Critical Thinking Pain

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Critical thinking: pain Irene Mutai Presentation College 1. Why is Ms. Johnson on this drug? She is taking aspirin to reduce inflammation, swelling and pain from arthritis. 2. Are there any contraindications or precautions that would eliminate the use of this drug for Ms. Johnson? Yes, she has been diagnosed with peptic ulcer disease. Aspirin is contraindicated in patients with this condition, Ms. Johnson smokes and aspirin should be avoided by patients who smoke (Aschenbrenner, 2012). 3. What patient variables are most important to consider for Ms. Johnson when assessing her drug therapy? I would consider the health status to make sure that she is not suffering from conditions contraindicated for aspirin and also monitor for signs of toxicity. Assessing lifestyle, diet and habits because Ms. Johnson smokes and smoking with aspirin use increase acid production which increase the risk of GI bleeding. Lifespan and gender should be considered because patients over 60 years old should be given the medication with caution because they have an increased risk for adverse effects. (Aschenbrenner, 2012). 4. Are there any aspects of core drug knowledge that are especially relevant to consider because they may interact with the core patient variables? Yes, contraindications and precautions should be considered because she smokes it can cause GI bleeding. Adverse effects should be considered because Ms. Johnson has been on aspirin for arthritis for a long time and she is also taking high doses which can cause poisoning and toxicity. 5. Which findings from the nursing assessment demonstrate the effectiveness of drug therapy? No complaints of joint pain, Able to open and close fingers on both hands without significant problems.

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