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Instructions:
Please review and discuss the questions/scenarios listed below.
You will need to INDIVIDUALLY post your response prior to seeing other posts.
Please cite your source(s) and include your reference(s).
*To receive credit, you must come back to review and respond to at least two (2) of your classmate’s responses. There should be a minimum of ONE (1) paragraph per response.
**“Yes”, “No”, “You are right”, “I agree”,” I disagree,” etc… ARE NOT valid entries for grading and points will be deducted. Your responses must be insightful and provide constructive feedback. Your responses cannot be a duplicate from a previous posting or pasted from another material.
Assignment:
Scenario #1
Josh, a 21-year-old pharmacy student, came to the local pharmacy last week with a seven-day prescription for diazepam 10mg tablets, one to be taken at night. The drug was prescribed to him by his physician because around five weeks ago Josh started suffering from insomnia. Although he is typically supposed to wake up at 7:00am to attend his lectures, at 4:00am he is already fully awake. He does not find it difficult to fall asleep, nor does he wake up too frequently during the night. During the day, he feels very tired, anxious and fearful. It is now three days since the pharmacist dispensed his prescription and Josh has returned to the pharmacist because he claims he is still not able to sleep properly.
How is insomnia defined?
What are the risk factors present for Josh’s development of insomnia?
What drug classification does diazepam belong to?
Other than insomnia, when would diazepam be prescribed?
Scenario #2
Michael, a 19-year-old male, injured his back while doing her floor gymnastics exercise routine about a week ago. The physician provided Michael with cyclobenzaprine (Flexeril) to reduce his back-muscle spasms.
Michael went to the clinic and informed the PA that he is still taking the medication the physician gave him. He is slightly having muscle spasms and finds himself having a hard time staying awake in during class. Michael is wondering if these are the result of the pain.
How should you answer Michael’s concerns?
Since he is taking cyclobenzaprine, what other interventions should he do to alleviate the spasms?
Scenario #3
Nala is a 13-year-old girl in the 7th grade and plays the clarinet in the after-school’s band. Her parents and teachers noticed she has trouble focusing on the school assignments and music practice for the past four months. She went to the pediatrician, she was diagnosed with attention deficit hyperactivity disorder (ADHD) and was prescribed with methylphenidate (Ritalin) 5 mg twice a day for two weeks and then increase the dose to 10 mg twice a day, if no improvement.
What are the therapeutic effects of methylphenidate?
What are the adverse effects of this medication?
After three weeks, Nala’s mother calls the pediatrician to say that Nala has been doing better in school, however, the band teacher reports that Nala is restless during after-school band rehearsal.
Nala’s mother also reports that Nala seems unable to sleep at night and has been staying up past 1:00 am in the morning.
What you do anticipate the physician will propose?
Scenario #4
Deanna is a 21-year-old college who sent to the ED for status epilepticus. She received IV Valium STAT and the seizures ceased. She later regained consciousness and was admitted to a telemetry unit. Admitting physician orders IV phenytoin (Dilantin).
What teaching should the patient receive regarding self-care and adverse effects of phenytoin (Dilantin)?
After 4 months, her mother reports that Deanna has been “very sad lately” and has not joined her friends or family for events. She goes to school and stays home in her room.
What is the safety priority in this situation? Explain your answer.
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