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Abrams' clinical drug therapy : rationales for nursing practice

Geralyn Frandsen; Sandra Smith Pennington; Anne Collins Abrams

Chapter 5

Pharmacology and the Care of the Adult and Geriatric Patient - all with Video Answers

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Chapter Questions

Problem 1

A 70-year-old woman is being treated with chemotherapy for breast cancer. She recently has developed neuropathic pain related to the chemotherapy agents. Her health care provider has ordered amitriptyline hydrochloride to decrease the neuropathic pain.
- What effect is most noted in the older adult when administered amitriptyline?
- What measures can the nurse instruct the patient to reduce the adverse effects of amitriptyline?

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Problem 2

An 83-year-old woman is admitted to the emergency department following a fall in her home. She has sustained a fractured left femur. She is complaining of severe pain, of 9 to 10 on the pain scale. The physician in the emergency department orders ketorolac for pain. The patient remains on ketorolac for 3 postoperative days. On the 3rd day, she begins to complain of severe abdominal pain. Her blood pressure is $96 / 50 \mathrm{~mm} \mathrm{Hg}$ and her pulse rate is 116 beats per minute.
- What type of medication is ketorolac?
- Why is the patient complaining of abdominal pain?

Asma Venkitta
Asma Venkitta
Numerade Educator