SU NSG6005 Week 7 Discussion Latest 2019 September
NSG6005 Advanced Pharmacology
Week 7 Discussion
Discussion 1
Tom, a 26-year-old
runner, came in to the office today complaining of constant pain in the right
ankle. While running his usual route, he accidentally stepped on a branch lying
in his path, twisting his ankle inward. He denies hearing a “pop.” He
was able to walk, or limp, the remaining ¼ mile back to his home, where he
immediately elevated and iced the ankle for 30 minutes. He took two acetaminophen
325 mg, showered and dressed for work, and drove to his place of employment. He
continued to experience significant pain in the ankle, worse when walking. His
foot became swollen. Since his job in a sporting goods store requires that he
be on his feet most of the day, he was unable to continue his normal workday,
and made a same-day appointment to be seen. He has no chronic diseases, takes
no medication, and denies recent use of NSAIDs, as aspirin and ibuprofen cause
him to have gastritis. He sprained the ankle last year, but was able to manage
that injury at home.
Assessment
A 26-year-old,
otherwise healthy male presents limping into the examination room, holding his
right shoe in his hand. He grimaces with partial weight-bearing of the affected
foot. He has local ecchymosis and 1+ edema over the anterolateral ligaments of
the right ankle. Capillary refill, pulses, and sensation of the foot and toes
are intact. There is no lateral or anterior instability of the joint or
tendons. X-ray of the ankle and foot are negative for fracture or dislocation.
He has a grade I lateral ankle sprain.
What pain relieving
medications would you prescribe? Defend your choice.
How would your
prescribe them?
What side effects
should you educate the patient about?
Does the age of the
patient influence what your choice?
Discussion Question 2
What organs are
damaged mostly by taking NSAIDS? What patient education would you provide to
someone taking NSAIDS? What organ is damaged by taking too much aspirin? What
patient education should you provide to a patient taking Aspirin? List 3
diagnosis for which you would administer NSAIDS.List 3 diagnosis for which you
would administer Aspirin. What labs or diagnostic tests would you perform for a
patient who has consumed too much Aspirin and NSAIDS. Your response should be
at least 350 words.
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