Review the main points of the \"ideal drug\" class discussion. Med Chart: NSAIDs
ID: 138503 • Letter: R
Question
Review the main points of the "ideal drug" class discussion. Med Chart: NSAIDs. Increasing urinary fluid excretion, vasodilating veins and/or arteries, and decreasing heart rate are different mechanisms of action of drugs used to treat hypertension. Why does the nurse need to know the mechanism of action of an antihypertensive drug before administering the medication? List the data that should be obtained in a pre-administration assessment. In drug therapy, one objective of the analysis phase of the nursing process is to judge the likelihood that the proposed treatment will be safe and effective. Discuss four factors that suggest that the proposed treatment might NOT be safe and effective. What would you do if any of these factors apply to your patient? The nurse is preparing to administer an antihypertensive drug. The nurse assesses the patient's BP and it is 110/70, which is within normal limits. What action should the nurse take to determine if it is safe to administer the drug? a. Call the prescriber, report the current BP, and ask if the med should be administered. Hold the medication because the patient's BP is too low to administer an antihypertensive Administer the medication because the antihypertensive med is prescribed Assess the patient's baseline BP and the BP before and after the last dose of this medication to determine if the medication should be administered. b.Explanation / Answer
1. Hypertension is mainly of two types, i. e. Primary hypertension and Secondary hypertension. Both the types of hypertension requires different applications of antihypertensive drugs. In case of primary hypertension, there could be an elevation in blood volume due to increased sodium retention in blood showing the malfunctioning of the kidneys. The patient could also be showing increased cardiac output or increased systemic vascular resistance. In. As of secondary hypertension the patients needs to go through different treatment by controlling the underlying disease by giving the drugs only. Therefore, nurse should know the mechanism fully of hypertension before administrating any drug to a patient.
2. The data or the points to noted before administering the patient with hypertension is that: Firstly, the nurse should check the blood pressure of the patient. It should be in normal condition. Secondly, the nurse must get the thorough health history physical examination of the patient like checking the retinas and doing laboratory test to assess the possible organ damage. Thirdly, the laboratory tests including urinalysis and blood chemistry of the patient along with an ECG report should be done. Fourthly, a risk factor assessment, as suggested by JNC 7 is must to know the risk for cardiovascular damage.
3. There are many factors which could suggest that proposed treatment may not work safely and effectively such as patient might be suffering from pre existing severe diseases like diabetes, cardiovascular disorder or patient could be allergic to a particular set of drug combinations. In some cases limited information regarding medical history, past drugs, concurrent conditions, and concominant medicines can also create problems. Therefore, if any of these factors apply to the patient then one should discuss it with health care physician
4. The nurse should reconfirm the prescriber first, before giving the drug because it can cost the life of a patient as his BP is already in normal range.
Related Questions
drjack9650@gmail.com
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.