Question

.-Oral anti-hyperglycemia medication: patient teaching .-Anti-angina medication mechanism of actions, side effects, adverse effects and patient teaching .-Beta-blocker mechanism of action, side effects .-Digoxin laboratory level monitoring and Digoxin antidote

Answer 1

1, -Teach patient about medication mechanism of action
- Explain the hypoglycemic symptoms
-Inform patient to check glucose level before taking medicine
-Medication instruction should be followed correctly.
-Inform the doctor if glucose level is too low or high
-Medication work best with meal planning an exercise
-Take the medication everyday correct time without skipping.
-Never stop the medicine unless the doctor says.
-If planning for pregnancy informs the doctor for a medication change.
2, Antiangina medication act by increasing coronary blood flow and oxygen supply, it prevents clot formation and vasospasm and decreasing blood flow. It reduces o2 demand in the myocardium that helps to relieve pain.
side effects include headache, dizziness, flushing, peripheral edema, and transient hypotension. adverse effects include postural hypotension, tachycardia, headaches, and dizziness
Patient teaching:
-Have a tablet under the tongue if it is sublingual, don't chew or swallow the medication.
-Inform the physician if pain continues for 3 doses in 5 minutes
-do not drive or do machinery work after medication
-Inform the doctor if you have kidney and liver disorder
-avoid stopping using the medication without a doctor's orders.
3, Beta-blockers work by blocking the hormone epinephrine. it competes with sympathomimetic neurotransmitter and has competitive antagonistic action on beta-adrenergic receptors.
Side effects include dizziness, weakness, fatigue, headache, upset stomach, diarrhea, dry mouth, and cold extremities.
4, Ideal range of digoxin in the blood is 0.5 and 0.8ng/ml
Digoxin antidote digoxin immune fab also called Digibind. it binds and inactivates digoxin.