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Health, Medicine, Nursing
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Medication case analysis- HYPERTHYROIDISM case study included in information.
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There are detailed instructions for the Medication case analysis included in up loaded information. The medication case analysis rubric is also included.
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Medication Analysis
Author’s Name
Institutional Affiliation
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Professor’s Name
Date
Medication Analysis
1 Selected Patient Cases Scenario
My Case: Hyperthyroidism
“Your patient is a 35 YOF who complains of increasing nervousness, palpitations, sweating, and tremors over the last four weeks. She has been having diarrhea and lost 5-10 lb. On examination, she has moderate exophthalmos and a diffusely enlarged, asymmetric thyroid gland with an audible bruit. ECG shows sinus tachycardia of 115 bpm with frequent atrial premature contractions. A presumptive diagnosis of Grave's Disease is made and laboratory tests obtained confirm elevations in serum T4 and T3 with undetectable TSH. Her symptoms respond after treatment is started with propranolol, potassium iodide, dexamethasone, and propylthiouracil.”
2. Propranolol
* Name: Propranolol has a generic name of Propranolol and a trade name of Inderal. Functional classification: Propranolol is classified as beta-blocker Route: Propranolol is administered to the patient orally. Dosage: For tremors and palpitations, the medication dosage is typically 20-40 mg every 6 hours.
* Reason for Use: The reason for using Propranolol is to manage symptoms of hyperthyroidism, such as tachycardia, tremors, and palpitation, as it creates an environment that blocks the impacts of excess thyroid hormones (Bereda, 2022).
* Effectiveness: The medication is effective as it significantly reduces tremors, resolves palpitations, and heart rate, and improves symptoms of hyperthyroidism.
Potassium Iodide
* Name: The second medication given to the patient has a generic name of Potassium Iodide, the trade name of SSKI. The functional classification of the medication is classified functionally as an antithyroid agent and the route of the medication is administered or taken orally. The medication is given in 250 and 1000 mg dosages three times a day.
* Reasons for use: The drug is given to patients to prevent the synthesis and release of thyroid hormones in patients with hyperthyroidism (Andrade & Duarte, 2021).
* Effectiveness: Its performance is seen in its ability to reduce goiter’s size and symptoms such as tremors and palpitations as it lowers the thyroid hormone level.
* The evidence that Propranolol is working is if it is able to reduce symptoms of hyperthyroidism, such as tachycardia, tremors, and palpitation The findings that indicates that the medication does not work effectively is when it is unable to bock the production of excess thyroid hormones.
Dexamethasone
* Name is dexamethasone is the third medication used by the trade name Decadron and functionally classified as a corticosteroid. Its generic name is dexamethasone, and it is taken orally or intravenously.
* Reason for Use: Patients are given the recommended dose of 0.5 to 6...
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