Case Study
A 48-year-old male patient has called EMS for a sudden onset of excruciating abdominal pain after a recent meal. They have a history of daily alcohol consumption, seizure disorder, Type I diabetes, and is a heavy smoker. The patient’s family physician prescribed Codeine earlier in the week for pain associated with pancreatitis. Their daily medications include Carbamazepine, Dilantin, and Humulin insulin. The patient has no medication allergies.
On examination, paramedics note the patient’s skin appears slightly yellow. They have abdominal distention with bilateral upper quadrant tenderness. The vital signs are- pulse 110 BPM, respirations 20 per minute, O2 saturation 94%, and blood pressure 110/70.
Questions for Discussion
1. Discuss how the patient’s medical conditions may influence the pharmacokinetic properties of absorption, distribution, metabolism, and elimination. Include in your discussion, your rationale why the patient’s past medical conditions and their current complaints may affect these properties regarding medication administration.
2. The patient’s medications may be affecting their condition. How are the medications they are taking influencing their present condition?
3. From your experience, what analgesic would be more appropriate than Codeine in alleviating the patient’s pain? Please discuss reasons, route, and frequency based on the patient’s condition.
This is not an APA essay, it is a discussion post where the answers to this case study must be APA referenced.
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