. The physician orders naloxone (Narcan) 0.2 mg IV at 2-minute intervals. The emergency department has 1-mg/mL vials of naloxone. How many milliliters will the nurse administer per dose? 2. Before naloxone (Narcan) is administered to Mr. Smith, what should be included in the nurse’s preadministration assessment? 3. During the third dose Mr. Smith vomits; how should the nurse ...
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Tags: pharmacology Anticoagulants opioid antagonist Ventricular Arrhythmia Olanzapine