HNN215 Quality Use Of Medicines

HNN215 Quality Use Of Medicines

Answer:

Nurse: Hello, Mrs Watkins. I hope you are doing very well after being discharged from the hospital.

Mrs Watkins: Hello, I am doing a little better than before nowadays since the dosage of Furosemide has been increased this time.

Nurse: Yes, I am aware that your dosage has been increased, and you have also raised a concern that the increase in dosage might interfere with the regular maintenance of your social life, which is still quite active. I have seen that from your records. However, I would like to assure you that there shall be no such issues that will hamper your social interaction.

Mrs Watkins: But I often feel anxious about having to control the urge of urinating whenever I go for the outpatient appointment.

Nurse: I completely understand your worries and concerns, madam. I will help you out with proper medication management of Furosemide to become very assured of why this medication will not be problematic for consumption by you. Medication education helps a patient recognize whether a particular medicine is functioning properly or not (Li et al., 2020). But madam, first of all, tell me, are you aware of the role of Furosemide in your body?

Mrs Watkins: No, I am not completely aware of it.

Nurse: Okay. Furosemide is a medication that is used for preventing retention of fluid in the body as well as swelling, which may occur in disorders of the heart (Khan, Patel & Siddiqui, 2018). Since you are suffering from hypertension, there are high chances of acquiring edema. An increase in blood pressure will strain the working of arteries and the heart. If the same continues for a long time, arteries and heart may not function properly, and it may lead to the occurrence of stroke.

Mrs Watkins: Okay, thank you for this information.

Nurse: Now, I will provide you with a proper medication management procedure to consume Furosemide to keep your hypertension under control and, at the same time, keep it under control. Furosemide can be used together with other medicines to treat high blood pressure.

Mrs Watkins: Alright. Understood.

Nurse: When you consume Furosemide, you must consume it orally. However, be cautious to not consume the disease in doses that are higher than your prescribed dosage. Consuming extra doses of Furosemide may result in hearing loss which is irreversible (Wilczynski et al., 2020). Thus, always use a medicine measurer while ingesting the medicine in the solution form. You can also use the dosage syringe that is provided. The dosage syringe will help avoid any kind of dosage errors (Watt, Khatri & Dibble, 2019).

Mrs Watkins: Oh! I see. I will surely keep this in mind and follow the same.

Nurse: Now, I will come to your biggest concern of anxiety. Furosemide is a medicine that will make you urinate very frequently and get you dehydrated very soon. Hence, you can overcome this condition by consuming suitable and prescribed potassium supplements. You can also incorporate an increased amount of salt and potassium into the diet. A diet high in potassium helps in the regular intake of Furosemide (Ellison, 2019). You may also visit a dietitian for the same. Thus, you can understand properly that this is not something very abnormal, and you must not feel anxious about this condition at all.

Mrs Watkins: I am so relieved about this factor after receiving the tip from you.

Nurse: Now, I will also give you some more tips since you are on a regular dosage of Furosemide which is high. You must be careful and not get up too rapidly or lie down very fast in the position of sleeping as it might make you feel dizzy. While consuming Furosemide, the patient must be cautious of changing any position slowly so that orthostatic hypotension can be minimized gradually (Mose et al., 2021). You must make sure that you should keep consuming an ample amount of drinking water or other fluids to keep yourself hydrated. A person on regular Furosemide intake must drink at least 1.5 to 2 litres of water daily. You must be very cautious about not exercising regularly during very hot weather conditions or maintaining a standing position for a prolonged time as it will aggravate orthostatic hypotension (“Furosemide (Lasix) | Davis’s Drug Guide”, 2022).

Mrs Watkins: Thank you so much for the advice. I see there are too many cautious measures that I need to undertake. I will follow this medication-related advice.

Nurse: One more thing, Mrs Watkins. Since you are a socially active person, you must remember that you must not resort to drinking too much alcohol. Dizziness and light-headedness are common during the consumption of this disease. Hence, a combination of alcohol and Furosemide may aggravate the disease manifold (Mose et al., 2021).

Mrs Watkins: Thank You once again. I am pleased and grateful for these advances.

Nurse: This much is enough for you to know right now. If there is anything more you want to know, you may contact me.

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