Eventually, a technician notices something in the case photograph:

Question to Answer for the Assignment is: Please what do you think of the issue of personalized medicine in this case study. How do you feel about the importance in the study of genetics for a nurse. Use Assigned textbook: Focus on Nursing Pharmacology, Eighth Edition
Amy M. Karch, RN, MS, CNS
ISBN: 978-1-975100-96-4
There is an ebook available or you can find free PDF
To answer the question above you need to: -Read the chapters 1-4( Textbook) above
-The 2 article journals assigned: The technician shares two studies on the subject, titled 1)Midazolam causes less sedation in volunteers with red hair and 2) Anesthetic Requirement is Increased in Redheads( you will these also in the case scenario down below)
-Read The case scenario down below…
A man’s scalp is torn open when the metal stairs of his recreational vehicle fall on his head. He is immediately taken to the emergency department, where a CT scan comes back normal and no skull damage is found. The care team turns their attention to the wound, but the anesthetic doesn’t appear to be working. A nurse shares the case on Figure 1, explaining the dilemma:
‘Having a difficult time numbing him up. Already used 17 cc of lido [lidocaine]. Any tricks someone would like to share?
An emergency physician gently questions the nurse:
Make sure you are not injecting saline, 17cc of lido should have done the job. But I am just kidding of course. Wouldn’t be a terrible idea to consciously sedate him.
A neurologist recommends lidocaine with epinephrine, a vasoconstrictor that one nurse refers to as “the chemical tourniquet.” Several other healthcare professionals suggest other anesthetics.
Eventually, a technician notices something in the case photograph:
The technician shares two studies on the subject, titled Midazolam causes less sedation in volunteers with red hair and Anesthetic Requirement is Increased in Redheads.
Patient seems to have reddish hair, which is associated with a gene that causes resistance to sedation and analgesics. Be careful with this one.
Another nurse concurs: “It’s truly a thing. I had a tiny 8 year old girl who got enough sedation to knock a wrestler out because she was a redhead.”
The patient’s nurse uses Figure to indicate that this was in fact the case. In the words of one nursing student: “Wow! This is new info for me. Big questions to answer!!!!
-Please what do you think of the issue of personalized medicine in this case study. How do you feel about the importance in the study of genetics for a nurse. And the next part is my notes on it! – Read my notes with the information I gathered and also include in these questions to answer to above main question that I would like to answer in my paper in that order. How to write what is Personalized Medicine? – Talk a little bit about genetics( just genetics) – Comparison or Contrast between Biomarkers and genetics?
– Give information on Red Headed People and lidocaine
– Another factor patient is Male that may be resistant lidocaine
– Get on the genetics of red hair like she said it is 1 to 4 shots that can have 1 red hair. Both parents have a recessive gene for it. 2 dominant vs recessive gene.
– Biomarkers: Referring to gene mutation.
– Nurses and genetics.
Notes: Look up if this is the actual thing. True statement
Biomarkers are used to diagnose chronic diseases and a greater understanding of genetic variance associated with biomarkers levels has potential risk and identify stratification and identify new targets
– Biomarker is where on the gene. For Example, if they store genes, they can find where in the gene mutations lives and where is found.
– Personalized Medicine: is based on genetics and biomarkers. So basically doing is personalizing your medical care /medications to that specific patient So what is happening is there is something making that person different than the majority of people and what happens it is usually genetics. – Now a redheaded person has two recessive genes so for example each parent, has a dominant brown hair gene but they also carry a recessive gene from both parents so one in four children can come out redhead and that’s why there are not so many redheads around because it is a recessive trait And somewhere on the genetic makeup of a redhead is a biomarker that is doing something to cause them to be resistant to a normal dosage medication, for example, Lidocaine ( topical local anesthetic). -The comment that the nurse made was knocking the patient out.
– If you look at lidocaine or any caine will do and what anesthesia will do will basically be a type of numbing medicine so somewhere in the genetic makeup of a red-headed person, there is a mutation or biomarker that is changing the ability to respond to a normal dose of that medication. – So the nurse saying that had a 8 yo patient had enough to knock off a wrestler basically is she saying, she is supporting the fact that yeah, I think this is a true statement because I had 8 yo redhead kid and had to give a lot of anesthesia to knock her out. So it is a comparison—All redheads are resistant to certain medications.
– How do you feel about the importance in the study of genetics for a nurse? It is very to important for a nurse because nurse have to be safe in taking care of a patient. Nursing is evidence- base practice which consist of research, identifying and evaluating the most recent and reliable medical journals/ sources and learn how to connect the genetic, pathophysiology, findings and the medicine and make correct medical decisions. so we need to do our research and learn what we learn and get the knowledge and know the research, the science behind it, and connect everything before touching our patients. And who’s to say these patients are a fluke and they coincidentally just happened to be redheads? – How to write what is Personalized Medicine? – Talk a little bit about genetics( just genetics) – Comparison or Contrast between Biomarkers and genetics?
– Give information on Red Headed People and lidocaine
– Another factor patient is Male that may be resistant lidocaine
– Get on the genetics of red hair like she said it is 1 to 4 shots that can have 1 red hair. Both parents have a recessive gene for it. 2 dominant vs recessive gene.
– Biomarkers: Referring to gene mutation.
– Nurses and genetics. Personally, nurses need to take genetic course because it made things make sense. For example, seeing a patient in the ER setting and come in like this gentlemen here with red hair for example, hey I have this happen some other time, this might be something to look at to research a bit before giving medicine. This is how experience nurses come in. They have a lot different things happening in their career. Having the knowledge and the experience what things will work than the student nurse because they haven’t had the experience yet. As through experience, you will say this happened to me before and this is what worked for that circumstance and might work here or might work from before.
– When patient comes in what that thing, you can say hay this might be a genetic thing you may need to evaluate a little bit more or handle to situation a little bit differently. – Lidocaine is there a maximum dose? Injectable or topical? If there is a maximum dose, you want to address that because then what would be the next step be? In the case study Example, the doctor with general anesthesia. Is there a maximum dosage to give with general anesthesia.