Looking at her medication list, her medical history may be rheumatoid arthritis, osteoarthritis, GERD, hypertension, anemia, hypothyroid, and a current infection.
Why should you query her on the Bactrim, and would you consider it a routine home medication? Explain your answer. I would question the need for her to be on TMP/SMZ since she has no current infection that she is aware of. Although, she may be on this medication to regulate and prevent endocarditis since she has a history of hypertension. I would consider this to be a routine home medication if it is being used to prevent her from having any cardiac issues.
Allergies
The patient states that she is allergic to sulfa.
Why should this allergy be further investigated? This allergy should be further investigated because patients should not take any of the following: “antibiotic combination drugs such as trimethoprim-sulfamethoxazole (Septra, Bactrim) and erythromycin-sulfisoxazole, sulfasalazine (Azulfidine) used for Crohn's disease, ulcerative colitis, and rheumatoid arthritis, and Dapsone (used to treat leprosy, dermatitis, and certain types of pneumonia)” (Kim, 2015). This woman is currently taking trimethoprim-sulfamethoxazole …show more content…
I will assess for tachyarrhythmias and chest pain. I will look for signs of toxicity overdose which are: hyperthyroidism, tachycardia, chest pain, nervousness, insomnia, diaphoresis, tremors, and weight loss. Beta blockers and oxygen can be given can control the symptoms. I will teach her that this treatment if life long since it is not a sure for hypothyroidism, but a supplement, and should be taken four hours apart from antacids, iron or calcium. Follow up exams are very important to monitor them medications effectiveness. I will know that levothyroxine is effective when there is a resolution of symptoms of hypothyroidism and a normalization of hormone levels (Nursing Central,
Why should you query her on the Bactrim, and would you consider it a routine home medication? Explain your answer. I would question the need for her to be on TMP/SMZ since she has no current infection that she is aware of. Although, she may be on this medication to regulate and prevent endocarditis since she has a history of hypertension. I would consider this to be a routine home medication if it is being used to prevent her from having any cardiac issues.
Allergies
The patient states that she is allergic to sulfa.
Why should this allergy be further investigated? This allergy should be further investigated because patients should not take any of the following: “antibiotic combination drugs such as trimethoprim-sulfamethoxazole (Septra, Bactrim) and erythromycin-sulfisoxazole, sulfasalazine (Azulfidine) used for Crohn's disease, ulcerative colitis, and rheumatoid arthritis, and Dapsone (used to treat leprosy, dermatitis, and certain types of pneumonia)” (Kim, 2015). This woman is currently taking trimethoprim-sulfamethoxazole …show more content…
I will assess for tachyarrhythmias and chest pain. I will look for signs of toxicity overdose which are: hyperthyroidism, tachycardia, chest pain, nervousness, insomnia, diaphoresis, tremors, and weight loss. Beta blockers and oxygen can be given can control the symptoms. I will teach her that this treatment if life long since it is not a sure for hypothyroidism, but a supplement, and should be taken four hours apart from antacids, iron or calcium. Follow up exams are very important to monitor them medications effectiveness. I will know that levothyroxine is effective when there is a resolution of symptoms of hypothyroidism and a normalization of hormone levels (Nursing Central,