Question

Please help

Please help to answer these question:

1. Name of medication: Levothyroxine

a. Dose:

b. Route:

c. Generic name:

d. Mechanism of action:

e. Why is it prescribed/ goal of medication?

f. Concerns with this drug?

g. Challenges with administration of this drug?

2. Name of medication: sodium chloride tablets

a. Dose:

b. Route:

c. Generic name:

d. Mechanism of action:

e. Why is it prescribed/ goal of medication?

f. Concerns with this drug?

g. Challenges with administration of this drug?

3. Name of medication: Diastat

a. Dose:

b. Route:

c. Generic name:

d. Mechanism of action:

e. Why is it prescribed/ goal of medication?

f. Concerns with this drug?

g. Challenges with administration of this drug?

Answer 1

LEVOTHYROXINE

Generic name: Levothyroxine

Dose

Primary hypothyroidism

Initial dose: 1.6 mcg/kg orally once a day

Increase the dose to 12.5- 25 mcg every 4 to 6 weeks until clinically euthyroid and TSH returns to normal.

For TSH suppression

A dose more than 2 mcg/kg orally once a day is given

For Myxedema coma

Parenteral Formulation:
-Initial loading dose: 300 to 500 mcg IV once
-Maintenance dose: 50 to 100 mcg IV once a day until patient can tolerate oral form of drug

.Route: oral and Intravenous route

Mechanism Of Action

Levothyroxine is an thyroid medicine that replaces a hormone that is usually produced by the thyroid gland in the human body which is very essential to regulate body’s metabolism.

why this drug is given?

It is given when the thyroid gland is underactive and cannot produce adequate thyroid hormone. It is also given for myxedema coma and TSH suppression.

concerns with the drug

• Levothyroxine oral works best if you take it on an empty stomach, at least 30 to 60 minutes before breakfast.

• Swallow the tablet>/b> or capsule whole, with a full glass (8 ounces) of water.
• If you are becoming pregnant while taking this drug, inform the doctor. The doses may vary in pregnancy
• Store at room temperature
• Do not share this medicine with another person, even if they have the same symptoms you have.
• Challenges while administering the drug
• The levothyroxine is usually taken in empty stomach. To ensure the administration of this drug in empty stomach is a challenge.

SODIUM CHLORIDE TABLET

Generic name: sodium chloride

Route: oral

Dose: 1g in each tablet

Mechanism of action: Replaces sodium electrolyte in case of dyselectronemia to absorb and transport nutrients. maintain blood pressure. maintain the right balance of fluid

Why this drug is used?

Sodium is an electrolyte that performs various functions in the body. In care of hponatremina, to replace the sodium, this tablet is administered.

Concerns with this drug

• Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.
• Take sodium chloride with a full glass (8 ounces) of water.
• Sodium chloride may be taken with or without food.
• To be sure this medication is helping your condition, your blood may need to be tested often. Visit your doctor regularly.
• Do not share this medication with another person, even if they have the same symptoms you have.
• Call your doctor if your symptoms do not improve, or if they get worse while using sodium chloride.
• Store at room temperature away from moisture, heat, and light

Challenges Faced While Administering the drug

• The patient who are taking the drug has to be monitored frequently.

                                    

DIASTAT

Dose:2.5 mg

Generic Name: diazepam hydrochloride

Route: Rectal

Mechanism of Action: diazepam, bind to receptors in various regions of the brain and spinal cord. This binding increases the inhibitory effects of gamma-aminobutyric acid (GABA)Diazepam rectal gel is a gel formulation of diazepam intended for rectal administration in the management of selected, refractory, patients with epilepsy, on stable regimens of AEDs, who require intermittent use of diazepam to control bouts of increased seizure activity.

Why this drug?

Diazepam is a drug that controls seizures. This is given to patients who are already on other antiepileptic and requires only occasionally diazepam.

Concerns with the drug

Avoid alcohol.

Avoid excessive quantities of coffee or tea (caffeine).

Avoid taking with grapefruit or grapefruit juice as grapefruit can significantly increase serum levels of this product.

Take with food.

Challenges faced while administering the drug

The patient may be embarrassed while administration of the drug. Gaining cooperation of the patient is important.