Scenario
A 69-year-old patient who has a past medical history of previous myocardial infarction (MI), hypertension (HTN), hyperlipidemia (HLD), diabetes mellitus type II (DM II), Cerebrovascular accident (CVA), Depression, Chronic Obstructive Pulmonary Disease (COPD), Chronic Renal Insufficiency and one pack per day smoker presents to the emergency department with a three-day history of exertional shortness of breath, and intermittent chest pain without nausea or vomiting. EKG reveals atrial fibrillation with a heart rate in the 130s. The cardiology team was consulted to admit the patient for further evaluation and treatment. The patient was admitted and underwent cardiac catheterization that revealed multi-vessel coronary artery disease; he subsequently underwent coronary artery bypass surgery.
You are a new MSN prepared graduate preparing to see this patient with your preceptor. Your preceptor provides you with a list of home medications and postoperative medications ordered by the provider.
Home Medications:
Medication – Dosage
Zestril (lisinopril) – 40 mg by mouth daily
Metformin (Glucophage) – 1000 mg by mouth twice a day
Eqliquis (Apixaban) – 5 mg by mouth twice a day
Flomax (Tamsulosin) – 0.4 mg by mouth at bedtime
Deltasone (prednisone) – 10 mg by mouth as directed
Cymbalta (duloxetine) – 60 mg by mouth daily
Postoperative / Discharge Medications:
Mediation – Dosage
Aspirin (salicylate) – 81 mg by mouth daily
Plavix (clopidogrel) – 75 mg by mouth daily
Lopressor (metoprolol) – 25 mg by mouth twice a day
Oxycontin (oxycodone HCL) – 5-325 mg 2 tabs every 4 hours as needed for pain
Seroquel (quetiapine) – 25 mg twice a day
Instructions
Using Microsoft Word, create a medication list identifying which home medications to resume postoperatively and which medications to continue at discharge. You will use this list for a pre-conference discussion with the preceptor.
Part 1: Home Medications
Create a list of home medications and determine if they should be continued or discontinued upon discharge.
Include rationales for choices and support your selections with credible resources.
Part 2: Discharge Medications
Create a list of discharge medications and determine if they should be continued or discontinued upon discharge.
Include rationales for choices and support your selections with credible resources.
Use professional word choice and correct spelling, grammar, and APA style.
- Use the internet to investigate Russian and American cooperative involvement with the International Space Station. What have both countries contr
- Name and describe at least two non-traditional healing systems Discuss the interface between religion and mental health Religion, Healing and
- Watch and annotate the videos of one peer as assigned by your instructor on InTASC Standards 1, 2, and 3 of the Clinical Practice Rubric. * Use t
- Discuss some of the elements in women?s approach to power, negotiation, and risk-taking that may lead to them earning less than men in similar jo
- Explain how your organizational design and culture could be implemented at your workplace or organization. Explain how your design will improve
- You need to develop a specific activity that is for the vignette that you chose. You also have to list all the rules, all the consequences, and all the materia
- The student will provide a description of the administration, logistics, and planning for a sport ministry project of the student?s choice. The portfolio must
- For this assignment, you have just been hired as the new Head Coach (of your particular sport) at Amos University! First…Your Bad News You have inherited a t
- The CEO of your organization wants to improve employee morale. Recently, she went to a conference at which she heard people talking about ?open-book management
- Maya has just been hired as the chief executive officer (CEO) to turn around Phoenix Solutions, a once-thriving tech company now struggling with declining reve