Case Study – Nervous System Mrs. H is a 45-year-old woman recently diagnosed with Parkinson’s disease and is going to begin amantadine 50 mg po bid and Sinemet™ CR 1 tab bid. She is already being treated for gastric ulcers with Nexium™ 40 mg qd. The physician is trying to explain the need for long-term medication therapy that may also need to be adjusted as her disease progresses. 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 to the patient and her family about nervous system drugs?