12. Frances Yin is a 78-year-old patient who has a history of chronic obstructiv
ID: 93492 • Letter: 1
Question
12. Frances Yin is a 78-year-old patient who has a history of chronic obstructive pulmonary disease. She has come to the medical clinic for a routine visit to monitor her respiratory status. Her medical history also includes rheumatoid arthritis. Her drug therapy for the arthritis includes disease-modifying antirheumatic drugs (DMARDs), which inhibit her immune system. Currently, an epidemic of influenza A is occurring in her geographic area. Mrs. Yin’s age, chronic pulmonary disease, and immunodeficiency place her in the high-risk category. Her primary care provider has recommended that she take the influenza A vaccine and a prophylactic course of amantadine.
a. Mrs. Yin asks why she needs the influenza vaccine. She states, “I took one last year. Won’t that be enough? Why do I need one every year? Those things aren’t 100% effective anyway.” How should the nurse respond?
b. Describe the potential adverse effects and nursing considerations related to the amantadine that has been prescribed for Mrs. Yin.
Explanation / Answer
a) Nurse should council to Mrs. Yin that vaccine for influenja neede every year because virus that responsible for it changes itself continuously so new developed vaccine is needed to prevent disease.
b) Amantadine drug act against viruses. The adverse effects include anxiety, insomnia, lack of concentration, and psychiatric symptoms with schizophrenia. And psychological councelling needed for this.
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