Case Study “� Immune System A 52-year-old male is admitted to the burn unit with second- and third-degree burns on his right arm, which will require skin grafts. He is HIV positive and he has hypercholesterolemia, hypertension, and depression with a generalized anxiety disorder. He is currently taking · � Lopressor™ 50 mg po qd · � Zocor™ 20 mg po qhs · � BuSpar™ 10 mg po t.i.d · � Paxil™ 20 mg po qd He will be given morphine via PCA, 2 mg/hr basal rate with 2 mg on demand q 10 minutes with lock out set at 10 mg/hr. During his hospital stay, his physician has him stop taking Paxil™ and start taking Prozac™ without changing his other medications. Answer the following questions: · � What are the pharmacokinetics (precautions, adverse effects, interactions, absorption, distribution, metabolism, and excretion) and pharmacodynamics of each medication? · � How will the side effects of each medication listed influence your physical assessment of the patient? · � Describe nursing interventions to enhance the therapeutic effects and decrease adverse effects of the drugs. Indicate at least two safety issues, per medication, pertinent to the patient’s diagnosis. Assume that you have adhered to the five rights of medication administration. Include your rationale for your decision. · � What educational information should you provide for the patient and his family on immune system drugs?
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