Year Woman Underwent Assignment Help: How to Answer This Question
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Original Question
J.G. is a 38-year-old woman who underwent an emergency cesarean delivery after a prolonged labor, during which she exhibited a sudden change in neurologic functioning and started seizing. Since that time, she has experienced three tonic-clonic (grand mal) seizures. She was diagnosed with a basal ganglion hematoma with infarct and was started on phenytoin (Dilantin). Postdelivery, J.G. demonstrated dyskinesia, resulting in frequent falls during ambulation. Once the seizure disorder appeared to be under control, she was transferred to a rehabilitation facility for evaluation and 2 weeks of intensive physical therapy (PT). She is now home. She still has occasional falls but has had no seizures. She is receiving PT three times a week in her home. As case manager for J.G.’s health maintenance organization, you make a home visit with her and her family for evaluation of long-term follow-up care. 5.What factors are considered when determining which seizure medication, a patient should take? 6.J.G. tells you she is having trouble remembering to take her medication. Why does this concern you? 7.What are some strategies that you should review with J.G. and her husband to increase the likelihood of compliance? 8.You check the chart and note that J.G.’s last phenytoin (Dilantin) level was 12.7 mcg/mL. What action do you expect based on this level? a. J.G. at immediate risk for a seizure and she should go to the emergency department. b. Because this level is within normal limits, J.G. would continue therapy as prescribed. c. Because this level is on the border of therapeutic, notify the physician. d. This level is dangerously high, and an immediate reduction in dose is necessary. 9. J.G. asks, “Will my blood levels stay under control as long as I take my medicine?” How would you answer her question? 10. J.G.’s husband asks whether the Dilantin could harm his wife in any way. What general information would you review with them about Dilantin?
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