Medication Management Plan
The medication management plan is said to be a project of the Australian Commission on Quality and Safety in Healthcare (Safetyandquality.gov.au, 2014).
It gives healthcare providers a standardized form, which pharmacies, nurses, and other medical health personnel can apply to develop the information accuracy documented on patient admission and available to the healthcare providers responsible for medicinal decision-making.
Before administering Fluoxetine, healthcare personnel should check if Kate is diabetic or hypertensive. This is because Fluoxetine can create problems with controlling blood sugar levels. Diabetic individuals who are undergoing Fluoxetine may have complications with lower blood sugar levels.
A high level of blood sugar can commence when Fluoxetine is stopped (Andrews, 2010). Hence, the respective healthcare personnel should take care of this factor if Kate is diabetic and has anti-diabetes medicines (Sabuncuoglu, Ekıncı & Berkem, 2009).
It is also said that Fluoxetine can change the electrical activity of the heart, and the condition can be severe. This can affect blood flow, or uncontrolled blood pressure.
It sometimes can happen with individuals who are under the treatment of depression and taking Fluoxetine this medicine affects the blood pressure and also causes antidepressant-induced hypertension.
Fluoxetine is considered as an anti-depressant of the SSRI (Selective Serotonin Reuptake Inhibitor) class (Drugbank.ca, 2014). Fluoxetine is mainly recommended for major depressive disorder treatment that includes depression.
Fluoxetine is metabolized to norfluoxetine. As it works as an inhibitor, it blocks the serotonin reuptake at the reuptake pump of serotonin of neuronal membrane and increasing the serotonin action on 5HT1A autoreceptors.
The inhibitors bind with considerably less affinity to acetylcholine, histamine, and norepinephrine receptors than tricyclic antidepressant medicines, such as Amoxapine and doxepin.
Scientifically, in depressive conditions, there is a functional decrease in amine activity, such as norepinephrine and serotonin. A functional boost of these amines would give rise to mood elevation.
Fluoxetines’ effects are associated with 5HT receptor inhibition, which leads to an amplification of the level of serotonin (Drugbank.ca, 2014).
Antagonisms of histaminergic, muscarinic, and α1-adrenergic receptors are linked to different sedative, anticholinergic, and cardiovascular effects of TCA medicines.
Fluoxetine attaches with these membrane receptors from the brain tissue much less effectively in vitro than the TCAs (Yi, Liu & Zhai, 2010). In Kate’s case, her main problem is depression. Therefore, it can be said that recommending Kate with Fluoxetine is justified.
The adverse effects of Fluoxetine may include abnormal dreams, anorexia, diarrhea, asthenia, flu syndrome, dry mouth, insomnia, nausea, rash, sinusitis, tremor, vasodilatation, sweating, nervousness and many others.
Fluoxetine is the most stimulating of SSRIs and, hence, is most likely to cause agitation and insomnia, as well as dermatologic reactions like hives, itchiness, or rashes. Various reports have described discontinuation symptoms or severe withdrawal after an unexpected intermission of fluoxetine treatment.
However, studies have also shown that Fluoxetine side effects, like discontinuation, are mild and uncommon, particularly compared to venlafaxine and paroxetine, probably because of this medicine’s comparatively long pharmacological half-life.
In case of unmanageable side effects, the patient should talk to the doctor. It is the doctor’s understanding and responsibility to decide whether to continue with the same medication or not (Mack, 2013). The doctor can otherwise change the dosage or introduce the patient to a slow-release form of the drug.
The patient should consume plenty of water or liquids. This is because the route of elimination of this drug is via kidneys. Consumption of plenty of water will help to wash and clean the residual metabolites from the kidneys, which can save the system from another kind of adverse effect (Brodziak & Brewczyński, 2013).
In managing the adverse effects of this drug, patients can be advised to eat fewer but frequent meals and eat slowly. Low-calorie and more fibrous foods, such as fruits and vegetables, should be included in the daily diet plan to avoid trans and saturated fats.
To avoid the feeling of tiredness, the patient should suggest taking a short nap during day time. Involve self in some kind of physical activity, like morning or evening walk to feel refresh and gain energy in daily activities.
As in the case of Kate, she has two little kids, so treating her mental health condition and resuming her joyful life with her kids is of utmost importance. This is because of her well-being and also for the well-being of her two little kids.
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