Musculoskeletal and Integumentary Drug Treatment Example paper
Musculoskeletal and Integumentary Drug Treatment Example paper
Musculoskeletal and Integumentary Drug Treatment Example paper
SNHU IHP-310
The medications which were prescribed to Ms. Craft were; oxygen by mask, hypertonic IV fluids, insulin orally, and hydrochloric acid solution via IV. The incorrect medications given to the patient were insulin orally, hydrochloric acid solution via IV, and hypertonic IV fluids. The patient seems to be going into diabetic ketoacidosis or DKA. The hydrochloric acid solution is used to treat metabolic alkalosis.” Metabolic alkalosis is a primary increase in bicarbonate with or without a compensatory increase in carbon dioxide partial pressure; pH may be high or nearly normal.”(Lewis, 2019) As for insulin, if insulin is taken orally, the digestive juices in your stomach and intestine will break down the insulin before it has a chance to get into your bloodstream to do its job. (Joslin Diabetes Center, 2019) If the patient is experiencing diabetic ketoacidosis, the patient should not be given hypertonic solutions. “Hypertonic solutions should not be given to any patient with any condition that causes cellular dehydration, such as diabetic ketoacidosis. Nor should any patient with impaired heart or kidney function receive an infusion of the hypertonic solution – their system just cannot handle the extra fluid.”(ROSENTHAL, 2019)
The correct drug classification would be regular insulin, potassium therapy, and an electrolyte supplement through IV. The initial priority in the treatment of diabetic ketoacidosis is the restoration of extracellular fluid volume through the intravenous administration of a normal saline solution. This step will restore intravascular volume, decrease counterregulatory hormones and lower the blood glucose level. (Wall, M.D. & Kitabchi, PH. D., M.D., 1999) The current recommendation is to give a low dose (short-acting regular) insulin after the diagnosis of diabetic ketoacidosis has been confirmed by laboratory tests and fluid replacement has been initiated. During rehydration and insulin therapies for diabetic ketoacidosis, the serum potassium concentration typically declines rapidly as potassium reenters the intracellular compartment. (Wall, M.D. & Kitabchi, PH. D., M.D., 1999).
Only short-acting insulin is used for the correction of hyperglycemia in DKA. Insulin Aspart (NovoLog) is insulin which as the onset of action of 5-15 minutes. The peak effect occurs within 30-90 minutes and its usual duration of action is 4 hours. (Osama Hamdy, 2019) Potassium chloride (Klor-Con, K-Dur, Kaon CI) is used for potassium therapy. Potassium replacement should be started with an initial fluid replacement if potassium levels are normal or low. Monitor the potassium level every 1-2 hours initially. (Osama Hamdy, 2019) The supplements of potassium chloride work to correct the electrolyte imbalances as well.
References
Joslin Diabetes Center. (2019). Diabetes Medication Misconceptions. Retrieved from Joslin Diabetes Center: https://www.joslin.org/info/diabetes_medication_misconceptions.html
Lewis, J. L. (2019). Metabolic Alkalosis. Retrieved from Merck Manual Professional Version: https://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/acid-base-regulation-and-disorders/metabolic-alkalosis
Osama Hamdy, M. P. (2019, May 31). Diabetic ketoacidosis (DKA) Medication. Retrieved from Medscape: https://emedicine.medscape.com/article/118361-medication#1
ROSENTHAL, K. R. (2019). I.V. ROUNDS: Intravenous fluids: The whys and wherefores. Retrieved from Nursing Center: https://www.nursingcenter.com/journalarticle?Article_ID=652137&Journal_ID=54016&Issue_ID=652101
Wall, M.D., B. M., & Kitabchi, PH. D., M.D., A. E. (1999). Management of Diabetic Ketoacidosis. American Family Physician, 455-464.
Case Study
This case study will help you practice analyzing a patient record, which will assist you in preparing for the final project.
This case will focus specifically on musculoskeletal and integumentary drug treatment.
Prompt: Consider the following scenario: Ms. Craft, age 59, was brought by ambulance to the emergency room because she thought she was dying. She had difficulty breathing, was dizzy if she attempted to sit up, and felt a sense of impending doom. Ms. Craft assumed that she was having a heart attack, and so did the admitting emergency room personnel.
But the case was more complicated. Physical examination showed Ms. Craft to have weakness, malaise, warm skin, and hypotension. Ms. Craft said she felt nauseous. A blood glucose value was really high. Cardiac markers did not show that she was having a heart attack, nor did an EKG. When her history was taken, Ms. Craft said she had not seen a doctor in several years and was unaware that she had diabetes.
Her respirations were deep and rapid—Kussmaul respirations.
In this case, the ER physician diagnosed decompensated diabetes mellitus with metabolic acidosis. These were the medications prescribed:
· Oxygen by mask
· Hypertonic IV fluids
· Insulin orally
· Hydrochloric acid solution via IV
In a short paper, the following critical elements must be addressed:
· Identify the incorrect medication/drug classification/treatment and explain why it is incorrect.
· What drug classification would you use instead? Why?
· Provide an example of a generic medication from each drug classification. How would each of the medications/treatments in the scenario act on the patient’s body?
Support your answer with relevant resources.
SAMPLE ANSWER
Musculoskeletal and Integumentary Drug Treatment
When it comes to treating diseases and disorders of the musculoskeletal system, there are many options available to patients. But with so many options, it can be hard to know which one is right for you. The same can be said for integumentary drug treatments. There are a variety of drugs that can be used to treat conditions of the skin, hair, and nails. But with so many options, how do you know which one is right for you? In this blog post, we will explore the different types of musculoskeletal and integumentary drug treatments available. We will also provide some guidance on how to choose the right treatment for you.
What is the Musculoskeletal and Integumentary System?
The musculoskeletal and integumentary system is responsible for the movement of the body and the protection of the internal organs. It is made up of bones, muscles, joints, and connective tissues. The musculoskeletal system provides support and stability to the body, while the integumentary system protects the body from infection and injury.
The most common problems associated with the musculoskeletal and integumentary system are arthritis, back pain, osteoporosis, and skin cancer. Treatment for these conditions typically includes medication, physical therapy, and surgery.
What are the most common drugs used to treat problems with this system?
The most common drugs used to treat problems with this system are over-the-counter or prescription NSAIDs (nonsteroidal anti-inflammatory drugs) such as ibuprofen and naproxen. These drugs can be taken orally or applied topically (as a cream, gel, or patch) to relieve pain and inflammation. If NSAIDs are not effective, your doctor may prescribe corticosteroids (such as prednisone), which are more potent anti-inflammatory agents.
How do these drugs work?
There are four main types of drugs used to treat musculoskeletal and integumentary disorders: analgesics, anti-inflammatory drugs, corticosteroids, and disease-modifying antirheumatic drugs (DMARDs).
Analgesics are drugs that relieve pain without affecting other body functions. The two main types of analgesics are narcotic and non-narcotic. Narcotic analgesics include morphine, codeine, oxycodone, and hydrocodone. Non-narcotic analgesics include acetaminophen, ibuprofen, naproxen, and aspirin.
Anti-inflammatory drugs are drugs that reduce inflammation without affecting other body functions. The two main types of anti-inflammatory drugs are steroidal and non-steroidal. Steroidal anti-inflammatory drugs (SAIDs) include prednisone, methylprednisolone, and dexamethasone. Non-steroidal anti-inflammatory drugs (NSAIDs) include ibuprofen, naproxen, aspirin, and celecoxib.
Corticosteroids are a type of drug that is similar to the hormone cortisol. Corticosteroids are used to treat a variety of conditions including allergies, asthma, eczema, and arthritis. Common corticosteroids include prednisone, methylprednisolone, dexamethasone, and hydrocortisone.
Disease-mod
What are the side effects of these drugs?
There are a variety of side effects associated with the drugs used to treat musculoskeletal and integumentary conditions. These side effects can range from mild to severe, and may include:
– Nausea
– Vomiting
– Diarrhea
– constipation
– headache
– dizziness
– drowsiness
– fatigue
– dry mouth
– itching
– rash
– hair loss
Are there any natural alternatives to these drugs?
There are many natural alternatives to these drugs. Some of these include:
-Acupuncture
-Aromatherapy
-Chiropractic care
-Exercise
-Herbal supplements
-Massage therapy
-Nutrition counseling
-Yoga
Conclusion
There is a wide range of musculoskeletal and integumentary drug treatments available, and the best option for you will depend on your individual circumstances. If you are suffering from pain or have a chronic condition, it is important to speak to your doctor about the potential benefits and risks of different treatment options. With the right information, you can make an informed decision about which drug treatment is right for you.
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.