CASE BOOK SERIES D o w n MEDICINE MANAGEMENT M loa d e FOR NURSES E d b y D [ F Case Book a c IC ulty o I f N N ursin E g “The book offers a unique and engaging approach to an important subject that most , C h students find daunting. Realistic case scenarios are used as a catalyst to introduce M ian g information and concepts that underpin practice. I highly recommend it to pre- m registration student nurses. “ A ai U Kris Paget, Senior Lecturer, Faculty of Health, Social Work and Education, Kingston University N nive A rsity G 5.6 2 E .15 6 M .8 6 Medicine management is an important and demanding aspect of nursing practice. It ] a requires both clinical knowledge and the use of professional judgement. This accessible E t [0 7 N /1 book is designed to help both practising and student nurses prepare to deal with the 8 challenges of medicine management. It covers the principles and skills involved in a range T /16]. C of common medicine management scenarios and will help nursing students integrate their F op y knowledge of physiology, pathophysiology, pharmacology and nursing care. O rig h R t © M This handy book: cG N ra • Is based on 21 practical case studies, which help you learn about effective medicine U K S w-H management and test your understanding of essential drug groups R O MEDICINE ill G E lo • Helps you gain confidence in your knowledge of pharmacology S O ba BI l E E d •o nH aig phalitgihetnst the nurse’s role in identifying the therapeutic and adverse effects of medicines S E R MANAGEMENT ucatio SE n H C A old Pofa rrte loaft itnhge tChaesoer yB otoo kp rsaecrtieicse, .M Tehdei cciansee Ms aanrea gideemael nfot rf oprr eNpuarrsiensg Cfoars ee xBaomoks, otfefsetrss aan udn wiqourek iwnga yin AS CS FOR NURSES ings, L L practice, as each one includes self-test questions and answers. Whether you are preparing to E C qpuraaclitfiyc aolr t sotoul dfyoirn ygo mu.edicine management after qualification, this case book is the ideal BO Case Book . Not to b e O red K istrib u PAUL BARBER is Senior Lecturer in Nursing at the University of Chester, UK. He is the ted o co-author of Essentials of Pharmacology for Nurses 2nd edition (2012) and Further Essentials r m • 21 cases with questions and answers o of Pharmacology for Nurses (2012), both published by Open University Press. d ifie Pa • Covers principles and skills of medicine management d in a u ny l w B • Helps you self-test and prepare for exams ay w Cover Design: HandsDesign.ca arber EPDaIuTEl DB BaYr ber ithout permission. D o w n lo a d e Medicine Management for Nurses d b y [ F a c Case Book u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . 2255441166..iinnddbb ii 1177//0066//22001133 0088::4466 D o w n lo a d e Case Book Series d b y [ F This book is part of a new series of case books written for nursing and other allied health ac u profession students. The books are designed to help students link theory and practice and lty o provide an engaging and focused way to learn. f N u rsin Titles published in this series: g, C h ia n Paramedics: From Street to Emergency Department Case Book gm a Sarah Fellows and Bob Fellows i U n iv e Midwifery: Emergencies, Critical Illness and Incidents Case Book rsity Maureen Raynor, Jayne Marshall and Karen Jackson 5 .6 2 .1 5 Mental Health Nursing Case Book 6 .8 6 Edited by Nick Wrycraft ] a t [0 7 Learning Disability Case Book /1 8 /1 Edited by Bob Hallawell 6 ]. C o p Nursing the Acutely Ill Adult Case Book yrig Karen Page and Aiden McKinney ht © M Perioperative Practice Case Book cG ra Paula Strong and Suzanne Hughes w -H ill G Visit www.openup.co.uk/casebooks for information and sample chapters from other books in lo b the series. al E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . 2255441166..iinnddbb iiii 1177//0066//22001133 0088::4466 D o w n lo a d e Medicine Management d b y [ F a c u for Nurses lty o f N u rsin Case Book g, C h ia n g m a i U n Edited by ive rsity Paul Barber 5.6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . 2255441166..iinnddbb iiiiii 1177//0066//22001133 0088::4466 D o w n lo a d e d b y Open University Press [ F McGraw- Hill Education ac u McGraw- Hill House lty Shoppenhangers Road of N Maidenhead u Berkshire rsin g England , C SL6 2QL hia n g m email: [email protected] a world wide web: www.openup.co.uk i Un iv e and Two Penn Plaza, New York, NY 10121-2 289, USA rsity 5 .6 2 .1 First published 2013 56 .8 6 Copyright © Paul Barber, 2013 ] at [0 7 All rights reserved. Except for the quotation of short passages for the purpose of criticism and review, no /18 part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by /16 any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written ]. C o permission of the publisher or a licence from the Copyright Licensing Agency Limited. Details of such p y licences (for reprographic reproduction) may be obtained from the Copyright Licensing Agency Ltd rig h of Saffron House, 6–10 Kirby Street, London EC1N 8TS. t © M A catalogue record of this book is available from the British Library cG ra w ISBN- 13: 978-0 - 33- 524575- 8 (pb) -H ISBN- 10: 0-3 3- 524575- 7 (pb) ill G eISBN: 978- 0- 33- 524576- 5 lo b a l E Library of Congress Cataloging-i n- Publication Data du c CIP data applied for atio n H Typesetting and e-b ook compilations by o Refi neCatch Limited, Bungay, Suffolk ldin g Fictitious names of companies, products, people, characters and/or data that may be used herein (in case studies s, LL C or in examples) are not intended to represent any real individual, company, product or event. . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . 2255441166..iinnddbb iivv 1177//0066//22001133 0088::4466 D o w n lo a d e Praise for this book d b y [ F a c “The book offers a unique and engaging approach to an important subject that most students u lty fi nd daunting. Realistic case scenarios are used as a catalyst to introduce information and o f N concepts that underpin practice. The presentation style supports the active participation u of the student with the inclusion of questions at the beginning of each topic offering a rsin g platform to explore key areas whilst referring to the scenario. I highly recommend it to , Ch ia pre-registered student nurses.” ng m Kris Paget, Senior Lecturer, Faculty of Health, a i U Social Work and Education, Kingston University n iv e rsity “This collection of case studies provides a unique and user friendly guide to commonly seen 5 .6 pharmacological therapies and treatment options across the lifespan. The case studies have 2.1 5 been carefully selected to provide the diverse care needs of complex disease processes in a 6.8 6 person centred way. Each case study is relevant to the role of the Nurse and will provide ] a essential and core information whether nurses are working in either a medical or surgical t [0 7 clinical setting. /18 /1 Government Health Care Directives provide the essential clinical evidence based theory 6]. C necessary to promote medicine adherence and each chapter provides the relevant patho- o p y physiology which is essential to underpin the safe administration of medication therapies. rig h The role of the nurse in medicine management with respect to patient education and the t © M professional responsibilities of monitoring and evaluating complex medication therapies is c G presented in each case study. This provides an holistic approach to the care of patients ra w receiving complex medication therapies.” -H Barry Ricketts, Senior Lecturer, Adult Nursing, ill G lo Oxford Brookes University ba l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . 2255441166..iinnddbb vv 1177//0066//22001133 0088::4466 D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . 2255441166..iinnddbb vvii 1177//0066//22001133 0088::4466 D o w n lo a d e d Contents by [ F a c u lty o f N u rsin g , C h ia n g m a List of fi gures xi i U n iv e rsity 5 List of tables xii .6 2 .1 5 6 .8 6 Contributors xiii ] at [0 7 /1 8 /1 6 List of useful abbreviations xv ]. C o p y rig h Introduction t © 1 M c G ra w Case Study 1 -H T he person with Alzheimer’s ill G disease 3 lob a l E Traci Whitfi eld du c a tio n H o Case Study 2 T he young person with ldin g asthma 11 s, L L C Ruth Sadik . N o t to b e re Case Study 3 T he person with bipolar distrib disorder 19 ute d o Paul Barber r m o d ifie d in Case Study 4 The person with lung cancer 27 any w a Debbie Wyatt y w ith o u t p e rm issio vii n. 2255441166..iinnddbb vviiii 1177//0066//22001133 0088::4466 D viii Contents o w n lo a d e d Case Study 5 b T he person with chronic y [ F obstructive pulmonary ac u disease 35 lty o f N Abe Ginourie ursin g , C h ia Case Study 6 T he person with acute left ngm a ventricular failure following i U n iv myocardial infarction 43 ersity Diane Blundell 5.6 2 .1 5 6 .8 6 Case Study 7 T he young person with cystic ] at [0 7 fi brosis 53 /1 8 /1 6 Christine Whitney-C ooper ]. C o p y rig h Case Study 8 The person with depression 61 t © M c G Paul Barber ra w -H ill G lo Case Study 9 T he young person with bal E d diabetes mellitus 69 uc a tio Ruth Sadik n H o ld in g Case Study 10 T he person with diabetes s, LLC mellitus type 2 79 . No t to Abe Ginourie be re d istrib u Case Study 11 The person with epilepsy 89 ted o r m Pat Talbot od ifie d in a n y Case Study 12 w The person with hypertension 101 a y w Diana Blundell ith o u t p e rm issio n . 2255441166..iinnddbb vviiiiii 1177//0066//22001133 0088::4466 D Contents ix o w n lo a d e d Case Study 13 b T he person with infl ammatory y [ F bowel disease 109 ac u lty Joy Parkes o f N u rsin Case Study 14 T he young person with g, C h ia meningitis 119 ng m a Christine Whitney-C ooper i U n iv e Case Study 15 T he person with a myocardial rsity 5.6 2 infarction 129 .15 6 .8 Diane Blundell 6] a t [0 7 /1 8 Case Study 16 /1 The person with osteoporosis 137 6]. C o Janine Upton py rig h t © M Case Study 17 The person with pain 147 cG ra w Paul Barber -H ill G lo b a Case Study 18 T he person with Parkinson’s l Ed u c disease 157 atio n H Paul Barber o ld in g s, L Case Study 19 T he person with rheumatoid LC. N arthritis 165 ot to b Paul Barber e re d istrib u Case Study 20 T he person with schizophrenia 173 ted o r m Paul Barber od ifie d in a Case Study 21 T he woman with a urinary ny w a tract infection 185 y w ith Joy Parkes ou t p e rm issio n . 2255441166..iinnddbb iixx 1177//0066//22001133 0088::4466