Question

Patient Jacob is a 65-year-old male weighing 65 kg recovering stroke patient. Past Health history (+)...

Patient Jacob is a 65-year-old male weighing 65 kg recovering stroke patient.

Past Health history (+) Hypertension since 2000 (+) CAD since 2015 (+) history of asthma (-) DM

Home Medications:

How do these medications relate to the case? and each other :)


Aspirin 80 mg/tab 1 tab once a day

Atorvastatin 80 mg/tab 1 tab at bedtime

Budesonide/Formoterol (Symbicort) 160/4.5 mcg 1 puff twice a day

Digoxin 0.5 mcg/tab 1 tab once a day

Metoprolol 25 mg/tab 1 tab twice a day

Furosemide 20 mg/tab twice a day

Lactulose 30 ml at once a day, hold if BM >2/day

He was brought to the local community hospital due to difficulty of breathing and expiratory wheezes; diagnostic exams show Chest X-ray is clear and CBC shows platelet count= 145,000 and WBC= 5.0. Blood chemistry further shows SGPT=80 and CBG= 160 mg/dL. Additional orders were made as follows:

Salbutamol nebulization, 1 nebule every 8 hours Prednisone 40mg/tab twice a day

Esomeprazole 40mg once a day Monitor CBG every 4 hours Start Regular Insulin using the following sliding scale: <180= none 181-200= 2 units/SC 201-220= 4

What do the current medications tell you about the patient’s problem(s)? (State the case/patient-specific indicationsunits/SC 221-240= 6 units/SC 241-260= 8 units/SC >280=refer

What do the current medications tell you about the patient’s problem(s)? (State the case/patient-specific indications

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Answer #1

The current medication includes salbutamol, prednesone, esomeprazole and regular insulin.

As the patient have the complaints of breathing difficulty and wheezing salbutamol is given. It is a beta 2 adrenergic receptor agonist. It works by relaxing the muscles  to the lungs,which helps the patient to breath easily.History shows he have the complants of asthma. Prednesine is a cortecosteriod which is given to reduce inflammation and supress th immune system to releave the symptoms of asthma.Esomeprazole is given as an antiulcer drugs as these drugs can cause GIT irritations.

According to the lab report now he is dignosed with Diabetic mellitus . For this regular insulin is ordered . Regular insulins are short acting insulins which reduces the blood glucose level.

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