Explain how this medication works

Reference no: EM133439491

Case Study: Mrs Lucy is an 86 year old woman who presents to the Emergency Department at 0300 hours following a trip and fall at home as she was ambulating to the toilet. She has a history of hypertension, atrial fibrillation and is taking regular warfarin. Her BP is 102/50mmHg, HR: 110 beats/min and RR: 22 breaths/minute, Temperature 38.8. She is complaining of pain in her left wrist and left ankle. There is obvious swelling to her left ankle, and she is unable to weight bear. Mrs Lucy is the carer for her husband who is aged 89 and has dementia. On arrival her GCS was 15/15, however, it is now 0500 and her GCS has decreased to 14/15 as she appears to be disorientated to her location and is attempting to climb out of bed. She has an IV cannula in her right cubi-fossa and bloods have been sent.

Mrs Lucy has deteriorated, her BP is currently 90/50, her HR: 115. The medical team have reviewed her and would like to commence an infusion of Metaraminol. She will be transferred to a High Dependency Unit when a bed becomes available.

Question Please explain how this medication (pharmacologically) works and how her condition may change with this medication. You should discuss complications or adverse effects. In addition, why has Mrs Lucy's anti-hypertensive medication been withheld? Your answer should include nursing considerations and what assessments and interventions you would do as a Registered Nurse caring for this patient.

Reference no: EM133439491

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