How to write a Medication education essay from a case study (Solved)

How to write a Medication education essay from a case study (Solved)

Quetiapine Medication case study questions:

Provide medication information for Quetiapine that includes all of the following information with intext citations and a references list that includes at least three sources, with at least one evidence-based research article.
1. State the drug name, classification, FDA-approved uses, and off-label uses (if any). If your medication is controlled, please list the federal regulations, Oklahoma regulations, and best practices regarding dispensing.
2. Explain how the drug works and the mechanism of action.
3. List the most common side effects, significant drug-drug, food-drug, herb-drug, substance-drug interactions, and any black box warnings.
4. State the starting dose and how you would taper up and taper off the medication.
5. State what should be included for patient education.
From two pharmacies, find out what a 30-day supply would cost without insurance. List the pharmacies and the cost. You may use GoodRx or call local (Oklahoma) pharmacies.
6. List any labs you would need prior to starting this medication and any labs you would need throughout the medication regimen (if any).
7. List any contraindications.
8. List pregnancy and breastfeeding precautions.
9. List any age limitations (such as “not approved in children under 12”) or age-related dosing considerations.
10. Give an example of a patient clinical picture (such as signs/symptoms, diagnosis, age, gender, and so on) with who you would likely use this medication.
12. Give an example of a patient clinical picture with who you would likely avoid using this medication.

Quetiapine Medication case study questions SOLVED

Question 1

Quetiapine belongs to a class of drugs referred to as atypical antipsychotics.  It was approved by the FDA in 1997 and is sold under the brand name Seroquel (Maan et al., 2017). The drug was approved for managing bipolar disorder and schizophrenia.  It can also be an adjunct agent for managing depression (McLauphin & Cleare, 2020). The off-label uses include managing generalized anxiety disorder, dementia, Parkinsonism, and obsessive-compulsive disorder. Quetiapine is not a controlled substance (Bandelow, 2020).

Question 2

The mechanism of action of the drug is not adequately understood. However, various mechanisms of action have been proposed, especially in managing schizophrenia (Oruch et al., 2020). It is believed that its action occurs through antagonizing the effects of dopamine and serotonin 2A receptors. In managing depression, quetiapine is thought to bind to the norepinephrine transporter reducing its concentration.

Question 3

The side effects of quetiapine include dizziness, dry mouth, vomiting, excessive weight gain, headache, stuffy nose, stomach pain, seizures, confusion, reduced vision, joint and back pains, trouble maintaining balance, irritability, numbness, decreased sexual desire, among others.  The drug should not be taken with alcohol as it can increase the potential for dangerous adverse (Sadek, 2021) effects such as seizures and confusion. The drug can be taken with or without food.  However, if taken with food, the food should be a light meal. The black box warning includes the potential of the drug to increase the sudden cardiac deaths in older adults.

Question 4

In managing schizophrenia, the starting dose is 2mg BD dosage. The drug can then be increased to 50mg on days 2 and 3, given in divided doses two or three times a day. On day four, the drug is increased to 300 to 400 mg divided into 2 to three doses. Further tapering is made, which involves 25 to 50 mg increment twice a day. The maximum dose is 750 mg/day. The maintenance dose is between 150 to 750 mg PO in divided doses.

Question 5

In administering quetiapine medication, the patient should be given various health education. First, they should be educated on avoiding alcohol when using the drug. Secondly, the patient should be advised they should take the food without food, and if they have to take it with food, they should take it with a light meal. They should be informed on certain over-the-counter medications they should avoid when taking quetiapine medication. These include benzodiazepine, abacavir, and abatacept.

Question 6

Various blood tests and lab works should be taken in patients on quetiapine medication.  The blood glucose level needs to be taken as the drug can change the blood glucose level.  Other testing includes the cholesterol level and the electrocardiography. The drug interferes with heart activity and may increase cholesterol levels in the body.

Question 7

Contraindications of quetiapine

  • Breast cancer
  • Low potassium levels
  • Dehydration
  • High prolactin level
  • Diabetes
  • Thyroid disease
  • Prolonged QT interval
  • Confusion
  • Heart attack

Question 8

When taking the drug in pregnant mothers, extra monitoring is required. In these mothers, blood sugar and weight monitoring should be done frequently. The drug can also increase the chances of low birth weight in the baby; hence physicians should assess if the medication is necessary; otherwise, alternatives can be administered. The drug should be taken with caution in breastfeeding mothers. The drug can be found in breast milk hence can be taken into the baby’s system during breastfeeding.

Question 9

Quetiapine is not approved for use in children under the age of 5 years. However, in elderly individuals over the age of 65 years, the dose increment depends on the patients’ response.

Question 10

A 17-year-old teenager with major depressive disorder and schizophrenia was admitted to the emergency department with a chief complaint of lack of appetite, suicidal thoughts, irritability, and a suicidal attempt may be given quetiapine drug to manage the depression and schizophrenia.

Question 11

Quetiapine drug is not indicated in a 65-year-old patient who has diabetes and heart failure. The drug is contraindicated in patients with diabetes and heart failure.

References

Bandelow, B. (2020). Current and novel psychopharmacological drugs for anxiety disorders. Anxiety Disorders, 347-365.

Maan, J. S., Ershadi, M., Khan, I., & Saadabadi, A. (2017). Quetiapine.

McLaughlin, P., & Cleare, A. (2020, March). Drugs to Treat Depression. In Seminars in Clinical Psychopharmacology (p. 227). Cambridge University Press.

Oruch, R., Pryme, I., Fasmer, O., & Lund, A. (2020). Quetiapine: An objective evaluation of pharmacology, clinical uses, and intoxication. EC Pharmacol Toxicol, 8, 1-26.

Sadek, J. (2021). Antipsychotics. In Clinician’s Guide to Psychopharmacology (pp. 113-145). Springer, Cham.

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