Imagine you are the supervisor of a team of 3 medical records specialists at busy local hospital. As part of their jobs, each medical records specialist audits another’s work to….
What factors should be taken into account when medications are prescribed to elderly patients?
Mrs. Fannie Smith, 72 years old, has been coming to your practice
for several years. A detailed medication/health history reveals a
healthy 130-pound woman whose only medication is
hydrochlorothiazide 25 mg every morning for high blood pressure.
She also takes an occasional ibuprofen for arthritis pain. She
presents today for her regular oral health maintenance checkup.
1. What are your concerns regarding drug distribution in a 72-
2. As a dental hygienist, how can you assess liver and renal
function without requesting liver and renal function tests?
3. Mrs. Smith has a cavity, which needs to be addressed. What
would be the route of administration for delivering a local
4. What are the advantages and disadvantages of parenteral
5. Mrs. Smith takes hydrochlorothiazide and ibuprofen. What
are the advantages and disadvantages of orally
6. What factors should be taken into account when medications
are prescribed to elderly patients?
7. What would be the more appropriate time of day for Mrs.
Smith to take her hydrochlorothiazide and why? How does
this timing affect drug absorption?
8. How can the dental hygienist help minimize any adverse
reactions or drug interactions in Mrs. Smith?