Question

Assume each of the following scenarios occurs in an older adult patient. Using information from the text and lecture describe what the primary problem is (ex: Adverse Drug Reaction; Absorption, etc.) and how it may be avoided or corrected. (number your responses to correspond with each scenario) 1. A patient taking an expensive medication every other day versus daily as prescribed so that it will "last longer." 2. A patient started on a new H2 antagonist for a peptic ulcer at normal dosing develops confusion a few days later. 3. A patient receiving multiple medications, all of which are taken at different times of the day. When asked, he or she has no idea what each medication is, what it is used for, or when to take it. 4. A patient is taking an over-the-counter product for which there is currently no valid medical indication for 5. A patient is prescribed an antidepressant, it is initiated at a low dose, but is not checked for favorable response.

Answer 1

2) A patient on a new H2 antagonist for peptic ulcer at normal dosage develops confusion few days later:

H2 receptor antagonist acts on gastric parietal cells and reduced excess secretions of gastric juices. It is most commonly used in peptic ulcer disease, postoperatively, gastro esophageal reflux disease. The most adverse side effects of Histamine receptor antagonist is drug induced delirium often associated with confusion, disorientation ,light headedness. The elderly population are at the greater risk for developing adverse effects of H2 receptor antagonist.

4) over the counter medications causes serious health complications if it is not taken under prescription. Consuming OTC drugs with a valid medical reason will results in hepatotoxicity and nephrotoxicity.

3) A patient receiving multiple medication list understand the indications of drugs and the time to take the medicines. Certain medications like Thyroid medications taken in empty stomach and oral hypoglycemic agents and insulin must be taken before food. Medications taken in a wrong time and in a wrong dose , double dose will results in adverse reaction.