Student Name: Zeynabou Diallo
Date: 07/28/2023
Pharm II Case Study
Patient Initials:
C.C.
Age: 63 yrs
Gender: Female, Pronouns: she/her
Allergies: No Known Allergies
Past Medical and Surgical History (PMH/PSH): Pt has no past medical history. Has chosen to not follow up on annual doctor’s
visits since 2018, and has relied on home remedies and recreational drug use to stay healthy.
Social history (ethnicity, occupation, marital status, family support, living situation): Pt is an African American woman living in
DC. Pt has active social family support, has one son who she lives with, and one grandson. Pt quit smoking tobacco 3 weeks ago, but
occasionally smokes cannabis a couple times a week. Has an occasional alcoholic drink once a week.
Admitting Diagnosis:
Pt was admitted for moderate chest pain and shortness of breath.
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Student Name: Zeynabou Diallo
Drug Name
(Generic and Brand)
Date: 07/28/2023
Dose/Freq/Route
Med Class
Indications
Why is this patient taking this med?
Link to diagnosis, history or PRN
indication (be specific)
Mechanism of Action
Acetaminophen
(Tylenol)
1,000
mg/q8H/Oral
Nonopioid
Analgesic
This drug is a pain reliever for
mild to moderate pain. The pt is
experiencing localized pain.
Inhibition of central
prostaglandins
synthesis
Albuterol
2.5 mg/q4H
PRN/Inhaled
Beta2
Agonist
This drug is used to open the airways
in lung diseases where spasm may
cause breathing problems. This will
provide dyspnea relief for patient.
Relaxes bronchial smooth
muscle by action on beta2receptors with little effect
on heart rate.
Ibuprofen (Ibuprofen)
400
mg/Q8H/Oral
NonOpioid
Analgesic
Used to ease pain, swelling, and
fever.
This drug will ease localized pain in
pt.
Lidocaine (Lidocaine)
5% Topical
Film/Daily/Tran
sdermal
Analgesic
This drug is used to ease the pt’s right
sided chest pain.
Polyethylene Glycol
3350 (Miralax)
17
gm/Daily/Powd
er
Laxative
Used to treat pt’s experienced
constipation and ease passing of
stool.
Reversibly inhibits
cyclooxygenase-1 and 2
(COX-1 and 2) enzymes,
which results in decreased
formation of prostaglandin
precursors
Blocks both the initiation
and conduction of nerve
impulses by decreasing the
neuronal membrane's
permeability to sodium
ions
An osmotic agent,
polyethylene glycol 3350
causes water retention in
the stool; increases stool
frequency.
Nursing Considerations/
Patient Education
Assess pt’s allergies and previous
reactions to drug
with same ingredients before
administering. Assess pt’s pain
level after a couple of hours after
admin.
Ensure resuscitation equipment is
at bedside in case for acute
complication with drug. Monitor
vitals and breathing while before,
during, and after administering
this drug.
Notify your healthcare team of
any allergies to aspirin or
(NSAIDs) like ibuprofen or
naproxen. Re-assess pain level
and Pt comfortability a few hours
after administration.
Do not allow patch to stay on pt’s
skin for over 12 hours at a time.
Allow 12 hours without a patch.
Re-assess pain score after a
couple of hours of admin.
Assess ability to pass stool
shortly after administering
medication. Assess for abdominal
distension and bowel sounds.
2
Student Name: Zeynabou Diallo
Date: 07/28/2023
Drug Name
(Generic and Brand)
Dose/Freq/Route
Med Class
Atorvastatin (Lipitor)
10mg/Evenings/
Oral
Antihyperlipide
mic
Ethanol Topical
(Nozin)
1
amp/BID/Topic
al
Sennosides-Docusate
(Docusate-Senna)
50 mg/BID/Oral
Indications
Why is this patient taking this med?
Link to diagnosis, history or PRN
indication (be specific)
Mechanism of Action
Nursing Considerations/
Patient Education
Used to treat pt’s high cholesterol
levels
Inhibits enzyme HMGCoA blocking synthesis of
cholesterol agents.
Antiseptic
Reduces MRSA infection, and
additional protection from Hospitalassociated infections during pt’s
admission.
Laxative;
Stimulant
Used to treat pt’s experienced
constipation and to ease the passing
of stool.
Inhibits alcohol
dehydrogenase (AD), an
enzyme that catalyzes the
metabolism of ethylene
glycol and methanol to
their toxic metabolites.
Docusate is a stool
softener; sennosides are
laxatives.
Report any signs of muscle
pain,weakness, fever, and dark
urine. Report signs of liver
damage (jaundice, fatigue,
abdominal discomfort)Monitor
LFTs and Creatinine Kinase
levels.
Monitor pt for nose bleeding and
irritation. Have antihistamines
readily available in case of
allergic reactions.
Reassess client for ease with
passing stools. Monitor for
bloody stools and rectal bleeding.
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