(1)
To determine:
Dr.S. had a discussion with E and her husband. The doctor told that Ms.E can take Donepezil (Aricept) which can be helpful to treat her early stages of Alzheimer’s disease. The doctor told after some few diagnostic tests this drug can be taken by Ms.E. After the doctor left Ms.E to enquire the nurse about “What will the drug Donepezil will do for him? Will the drug cure Alzheimer disease? What will the reply of the nurse?
Case summary:
A 72-year-old woman named Ms.E is married a 73-year-old man named Mr.G. Mr.G noticed an unusual behavior in Ms.E that she is forgetful in many things and she got lost while driving back from the grocery store. After this incidence, Mr. G makes an appointment with a primary care physician. The physician examined Ms.E thoroughly. The physician tells to Mr.G in private discussion that his wife is in the early stages of Alzheimer’s disease but yet it cannot be confirmed. She has to undergo some tests to fix this doubt. Mr. G is upset to hear this news when the doctor told her about it.
(2)
To determine:
Mr.G have some doubts about the drug as he is not sure about the oral dissolving pill. “Ms.E can’t swallow the pill?” How the nurse explains to Mr.G about the indications of this drug.
Case summary:
Several diagnostic tests were conducted, like complete blood count, Vitamin-B12 levels, serum electrolyte levels, liver and thyroid function test, MRI scan to figure out the neurological problem. All the test results showed as positive and normal. Dr.S prescribed Ms.E with Donepezil, 5 mg daily as an oral dissolving tablet.
(3)
To determine:
Mr.G brings Ms.E back to the clinic after six weeks to meet with Dr. S. Mr.G told Dr.S that Ms.E is upset because she felt a little improvement in her condition. Ms.E told the doctor that she is fine and she is not having any problems. Will Dr.S order some other drug this time? Whether Ms.E response to donepezil is typical? Explain your answer.
Case summary:
Several diagnostic tests were conducted, like complete blood count, Vitamin-B12 levels, serum electrolyte levels, liver and thyroid function test, MRI scan to figure out the neurological problem. All the test results showed as positive and normal. Dr.S prescribed Ms.E with Donepezil, 5 mg daily as an oral dissolving tablet.

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Chapter 20 Solutions
EBK PHARMACOLOGY AND THE NURSING PROCES
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