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Enalapril Case Studies

513 Words3 Pages

The big concern of allergic reaction is airway constriction, shortness of breath. PT’s swelling has decreased after one hour so Epinephrine as well as transferring to the hospital for further evaluation and treatment at this point is not needed. However, PT is instructed to follow up with primary healthcare provider or cardiologist for the cause of allergy reaction as well as the evaluation of antihypertensive treatment within the five days. Also, PT is instructed to bring all medications for this appointment. Enalapril is an ACEI that can be used as first-line treatment for hypertension in diabetics and in those with HF. However, Angioedema can happen even after years of taking. During that time, Enalapril needs to be stopped immediately. (Tindall et al, 2014). PT is instructed to monitor blood pressure three times per day …show more content…

1. Prednisone 10mg PO daily for 5 days for inflammation will be described. Prednisone is a prescription steroid drug. It suppresses inflammation. PT is instructed to take Prednisone as ordered. Also, PT is instructed to take in the morning with meals to coincide with body’s normal secretion of cortisol. PT is instructed to monitor blood sugar at home three times per day due to hyperglycemia. If hyperglycemia occurs, PT is instructed to see health care professional or diabetic specialist for the evaluation of diabetes. In addition, PT is instructed to avoid taking ethanol because it may increase gastric mucosal secretions. 2. Famotidine 20mg PO once a day for GI Upset will be described. Pepcid is used to treat ulcers in the stomach and for conditions where the stomach produces too much acid. Famotidine will release GI upset. PT was instructed to take Famotidine 20mg PO 30 minutes before meal to release GI upset due to EC ASA 81mg, Prednisone and other

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332 Words | 2 Pages

Question / Problem: What is the evidence to recommend Trulicity (dulaglutide) to a patient who has uncontrolled glucose control, and is on metformin and insulin (levemir) and non- adherence to the insulin. Response: The trulicity is a non-insulin injectable with dosing regimen of once weekly dosing. These agents work by activating GLP-1 receptors in the pancreas, which leads to enhanced insulin release and reduced glucagon release-responses that are both glucose-dependent-with a consequent low risk for hypoglycemia.

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352 Words | 2 Pages

One area that I might be concerned about is prescribing the patient an ACE and an ARB. I am not concerned about prescribing two medications because I seriously considered this myself; but might be a little concerned about starting an ACE if the patient has had a medication

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1399 Words | 6 Pages

In this case, the patient is a 75-year old white male. He recently underwent cataract surgery on his right eye (OD) and was given three post-operative topical ophthalmic drugs: prednisolone, tobramycin and ketorolac drops, with which he used all with good compliance. These three drugs are prescribed after cataract surgeries to help the recovery process and to help fight against infections and inflammation. Prednisolone is a corticosteroid, which works to prevent the release of substances in the body, such as leukocytes, that cause inflammation. It does this by binding to glucocorticoid receptors to either activate or influence the biochemical behavior of most inflammatory cells.1

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969 Words | 4 Pages

Monitor frequency of chest tightness, SOB and wheezing Decreased occurrence of chest tightness, SOB and wheezing Discuss progress at follow up in 2-4 weeks Absence of heartburn Avoid big meals, spicy foods, fatty foods, and caffeine. Advise patient to eat at least 2 hours before going to bed Recommend calcium carbonate 1-4 tablets as needed for heart burn.

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847 Words | 4 Pages

Typically, the patient begins using the topical agent to treat an underlying disorder causing nasal obstruction. This disorder still needs to be evaluated. Treatment involves stopping the topical nasal decongestants. Topical glucocorticoids and possibly oral glucocorticoid agents can help minimize edema and inflammation and can be of significant benefit in obtaining compliance with cessation of decongestants.

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919 Words | 4 Pages

At present there is no curative or preventative treatment and there is a lack of controlled trials evaluating therapy targets. Rather, many therapies focus on halting disease activity and addressing immune responses (Wasserman et al. , Gilhar, Etzioni and Paus). Corticosteroids are the most commonly used form of treatment due to their anti-inflammatory effects and can be administered through injection, topically, and systemically (Wasserman et al. , Gilhar, Etzioni and Paus).

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742 Words | 3 Pages

[32] All the medications like, bronchodilators and steroid inhalers should be continued. The patients are asked to carry all the medication on the day of treatment. A physician advice or opinion to step up the treatment has to be considered before the start of the treatment, if patient is having acute exacerbations. LA with adrenaline can be used cautiously as these patients may also have corpulmonale features. Patients with COPD in acute emergency the oxygen supply should be judiciously used as the oxygen itself may suppress the respiratory center.

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759 Words | 4 Pages

Patient takes multiple medications per day to prevent infections in her arm and hand as well as daily

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727 Words | 3 Pages

Cleft Lip, Cleft Palate Surgery, Pediatric A cleft lip is an opening in the lip, and a cleft palate is an opening in the roof of the mouth. Cleft lip, cleft palate surgery is done to close this opening so that a child can eat and speak normally. If the cleft is visible, the surgery can also help improve the child 's appearance. Children who have a severe opening or who have more than one opening may need to have this surgery more than once.

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1897 Words | 8 Pages

She also was concerned if she needed to carry around an epi pen; we decided it was a prudent idea to have available at all times. Evaluation: N.H. was very surprised at all of the information that was provided to her. She did not realize the importance of her allergies, and was shocked by the seriousness. N.H. is now completely aware of her allergies, she can state detailed signs and symptoms, and is educated on how to appropriately treat them. She is also aware of triggers of her headaches, and methods she can employ to reduce the pain she experiences.

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792 Words | 4 Pages

This drug is usually tolerated better than Carbamazepine. Other medications that may be administered for care of the patient with TN are tricyclic antidepressants which help to reduce possible pain complications resulting from TN by having a central effect on pain transmission. They are able to accomplish this by blocking the active reuptake of norepinephrine and

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924 Words | 4 Pages

Fire ants, green ants and ticks are also often associated as triggers of anaphylaxis in susceptible individuals. Medication Often the most surprising trigger are specific forms of medications and medicines, both prescribed and over the counter. Specific individuals have also been identified to have anaphylactic reactions to herbal and ‘alternative’ medicines. People who are allergic to medication are highly recommended to wear a ‘Medical Alert Bracelet’ as if they are admitted to hospital under extreme duress, for example in a car accident and they become unconscious, they would be unable to inform doctors that they are infact allergic to certain drugs, putting their life at

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900 Words | 4 Pages

Doctors usually advise taking nonsteroidal anti-inflammatory drugs (NSAID) like ibuprofen, but if this does not bring relief, stronger pain relievers, such as oxycodone and hydrocodone may be prescribed. Home Remedies It is important for you to take care of yourself by modifying your lifestyle to prevent symptoms. This includes: • Choosing the right types of food with the help of a dietitian.

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513 Words | 3 Pages

Corticosteroids helps with these types of diseases: Asthma, Rheumatoid Arthritis, Inflammatory bowel disease, and Systemic Lupus Erythematosus. This type of steriod just helps with your pain levels and are usually given in very minimal dosage.

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697 Words | 3 Pages

Whether I work in the recovery room or intensive care unit, the elderly patients are a special population in my daily nursing practice that are at risk for drug overuse, underuse, or misuse. Moreover, my older patients tend to consume more medications due to their extensive medical history or chronic diseases. Burcham and Rosentheal (2016) explain some of the reasons for drug adverse reaction in older adults. Older adults do not adhere to their medication regimen prescribed by the doctor, they are more sensitive to drugs since they have more comorbidities, and take more medication than a younger person. Economic or cognitive decline could be some issues for noncompliance to the medication regimen.

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