Peter is a 90-year-old nursing home resident who has a history of epilepsy. His seizures are managed with Valproic Acid 750mg by mouth three times daily. His daughter is visiting and reports to you that she notices her father is more lethargic than usual and that he refused to eat his supper because he felt nauseous. After reviewing his orders, you note that his scheduled dose of Valproic Acid 750mg by mouth is due now. On hand you have Valproic Acid 250mg/5ml. Identify mechanism of action of the drug as it pertains to the pathophysiology of this specific patient Identify three adverse effects associated with this drug that are relevant to this particular scenario. What are two ways you as the nurse can identify the drug is achieving its therapeutic effect? What do you expect to observe in the client’s symptoms, labs, vital signs? Identify one ethical, legal, or economic issue associated to the specific drug therapy. (Consider cost of drug and it’s implication to access, risk v. benefit of treatment, side effects) Present the conflicting sides of the ethical dilemma Discuss the relevant nursing ethical principles that pertain to this issue. Identify how this can impact nursing practice.

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Answered: Peter is a 90-year-old nursing home…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Peter is a 90-year-old nursing home resident who has a history of epilepsy. His seizures are managed with Valproic Acid 750mg by mouth three times daily. His daughter is visiting and reports to you that she notices her father is more lethargic than usual and that he refused to eat his supper because he felt nauseous. After reviewing his orders, you note that his scheduled dose of Valproic Acid 750mg by mouth is due now. On hand you have Valproic Acid 250mg/5ml.

Identify mechanism of action of the drug as it pertains to the pathophysiology of this specific patient
Identify three adverse effects associated with this drug that are relevant to this particular scenario.
What are two ways you as the nurse can identify the drug is achieving its therapeutic effect? What do you expect to observe in the client’s symptoms, labs, vital signs?
Identify one ethical, legal, or economic issue associated to the specific drug therapy. (Consider cost of drug and it’s implication to access, risk v. benefit of treatment, side effects)
Present the conflicting sides of the ethical dilemma
Discuss the relevant nursing ethical principles that pertain to this issue. Identify how this can impact nursing practice.

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