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NR 293 Week 7 Discussion: Unfolding Case Study (graded A)

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NR 293 Week 7 Discussion: Unfolding Case Study Lillian is scheduled for discharge today. What key information should she know about her medications? For your second post this week, answer the 'Hot Flash' question. Hot Flash What are the current recommendations for hormonal replacement therapy in women? Choose either a prescription or herbal treatment to discuss. Hello class and professor, Part 1 Looking back at the list from week 1, Lillian has a lot of medications that she is currently taking: Captopril, Alprazolam, Insulin lispro, Tramadol, Furosemide, Ciprofloxacin, Pilocarpine, and Lasix. Lillian must follow the proper dosages and times for the medications to be taken. This prevents any unwanted interactions and complications of drugs. Drug interactions can occur at any time. The reasons that clients may experience drug interactions include polypharmacy, a patient's lack of knowledge of medication instructions, and interactions that may occur when taking over-the-counter and herbal supplements (Lilley, Collins, & Synder, 2020). Some strategies to prevent drug interactions include keeping a list of medications and bringing them to each doctor's appointment. The nurses should educate Lillian about the medication's interactions with foods or other medications that may increase or decrease efficacy. Educate Lillian on proper storage of the medications and what to do when she misses a dose, how to refill, potential side effects of each drug, and when to call her physician when she has any concerns. Part 2 The current recommendations for hormonal replacement therapy in women is estrogen therapy. When it comes to choosing the best type of hormone replacement therapy for the patient, it depends on their health, personal preference, and symptoms (Webmd, 2020). This therapy comes with different forms of pills. For example, patch, pills, suppositories, topical, vaginal, etc. Vaginal administration of low doses of estrogen is a therapy of choice for the treatment and prevention of urogenital atrophy and its consequences (Fait, 2019). Estrogen is needed for the development and maintenance of the female reproductive system and the development of secondary sex characters (Lilley, Collins, & Synder, 2020). Estrogen pills are the most common treatment for menopausal symptoms. A prescription would be oral medications such as conjugated Estrogens (Premarin), estradiol (Estrace), and Estratab. Most estrogen pills are taken once a day without food. However, some have more complicated dosing schedules. Patients should follow the physician's instructions for dosing. References Fait, T. (2019). Menopause hormone therapy: latest developments and clinical practice. Drug Context. doi: 10.7573/dic.212551 Lilley, L. L., Collins, S. R., & Snyder, J. S., (2020). Pharmacology and the nursing process (9th ed.). St. Louis, MO: Elsevier. WedMD. (2020). Which Type of Estrogen Hormone Therapy Is Right for You?. Retrieved from https://www.webmd.com/menopause/guide/which-type-of-estrogen-hormone-therapy-is-right- for-you#1

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