Zohydro is an opioid analgesic hydrocodone that no contains acetaminophen is a 12-h extended-release formulation. Its approval was against the FDA’s expert panel recommendation. Opioids have been widely used as treatment for non-cancer chronic pain. However, it may be some misunderstanding in the efficacy and safety of this drugs because of their potential misuse, abuse and addiction.…
A review of the records reveals the member to be an adult female with a birth date of 06/06/1956. The member has a diagnosis of rheumatoid arthritis. The member’s treating provider, Laura Summers, MD recommended the member continue her treatment of Remicade infusions 7 mg/kg every 6 weeks. The carrier has denied coverage of Remicade infusions 7 mg/kg every 6 weeks as not medically necessary.…
Pharmacodynamics: Ibuprofen is a NSAID with anti-inflammatory; analgesic and antipyretics effects are the results of the ability to block the cyclooxygenase (COX) enzyme system, leading to the inhibition of the synthesis of prostaglandins [6]. COX is the enzyme used for prostaglandin biosynthesis [3]. Both COX-1 and COX-2 enzymes are involved with prostaglandin production. The inhibition of these enzymes results in decreased synthesis of prostaglandin thus decreasing pain, fever, and swelling [4].…
Abstract Lupus is a chronic autoimmune disease in which the human immune system is overactive. Chronic means that the signs and symptoms tend to last longer than six weeks and can last up to several years (Lupus Foundation of America, 2014). Autoimmune means the immune system cannot tell the difference between foreign invaders and healthy tissues within the body. Therefore, the body attacks itself by creating auto-antibodies that destroy the remaining healthy tissue (Lupus Foundation of America, 2014).…
DOI: 11/5/2011. Patient is a 65-year-old female certified nursing assistant who sustained injury when she slipped and fell while giving patient a bath, hitting her left knee and hip and injuring her low back. The patient underwent complex revision left total knee arthroplasty on 10/27/2015 and also undergone left knee arthroscopic capsular release and left knee manipulation under anesthesia on 1/22/2016. Based on the medical report dated 11/10/16 by Dr. Fieser, the patient presents for left knee pain and right knee pain. Left knee pain is associated with numbness, tingling and weakness.…
Moreover, a review of personal health history of acute and chronic illnesses, pain issue, as well as a current prescription and over-the-counter medication regimens should also be investigated (AGS, 2010; Bauman et al.,…
The focus of my case analysis is J.R., a 53 year old Hispanic male who has retired after serving 23 years in the United States Army. His hobbies include playing golf and watching sports. J.R has health insurance through Tricare and he is able to receive medications at no cost when his prescriptions are filled on the military base at which he sees his primary care provider. He is allergic to shellfish and the reactions that he experiences are hives and airway swelling. He currently smokes 1 pack of cigarettes per day and he began smoking at the age of 17.…
At the beginning of my nursing career most of the medical terms I’ve come to use and understand I had while little knowledge about. Some of these terms I picked up in practical experience and other I learnt in lectures. One of these terms has come to be very important in my nursing career and that is medication management. At first my understanding of this concept was very limited and I didn’t understand many of the different factors that all came together to make up the whole. Over my studies this understanding has evolved and become a core part of my nursing practice.…
Yet medication is so important because is normally prescribed to help prevent, or treat a disease. Medications can harm a patient or be very dangerous; they are regularly supposed to cure or improve the quality of health but is very important that the right dosage is administered. Always keep in mind to follow doctor’s order and instructions that is the key to a successful treatment. Patients in occasion’s tent to self-medicate themselves as an option to avoid a consult with a healthcare professional, that is totally wrong, a nurse or a doctor can always help. Medication differs in their intake method depending on the illness and how quick it needs to react, and that proves the importance to always follow the instructions because wrong medication can bring consequences and even bring fatal outcomes.…
Nurses that administer medication are accountable for recognizing the medications prescribed, the patients need for the medication and their therapeutic and non-therapeutic effects (Crisp and Taylor, 2013). The purpose of this essay is to examine the importance of understanding the registered nurse’s role and responsibilities when administering medication. Equally, it will cover all the key concepts of legal and ethical issues relevant to medication administration. The legal and ethical issues are discussed in relation to the documents NZ Nurses Organisation Guidelines for Nurses on the Administration of Medicines (2014), Nursing Council of NZ Competencies for Registered Nurses (2016), Health Practitioners Competence Assurance Act 2003, Local…
When prescribing medications to the elderly population; medications that are potentially inappropriate are among the most important causes of adverse drug reactions (Boparai, Korc-Grodzicki, 2011). If these reactions occur, the patient may be subjected to take additional medications. Since Meloxicam, a non-steroidal anti-inflammatory (NSAIDS) drug meets the Beers Criteria list. When this medication is prescribed to the elderly population, this can produce sedation or postural hypotension. Therefore, the medication can increase the risk of falls for these patients and put them in high risk for hospitalization, loss of independent living, and early death (Arnstein, 2012).…
Based off of this scale patients with a pain presenting this high should receive narcotics. However, new guidelines for treating patients in the…
What is epidemiology? What are the most common activities in which an epidemiologist would be engaged? What is an incident rate? Epidemiology is the study of identifying the risk factors associated with the incidence of disease in a particular population. In short, it is study to understand when and how the diseases occur.…
Bayer is known for making a large amount of pharmaceutical drugs. They make OTC drugs, animal health care, plastics, and high-performance materials, crop protection, and home garden care (Bayer: Science For A Better Life, 2011). The corporation is known for making brands like Aleve, Alka-Seltzer, and One-A-Day vitamins and the company is a top seller in multiple sclerosis treatment Betaseron and birth control pill called Yasmin (Mackenzie, 2011). Aleve is a product that can aid in any medical symptoms that someone may have. It aids in things from arthritis to the common cold.…
Mr. Michael is 70yrs old that weights 185lb and height of 65 inches. He has hypertension, diarrhea, depression, glaucoma, and osteoporosis. Blood pressure goes up when you are active and down when you are resting or sleeping. Sudden, dangerously high, and life-threatening blood pressure is called hypertension. His blood pressure is 170/80mmhg.…