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Neida Mirabal

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Discussion #11

Treatment Goals for M.W.

Based on the case study, the main goal of the client`s treatment is to increase the amount of oxygen in the blood (Jäger et al., 2020). Another goal involves the treatment of anemia`s underlying causes.

Client’s Recommended Drug Therapy

The client may be recommended to take hydroxyurea at a dosage of 80mg/kg orally every three days. This drug is essential to help in increasing hemoglobin and reduce the level of circulating leukocytes to enhance the adherence of neutrophils to the vascular endothelium (Vinhaes et al., 2020).

Parameters for Monitoring the Therapy’s Success

Increased hemoglobin level in the blood and decreased levels of leukocytes indicates the success of the therapy.

Patient Education

The healthcare professional should advise the client not to open the drug capsule, chew or crush but take it whole (Chide et al., 2020). Moreover, the professional should inform the client not to use the broken pill as it may endanger the ears, nose, eyes, skin, and mouth.

Adverse Reactions That May Necessitate Therapy Change

Hydroxyurea may lead to breathing problems and life-threatening lung problems. Therefore, when these adverse reactions are noted, the professional may opt to change the therapy.

Alternative Medications Appropriate For the Client

Ferrous sulfate and folate may also be appropriate for the client (Mirunalini & Afreen, 2020). These medications help in enhancing iron and folate in the body, respectively.

Recommended Dietary and Lifestyle Changes To the Client

The professional may advise the client to stop tobacco smoking and any other illegal drugs. He should also be recommended to add leafy greens, meat, poultry, nuts, liver, and beans to his diet. In so doing, he would have enough oxygen and blood to avoid the symptoms associated with the disease.


Chide, O. E., Gyamfi, J., Ryan, N., Oluwatoyin, B., Eno-Abasi, E., Chianumba, R., &

Nnodu, O. (2020). Barriers to Therapeutic Use of Hydroxyurea for Sickle Cell Disease in

Nigeria: A Cross-sectional Survey.

Jäger, U., Barcellini, W., Broome, C. M., Gertz, M. A., Hill, A., Hill, Q. A., & Berentsen,

S. (2020). Diagnosis and treatment of autoimmune hemolytic anemia in adults:

Recommendations from the First International Consensus Meeting. Blood reviews41,


Mirunalini, A. M., & Afreen, R. M. (2020). Efficacy and tolerability of ferrous sulfate

oral iron therapy in the management of Iron deficiency anemia during pregnancy–a

prospective study. Int J Clin Obst Gyn4(5), 267-9.

Vinhaes, C. L., Teixeira, R. S., Monteiro-Júnior, J. A., Tibúrcio, R., Cubillos-Angulo, J.

M., Arriaga, M. B., … & Andrade, B. B. (2020). Hydroxyurea treatment is associated with

a reduced degree of oxidative perturbation in children and adolescents with sickle cell

anemia. Scientific reports10(1), 1-10.

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Ingrid Suazo

20 hours ago, at 8:44 PM


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Ingrid Suazo

M.W. is a 69-year-old African American man and was referred to clinic for evaluation of increasing shortness of breath.

1.        List specific goals of treatment for M.W.

           By the end of therapy, the patients should be able to breathe normally and independently. The patient should understand their condition and what they are expected to do, and the patient should be able to take control measures to reduce chances of reoccurrence of their condition.

2.        What drug therapy would you prescribe? Why?

           Prescription of ipratropium bromide would be appropriate. This drug is a bronchodilator that works by opening or expanding the lung passages and offers relief of signs like shortness of breath (Abuel-Reesh, 2017). It is therefore given by inhalation, and it can be available as pills. In case of swelling, I would like us steroids to reduce swelling and also pain medications.

3.        What are the parameters for monitoring the success of therapy?

           Assessing the effectiveness of the medication to the patient is one way to monitor the effectiveness of the drug therapy. This involves whether the patient is responding to the medication or needs to be the advancement of the medicine, which may entail alternatives therapy.

4.        Discuss specific patient education based on the prescrib

 Discuss specific patient education based on the prescribed therapy?

           In case of the use of bronchodilators, the patient should tell the healthcare provider in case of other medications in use, taking medicine as prescribed should be a must, the patient should not take a higher dosage, in case of smoking they should quit and also lowering of indoor humidity to less than 50% (Fallet et al., 2020).

5.        List one or two adverse reactions for the selected agent that would cause you to change therapy?

           In case of reactions from the use of bronchodilators, I would change the drug therapy. These reactions may include severe headaches, sudden noticeable heartbeats, and also severe diarrhea.

6.        What over-the-counter and or alternative medications would be appropriate for M.W?

           Asthmanefrin or racepinephrine is the over-the-counter prescription I would suggest for M.W, which is an inhaler medication. This type of medication is designed to relieve asthma symptoms like shortness of breath which M.W has.

7.        What dietary and lifestyle changes would you recommend for M.W?

           Some of the lifestyle changes I would suggest for M.W. are quitting smoking, eating a healthy diet, avoiding close contact with people who have respiratory infections, exercising regularly, and avoiding excess heat, cold, and very high attitudes (Eckerblad et al., 2015).


Abuel-Reesh, J. (2017). A Knowledge-Based System for Diagnosing Shortness of Breath in Infants and Children. International Journal of Engineering and Information Systems (IJEAIS), 1(4), 102-115.

Eckerblad, J., Theander, K., Ekdahl, A., Jaarsma, T., & Hellstrom, I. (2015). To adjust and endure: a qualitative study of symptom burden in older people with multimorbidity. Applied Nursing Research, 28(4), 322-327.

Fallet, B., Kyburz, D., & Walker, U. A. (2020). Mild course of Coronavirus disease 2019 and spontaneous severe acute respiratory syndrome coronavirus 2 clearance in a patient with depleted peripheral blood B‐cells due to treatment with rituximab. Arthritis & Rheumatology (Hoboken, Nj).

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