Soon after Mrs. Jones recent diagnosis of heart failure she began to withdraw from social
functions. Her daughter noticed the behavior when she did not
... [Show More] attend her grand-daughters violin
recital. Concerned, her daughter paid her a visit at home and was startled by what she
discovered. Always a tidy person, her daughter noticed how her mother’s home was now in
disarray with a pile of newspapers in the corner and unwashed dishes in the sink. The curtains
were closed and dark. Uncharacteristically, Mrs. Jones answered the door in her bath robe
instead of her usual polished attire finished with pearls and high heels. After some convincing by
her daughter, Mrs. Jones reluctantly went to see a psychiatrist where she was diagnosed with
depression and anxiety. Upon her visit, the psychiatrist prescribed the following medications to
help treat her condition;
• Start
o Fluoxetine 20mg PO daily
o Lorazepam 2mg PO PRN not to exceed more than 4 doses in 24 hours
• Current home medications
o Metoprolol (Lopressor) 25mg PO BID
o Furosemide (Lasix) 20mg PO daily
o Ibuprofen 800mg PO q 6 hrs for moderate pain (4-6 verbal scale)
o Hydrocodone/acetaminophen 5/325mg PO q 4 hrs for severe pain (7-10)
o Aspirin 81mg PO q day
o Vitamin D 800IU q HS
o Calcium 600mg q HS
o Hydroxychloroquine 400mg q day
Please answer the following questions about the pharmacological management of Mrs. Jones;
1.) Create a detailed list of all of the medications listed above including the following;
a. Drug class
b. Mechanism of Action
c. Indications for use
d. Nursing Considerations
e. Pertinent Assessments and Patient teaching
Drug Class Mechanis
m of
Action
Indication
s for use
Nursing
Consideration
s
Pertinent
Assessments
and Patient
Teaching
Fluoxetine Selective It blocks - To treat - Use - Ensure patient
serotonin the depression cautiously with that drug can
reuptake of - To treat children increase the risk
serotonin obsessive- patient and of serotonin
into compulsive patients with syndrome.
presynaptic disorder history of - Educate
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serotonin - To treat seizure patient for
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neurons. moderate - If patient is severe
Also, it to severe starting MAO contraindication
will bulimia inhibitor with certain
increase nervosa therapy, other drugs
the - To treat discontinue the - Teach patient
available panic medication what are the
serotonin disorder within 5 weeks signs and
amount in with or (Jones & symptoms and
nerve without Bartlett educate the
synapses agoraphobi Learning, patient to
(Jones & a 2020). contact
Bartlett - To treat physician
Learning, premenstru immediately
2020) al (Jones &
dysmorphi Bartlett
c disorder Learning,
(Jones & 2020).
Bartlett
Learning,
2020).
Lorazepam Benzodiaze - binds to -To treat - Assess and - Educate
pine benzodiaze anxiety monitor patient to report
pine - To treat patient’s any extreme
receptors insomnia respiratory rate nausea and
on the caused by because it drowsiness
postsynapti anxiety could cause - Instruct the
c GABA- - To life threatening patient that
Aligan provide respiratory Lorazepam will
gated preoperativ depression be discontinued
chloride e sedation (Jones & in third
channel - To treat Bartlett trimester if the [Show Less]