Neurological Pharmacology worksheet: Please complete this assignment individually and provide references.
1. Jay Z. visits his primary care provider in the clinic with the complaint of “trouble sleeping”. He tells the provider, “I’m afraid to take medications to help with sleep because I could sleep through my alarm clock and be late for work.”
a. What questions would you ask Jay Z. to determine his sleep patterns and sleep routine? (Give 3 questions)
b. Jay Z.’s provider ordered secobarbitol to help his sleep problems and he has returned to the clinic after a month. What do you think as a nurse for this intervention and what would you recommend?
c. The provider has decided to change the prescription for long-term sleep aid what do you believe is a better choice? Why?
d. What teaching interventions would you provide to the client after the change in prescriptions you recommended? (List at least 3 interventions)
2. Mary S. is an attorney (who is 48 years old) who has suffered from epilepsy for about 25 years and is taking the medication phenytoin. You are looking at her electronic medical record and note she has missed several of her quarterly MD appointments. You ask her why she’s missed her appointments lately and she states: “I know all about my disease and the drug therapy”
a. Mary’s phenytoin level is 8.5 mcg/ml. What does this mean? How may this level have occurred?
b. The MD changed Mary’s medication to phenobarbital. In your opinion is this a good change? Why or why not?
c. Mary returns to the MDs office in a month and says she doesn’t like the phenobarbital and wants to go back on the phenytoin but it upsets her stomach. The MD put her back on phenytoin and also on cimetidine. What is concerning to you about this? What may be a drug that would be a better alternative to cimetidine?
d. At the next exam Mary states she’s having some symptoms of menopause and is taking the herbal supplement evening primrose....