Case Study 1

Assignment:

Develop a pharmacological treatment plan based on the case study you chose. Include the following key elements

1 Identify and include relevant data from the case study that is used in your decision making

2 Design a suitable pharmacological plan that includes the following

1 Correct medications with rationale

2 Considerations unique to the neonate

3 Pharmacological data pertinent to each drug (dose, route, dose interval, mechanism of action, metabolism, excretion)

My part starts here

4 Provide a plan for evaluating efficacy of drugs

1 Laboratory monitoring

2 Clinical assessment for therapeutic effect

3 Untoward and toxic effects

4 Drug dose/route changes as needed

5 Future contingencies & revision- consideration of needs for post discharge follow-up & medication

6 Discuss parent teaching as it pertains to your pharmacotherapy plan and include both short and long term guidance

The case study must be written in APA format, referenced appropriately. Reference list should include a minimum of 5 current peer reviewed sources. Decisions should be supported by the literature.

Neonatal Clinical Pharmacology

This is our Case Study

Respiratory System

Your patient is a 6 week old, 25 week gestation infant with chronic lung disease who is maintained on nasal CPAP 25 30% for respiratory support. She is receiving orogastric feeds of breast milk every three hours. Over the past day she has had increasing frequency of apnea, bradycardia and desaturation which are unrelated to feedings.

Develop a pharmacological treatment plan based on the information provided here.

Please respond base on this medication ;caffeine citrate as the main treatment of AOP

Second, chronic lung disease, since baby is older that 28 days and requires 30% Fio2 we can talk about diuretics furosemide or spironolactone and nebulizers for lung support, such as albuterol, budosemide, Norma saline

Third, anemia: the baby is 25 week now 6 weeks old, so iron supplementation is important to prevent anemia. We could also mention checking H&H and considering PRBC transfusion if needed.

And lastly, possible infection/late-onset sepsis maybe discuss empiric antibiotics like ampicillin and gentamicin after blood cultures done if infection is suspected.

Then I can talk about importance of checking electrolytes with diuretics, pick and trough with gentamicin, increase HR with Caffeine and so on:) alsa you can add PDa as possible cause of apnea in infant who is 25 week. It is a group assignment and my friend is working of part 1.2. And three and I am asking you to do this part 4 Provide a plan for evaluating efficacy of drugs

1 Laboratory monitoring

2 Clinical assessment for therapeutic effect

3 Untoward and toxic effects

4 Drug dose/route changes as needed

5 Future contingencies & revision- consideration of needs for post discharge follow-up & medication

6 Discuss parent teaching as it pertains to your pharmacotherapy plan and include both short and long term guidance