Read a selection of your colleagues’ responses and respond to at least two of yo

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by suggesting additional patient factors that might have interfered with the pharmacokinetic and pharmacodynamic processes of the patients they described. In addition, suggest how the personalized plan of care might change if the age of the patient were different and/or if the patient had a comorbid condition, such as renal failure, heart failure, or liver failure.Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by suggesting additional patient factors that might have interfered with the pharmacokinetic and pharmacodynamic processes of the patients they described. In addition, suggest how the personalized plan of care might change if the age of the patient were different and/or if the patient had a comorbid condition, such as renal failure, heart failure, or liver failure.essay is response to the following students post:
Pharmacokinetics refers to drug absorption, distribution, metabolism, and elimination (Rosenthal & Burchum, 2018). Pharmacodynamics is the body’s response to the drug and the mechanisms of its actions (Rosenthal & Burchum, 2018). According to Pharmacokinetics | AACC.org (2021), pharmacokinetics can vary from person to person, and it’s affected by age, gender, diet, environment, body weight, and pregnancy. An understanding of pharmacodynamics and pharmacokinetics is critical in effectively developing a patient-focused drug therapy plan for any patient population.
Description of the Patient’s Case
A 74-year-old White Caucasian male was admitted to our Geriatric Psych unit on a Friday evening. Just before shift change, this Veteran became agitated and combative. The doctor on call ordered Haldol. Minutes after the administration of the medication, the Veteran appeared to be more relaxed and less aggressive; he was then placed under 1:1 observation for safety. About an hour after being medicated, the Veteran’s behavior escalated, and his agitation and combativeness increased. During my days off I read an article about Alzheimer’s and Lewi body dementia, and it stated that all classic neuroleptic medications such as Haldol should be avoided when treating patients with Lewy body dementia. When possible, nonpharmacologic approaches should be attempted to alleviate the symptoms (Weise et al., 2021). I thought about our Veteran who was admitted on Friday since he got more agitated after administering Haldol.
The following Monday I researched our Veteran’s chart and discovered that he had a diagnosis of dementia. I spoke with the physician and verbalized my concern about Haldol and his dementia. I recommended SSRIs and maybe clonazepam or melatonin. After speaking to the Veteran’s spouse over the phone, she mentioned that the Veteran doesn’t do well with Haldol.
This information was passed on to our interdisciplinary team during morning rounds. The pharmacists and the physician then decided to discontinue Haldol, Trazodone was prescribed at bedtime, and it works wonders with him. The nursing staff spends a lot of time with our Veteran, and we do a lot of play therapy with him, he is now easily redirected. Every healthcare worker, including the pharmacist and physician, must regularly determine what medications each patient takes and monitor the patient’s medications in an interprofessional team effort (Varghese & Haseer Koya, 2020).
References
Pharmacokinetics | AACC.org. (2021, January 19). Www.aacc.org. https://www.aacc.org/science-and-research/clinical-chemistry-Links to an external site.
trainee-council/trainee-council-in-english/pearls-of-laboratory-medicine/2021/pharmacokineticsLinks to an external site.
Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO:
Elsevier.
Varghese, D., & Haseer Koya, H. (2020). Polypharmacy. PubMed; StatPearls Publishing.
https://www.ncbi.nlm.nih.gov/books/NBK532953/
Wiese, L., Lingler, J., & Lindauer, A. (2021, January). Alzheimer’s disease and Lewy body dementia: Discerning the differences.
MyAmericanNurse.com; American Nurse Journal. https://learning.anaLinks to an external site.
Links to an external site. nursingknowledge.org/d2l/le/content/8556/fullscreen/43261/ViewPharmacokinetics refers to drug absorption, distribution, metabolism, and elimination (Rosenthal & Burchum, 2018). Pharmacodynamics is the body’s response to the drug and the mechanisms of its actions (Rosenthal & Burchum, 2018). According to Pharmacokinetics | AACC.org (2021), pharmacokinetics can vary from person to person, and it’s affected by age, gender, diet, environment, body weight, and pregnancy. An understanding of pharmacodynamics and pharmacokinetics is critical in effectively developing a patient-focused drug therapy plan for any patient population.
Description of the Patient’s Case
A 74-year-old White Caucasian male was admitted to our Geriatric Psych unit on a Friday evening. Just before shift change, this Veteran became agitated and combative. The doctor on call ordered Haldol. Minutes after the administration of the medication, the Veteran appeared to be more relaxed and less aggressive; he was then placed under 1:1 observation for safety. About an hour after being medicated, the Veteran’s behavior escalated, and his agitation and combativeness increased. During my days off I read an article about Alzheimer’s and Lewi body dementia, and it stated that all classic neuroleptic medications such as Haldol should be avoided when treating patients with Lewy body dementia. When possible, nonpharmacologic approaches should be attempted to alleviate the symptoms (Weise et al., 2021). I thought about our Veteran who was admitted on Friday since he got more agitated after administering Haldol.
The following Monday I researched our Veteran’s chart and discovered that he had a diagnosis of dementia. I spoke with the physician and verbalized my concern about Haldol and his dementia. I recommended SSRIs and maybe clonazepam or melatonin. After speaking to the Veteran’s spouse over the phone, she mentioned that the Veteran doesn’t do well with Haldol.
This information was passed on to our interdisciplinary team during morning rounds. The pharmacists and the physician then decided to discontinue Haldol, Trazodone was prescribed at bedtime, and it works wonders with him. The nursing staff spends a lot of time with our Veteran, and we do a lot of play therapy with him, he is now easily redirected. Every healthcare worker, including the pharmacist and physician, must regularly determine what medications each patient takes and monitor the patient’s medications in an interprofessional team effort (Varghese & Haseer Koya, 2020).
References
Pharmacokinetics | AACC.org. (2021, January 19). Www.aacc.org. https://www.aacc.org/science-and-research/clinical-chemistry-Links to an external site.
trainee-council/trainee-council-in-english/pearls-of-laboratory-medicine/2021/pharmacokineticsLinks to an external site.
Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO:
Elsevier.
Varghese, D., & Haseer Koya, H. (2020). Polypharmacy. PubMed; StatPearls Publishing.
https://www.ncbi.nlm.nih.gov/books/NBK532953/
Wiese, L., Lingler, J., & Lindauer, A. (2021, January). Alzheimer’s disease and Lewy body dementia: Discerning the differences.
MyAmericanNurse.com; American Nurse Journal. https://learning.anaLinks to an external site.
Links to an external site. nursingknowledge.org/d2l/le/content/8556/fullscreen/43261/View