NURS 421 Pharmacology III Clinical Case Study with Teaching Plan Presentation & Video
Demonstration Assignment Outline
Significant Diagnosis #1
Pathophysiol Anemia is a deficiency in the number
ogy of erythrocytes (red blood cells
[RBCs]), the quantity or quality of
hemoglobin, and/or volume of
packed RBCs (hematocrit). It is a
common condition with many
diverse causes, such as blood loss,
impaired production of RBCs, or
increased destruction of RBCs.
Because RBCs transport O2, RBC
disorders can lead to tissue hypoxia
(Kwong et al., 2023.)
Anemia is when your body doesn’t
have enough red blood cells and it
makes it hard for your body to get
enough oxygen, regardless of how
much or how hard you breathe.
Pharmacolog Pantoprazole Delayed Release
y Tablet - (Protonix) 40mg
(5 total) Once daily at 0800
absence of epigastric fullness, pain,
swelling
Contraindications:
hypersensitivity to pantoprazole or
benzimidazole
Side Effects or Adverse Reactions:
abdominal pain, fatigue, headache,
diarrhea
Significant Diagnosis # 2
Angina, or chest pain, is the clinical
manifestation of myocardial ischemia.
It is caused by either an increased
demand for O2 or a decreased supply
of O2. The most common reason for
angina to develop is significant
narrowing of one or more coronary
arteries by atherosclerosis. This leads
to insufficient blood flow to the heart
muscle. (Kwong et al., 2023.) This
angina is secondary to the hypoxia
caused by anemia.
Angina, otherwise known as chest
pain, is caused by either a lack of
oxygen or an increased demand of
oxygen by the body. A common
reason would be atherosclerosis,
which is the buildup of fats and
cholesterol in the blood vessels, which
narrows them and makes It harder for
the blood to get to where it needs to.
Donepezil Tablet - (Aricept) 10mg
Once daily orally in the morning
Decreased symptoms of Alzheimer’s
disease
Contraindications:
hypersensitivity to donepezil or
piperidine derivatives
Side Effects or Adverse Reactions:
nausea, vomiting, hypo/hypertension,
syncope, seizures
Try and make sure to get in a routine
Tell your doctor if you find any of taking this medication at the same
blood in your poop, if you have pain time every morning so you don’t
or swelling in your abdomen, or if accidentally forget to, let your doctor
you have weakness, dizziness or know if you have any blood in your
excessive nausea/vomiting/diarrhea. poop or if you have major pain or
Make sure your floors are well lit and discomfort in your belly.
are clear of obstacles such as rugs or
decorations to avoid falls. Kwong, M.H.D.R.C.R.D.H. J. (2020)
-------------------------------------------
Kwong, M.H.D.R.C.R.D.H. J. (2020) Isosorbide Mononitrate Extended
Release Tablet - (Imdur) 60mg
—------------------------------------------ twice daily orally
Sertraline Tablet - (Zoloft) 50mg relief and prevention of angina
once daily orally pectoris
Relief of depression, obsessive-
compulsive disorder (OCD), Contraindications:
posttraumatic stress disorder (PTSD), hypersensitivity to isosorbide or
panic disorder nitrates, severe anemia closed-angle
Contraindications: hypersensitivity glaucoma
to sertraline or SSRIs
Side Effects or Adverse Reactions: Side Effects or Adverse Reactions:
serotonin syndrome, anxiety, tachycardia, flushing, headache,
neuroleptic malignant syndrome-like weakness, nausea, vomiting,
reactions, diarrhea, nausea suicidal syncope/orthostatic hypotension
ideation, chest pain, and palpitations
Keep a journal of your blood Keep a journal of whenever you have
pressure, taken at the same time that angina/chest pain. Keep track of
every day. Keep a journal of your when, how long, and what you were
weight at the same time every day- doing when it started, this will help
you could do these both together. If to determine future ways to help
either of these are way away from control your pain. Be careful
normal, alert your doctor. Do not standing up quickly from lying down
stop your medication abruptly and and use any assistive mobility
avoid drugs and alcohol while on this devices like canes or walkers if you
medication. need to.

Kwong, M.H.D.R.C.R.D.H. J. (2020) Kwong, M.H.D.R.C.R.D.H. J. (2020)

—------------------------------------------
Medication: Sucralfate Tablet -
 (Carafate) 1gm
one tablet before meals and at
bedtime
healing and prevention of ulcers

Contraindications: hypersensitivity
to sucralfate or other anti-ulcer
medications or sucrose
Side Effects or Adverse Reactions:
constipation, nausea, vomiting,
hyperglycemia aluminum
intoxication due to mild renal
insufficiency
Take daily weights at the same time
each day. Tell your doctor if you
experience increased pain, burning,
extreme fullness or tenderness, or if
you find blood in your poop. Take on
an empty stomach.

Kwong, M.H.D.R.C.R.D.H. J. (2020)

Health You will want to increase your daily If you frequently experience any signs
Wellness & iron, whether that is from food or or symptoms of chest pain while at
Promotion from supplements. This iron may rest, such as difficulty breathing,
(6 total) upset your stomach so take it with feeling like your heart is racing or
meals. radiating pain, contact your doctor.

You should try and alternate your Maintaining a healthy lifestyle by

rest and activity periods; this will sleeping at least eight hours a night,
allow your body to recover the avoiding drinking and smoking, and
necessary oxygen and energy to exercising as frequently as possible,
avoid using up all your oxygen such as walking 30 minutes 5 days a
available. week, or as often as you can until you
reach that point.
Arrange physical activities to avoid
competition for oxygen supply-avoid Eating a healthy and balanced diet
activity after meals, try to cluster with eight glasses of water a day will
activities together in an efficient way, help to reduce any issues with your
such as going for a walk while using heart and will likely reduce any further
small hand weights. issues with your heart.

(Kwong et al., 2023.) (Kwong et al., 2023.)

 References

Skidmore-Roth, L. (2023). Mosby's Drug Guide for Nursing Students (15th ed.). Elsevier Health

Sciences (US).

Kwong, M.H.D.R.C.R.D.H. J. (2020). Lewis's Medical-Surgical Nursing (11th ed.). Elsevier

Health Sciences (US).