Question

Discuss what skills and self-monitoring knowledge the patient would be required to understand to self-administer these medications. Include in this information any parameters required for making decisions regarding holding medications and calling the MD. Describe in detail.

Brand and generic names

Dose/Route/Frequency

Therapeutic class (TC) & Pharmacologic Class (PC)

Crestor (rosuvastatin) 5 mg PO daily Statins (TC) HMG-CoA reductase inhibitor (PC)

Glucophage (metformin hydrochloride) 500 mg PO daily Antidiabetic (TC) Biguanides (PC)

Lantus (insulin glargine) 10 units SQ every AM Antidiabetic (TC) Insulin, Long Acting (PC)

Lasix (furosemide) 20mg PO daily Diuretics (TC) Loop Diuretics (PC)

NovoLOG (insulin aspart) Sliding scale coverage Antidiabetic (TC) Insulin, Ultra Rapid Acting (PC)

Prinivil (lisinopril) 10mg PO daily Antihypertensive (TC) ACE inhibitor (PC)

Prilosec (omeprazole) 20mg PO daily Antiulcer agent (TC) Proton-pump inhibitor (PC)

Toprol XL (metoprolol) 25mg PO daily Antihypertensive (TC) Beta Blockers (PC)

Advil (ibuprofen) 400mg. PO PRN Q4-6 hours for pain NSAIDS (TC) Non-opioid Analgesics (PC)

Answer 1

Self administration of medication is usually followed by adults who are in sound mind.Here the patient has been prescribed medication for Diabetes, hypertension, lipid lowering drugs,diuretics, Beta blocker, Analgesic ,proton pump inhibitors. He should have following knowledge in administering these drugs like

• Proton pump inhibitor to be taken in empty stomach ,if not taken may irritate the stomach wall and cause ulcer due to many medication
• Antidiabetic drug,Novolog as to be taken before food ideally before breakfast and Lantis at bedtime ,because this will control sugar level and hypoglycemia has to be monitored with glucometer if any signs occur
• Lasix is a loop diuretics usually to be taken in the morning 8am ,because this will increase the urination frequently, so should not be taken late
• Antihypertensive drugs can be taken at a fixed ting daily to control BP like lisinopril and metaprolol at an hourly interval
• Oral antidiabetic drug like Glucophage has to be taken after food
• Rosuvastin is used to treat cholesterol ,can be taken in night time.
• He should have a knowledge of how to check sugar and BP with apparatus and maintain a record of it.
• BP above 150/90 ,below 90/60,Sugar fasting above 110 mg/DL and below 70mg/dl ,ppbs above 140 to be reported to MD
• Decrease in urine output,weight gain ,edema in body to be reported
• Any complaints of abdominal pain ,chest pain ,dyspnea has to be reported
• If pain has subsided after the prescribed period it is not necessary to take medications