Running head: CASE STUDY IV	

                                                                                                                         

Case Study IV
Mbinglo Peter
Lakeview College of Nursing
N309, Nursing of the Gerontological Client
 June, 09, 2011

CASE STUDY IV                                                                                              
Case Study IV		
	Mrs. Tyler fall is due in part to the medication she is taking at home. The following medications contributed to her fall: Prozac (Flouxetin hydrochloride) whose side effect is vision changes and poor concentration; Zantac (ranitidine) whose side effect is confusion and hallucination; Ecotrin (Aspirin EC) whose side effects is confusion and dizziness; Valium (diazepam) whose side effect is blurred vision, orthostatic hypotension, and confusion; Mellaril (Thioridazine HCl) whose side effects include confusion, blurred vision, orthostatic hypotension, and anemia. Aricept (Donepezil hydrochloride) has a side effect of syncope and drowsiness. All this side effect as a result of the medication she is taking have all played a role in her fall. (Skidmore-Roth, 2011)
	Mrs. Tyler displaces symptoms of constipation which is a result of several of the home medication side effects like Ecotrin. Mellaril has a blackbox warning against people with dementia and she also manifests symptoms of dementia. She is depressed which is also a side effect of some of the home medication like Valium. Hallucination is a side effect only seen in senior taking Zantac. 
	I would alter Mrs. Tyler’s hospital drug regimen by sitting down and talking to the physician or whoever prescribe the medication. According to Mauk (2010) Demerol is one of the medications to avoid in the elderly because it causes confusion. Worst of all it is prescribed as a PCA pump alongside Promethazine. Promethazine according to Skidmore-Roth (2011) also causes confusion. Thus pairing these drugs and giving to an elderly could be ground for more problems. Other drugs like Mellaril (Thioridazine HCl) would be questioned by me because I feel like their risk outweighs their benefits. Her reactions three days later in the hospital is a response to the side effects of the medications she been taking. 

CASE STUDY IV
References
Mauk, K. L. (2010). Gerontological nursing: Competencies for care (2nd ed).Boston: Jones & 	Bartlett.
Skidmore, R. (2011). Mosby’s nursing drug reference (24th ed). St. Louis, Missouri: Elsevier Mosby.