NUR 39700 Week 2 Discussion: Medication in the Elderly

NUR 39700 Week 2 Discussion: Medication in the Elderly

NUR 39700 Week 2 Discussion: Medication in the Elderly

Medication in the Elderly
Weekly Objectives 1 and 2 are addressed in this discussion.

Needed document: Medication Worksheet

Review the medication and diagnosis list (link above) along with the items from the library guide (link within the medication assignment document) to critically analyze this client. Answer the following questions.

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Explain which of the medications you would have concerns in administering to an elderly client and why. (Minimum of three)
Discuss what alternatives you would recommend to either the client or provider (as appropriate).
Describe the teaching you would provide and/or information you would need to ensure that the client understands related to the medication regimen prior to discharge.
Your response posts should be to students that identified medications other than those you discussed in your initial post.

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Medication in the Elderly

One of the medications that should be administered to the elderly adult sparingly includes Aspirin 325 mg PO daily. That is because aspirin use in adults tends to irritate the stomach lining, and in other cases, it may trigger gastrointestinal upsets, bleeding, and ulcers, making it riskier for individuals with bleeding problems. Hence, if the healthcare provider has to administer the medicine, it should be the low-dose aspirin from 75mg to 100mg. Also, Furosemide (Lasix) 60 mg PO BID must be avoided since the patient has a urinary incontinence issue. According to Kumpf and Parrish (2022), healthcare providers should evaluate if the patient has bladder emptying issues, liver diseases, systematic lupus erythematosus, or diabetes. Levothyroxine 50 mcg PO daily must also be avoided since it has high mortality rates for the elderly. Hence, since the patient has hypothyroidism, there will be a need to use the drug carefully or look for an alternative drug.

The most effective alternative medication to Aspirin 325 mg PO daily is Ibuprofen, two 200mg capsules or tablets thrice per day. That is because it is an effective painkiller for headaches, arthritis, and other types of pain since it is a nonsteroidal anti-inflammatory drug (Balamurugan & Lakshmanan, 2021). For Furosemide (Lasix) 60 mg PO BID, Metolazone 5mg daily helps potentiate the furosemide diuretic effects making it easier to treat fluid retention. Consequently, Levothyroxine 50 mcg PO daily needs to be replaced with WP Thyroid 32.5 mg/day since it is more effective in treating hypothyroidism (Burgos et al., 2021).

Patient education is essential to the patient since it helps improve the overall patient outcome. Therefore, the first step will be engaging the teach-back strategy to ensure that the patient clearly understands how they need to take the medication. However, it will also be essential to inform the patient that once they notice any adverse side effects from the medications, they should seek medical help to prevent the medicine from triggering other health issues.

References

Balamurugan, J., & Lakshmanan, M. (2021). Nonsteroidal anti-inflammatory medicines. Introduction to Basics of Pharmacology and Toxicology, 335-352. DOI: 10.1007/978-981-33-6009-9_19

Burgos, N., Toloza, F. J., Singh Ospina, N. M., Brito, J. P., Salloum, R. G., Hassett, L. C., & Maraka, S. (2021). Clinical outcomes after discontinuation of thyroid hormone replacement: a systematic review and meta-analysis. Thyroid, 31(5), 740-751. https://doi.org/10.1089/thy.2020.0679

Kumpf, V. J., & Parrish, C. R. (2022). The Clinician’s Toolkit for the Adult Short Bowel Patient Part II: Pharmacologic Interventions. PRACTICAL GASTROENTEROLOGY, 13. https://med.virginia.edu/ginutrition/wp-content/uploads/sites/199/2022/08/July-2022-Pharmacologic-Interventions-for-SBS.pdf