Chapter 2 - Giuseppe Flashcards
List the FOUR key members of the medication safety team.
Doctors(Prescribe), Pharmacists(Dispense), Nurses(Administer),
Patients(Consume).
‘Therapeutic index’ refers to:
The margin between effectiveness and toxicity of drugs
Vomiting and diarrhoea may cause a significant loss of which electrolyte from the gastrointestinal tract?
Potassium
Mr Giuseppe takes the drug digoxin for his arrhythmia. If his serum digoxin levels are above the therapeutic range, he is at risk for developing digitalis toxicity if he also develops which of the following?
Hypokalaemia
Digoxin is made from which flowering she plant?
Foxglove
The organ responsible for the excretion of most drugs and their metabolites is the:
Kidney
Dehydration results in:
A decreased glomerular filtration rate
What is the action of the diuretic frusemide?
It blocks the absorption of sodium, chloride and water from the filtered fluid in the kidney tubules, causing an increase in urine output (diuresis).
Frusemide may cause serum potassium levels to:
Decrease
Enalapril should be used with caution in patients with:
Hypovolaemia and/or dehydration
Adverse effects of digoxin commonly include:
Anorexia, nausea, vomiting, diarrhoea, blurred vision, visual disturbances, confusion, drowsiness, nightmares, agitation, depression
Some normal ranges for Mr Giuseppe:
Temp - 36.4-37 degrees
RR - 16-20 breaths per minute
Eight most relevant cues for Mr Giuseppe would be:
Blood pressure Blurred vision Dizziness Pulse rate Nausea Condition of oral mucosa Lack of appetite Urine output
Giuseppe may have been hypotensive due to insensible fluid loss (vomiting & diarrhoea).
TRUE
Giuseppe’s blurred vision was most likely an indication of deteriorating eyesight due to his age.
FALSE
Giuseppe’s dizziness and nausea could have been a side effect of one of his medications.
TRUE
Giuseppe’s nausea and anorexia may have been caused by exacerbation of his gastroenteritis.
FALSE
Giuseppe’s irregular pulse may have been caused by his hypotension and negative fluid balance.
FALSE
Giuseppe’s hypotension may have been caused by his negative fluid balance, irregular pulse and moving from a lying to a standing position too quickly.
TRUE
What were the main concerns about Giuseppe?
Medication reaction
Dehydrated
Postural hypotension
Due for discharge
