Problem
An adult patient has recently been diagnosed with asthma and has been prescribed albuterol, montelukast sodium, and fluticasone propionate/salmeterol 100/50 mcg.
a) Identify the classification for each of the drugs.
b) Describe the mechanisms of action of each drug.
c) Identify the priority teaching points for this patient with a new diagnosis of asthma.
An adult executive is preparing to fly across the country for a conference and presents to the health care provider with nasal stuffiness. The patient tells the provider "I hate to fly when my nose is this way. It just makes the trip all that much longer." A decongestant, oxymetazoline, is ordered.
a) What is the purpose of oxymetazoline and how does it work?
b) What is the standard dosage for this drug?
c) Describe rebound congestion. What other side effects might be expected, and how can they be prevented? Are there any other options for a decongestant?
A 38-year-old is seen in the clinic with complaints of pharyngitis and fever. The patient was prescribed azithromycin 500 mg for "strep throat."
a) Describe the class of antibacterials that includes azithromycin and its mechanism of action.
b) Discuss the potential side effects and / or adverse drug reactions the nurse would teach the patient who is on this medication.
After three days of taking azithromycin, the patient develops severe watery stool.
a) Discuss the concerns the nurse may have.
The patient was started on vancomycin 125 mg po every 6 hours for C. difficile
a) Discuss the mechanism of action of vancomycin
b) Discuss the potential side effects.