NUR 39700: Week 2 Dialogue: Medication in the Elderly
You might be assigned a brand new admission. The shopper’s diagnoses embrace:
1) Dementia
2) Parkinson’s illness
three) CVA with residual L-sided weak spot
four) Osteoporosis
5) Urinary incontinence
6) Recurrent UTIs
7) Hypertension
eight) CAD; stent 2 years in the past
9) CHF (EF 30%)
10) Atrial fibrillation
11) Hyperlipidemia
12) Osteoarthritis, particularly hips and knees
13) Macular degeneration
14) Sort 2 DM
15) Peripheral neuropathy
16) Power renal insufficiency
17) Anemia
18) Hypothyroidism
19) COPD on oxygen
20) Diverticulosis
The shopper’s medicine listing consists of:
1) donepezil (Aricept) 5 mg PO every day
2) Sinemet 10/100 PO TID
three) aspirin 325 mg PO every day
four) warfarin (Coumadin) 5 mg PO qHS
5) tolterodine (Detrol) 2 mg PO BID
6) atorvastatin (Lipitor) 40 mg PO qHS
7) insulin (long-acting and sliding scale)
eight) gabapentin (Neurontin) 300 mg PO TID
9) iron sulfate 325 mg PO TID
10) trazodone 50 mg PO qHS
11) levothyroxine 50 mcg PO every day
12) furosemide (Lasix) 60 mg PO BID
13) potassium chloride 20 mEq PO every day
14) metoprolol 100 mg PO BID
15) lisinopril 20 mg PO every day
16) amlodipine 10 mg PO every day
17) acetaminophen 1,000 mg PO TID
18) docusate sodium 100 mg PO BID
19) polyethylene glycol powder (Miralax) 17 g PO every day
20) tiotropium (Spiriva) 18 mcg inhaled every day
21) montelukast (Singulair) 10 mg PO every day
22) fluticasone/salmeterol (Advair) 100/50 inhaled BID
23) Albuterol/Atrovent nebulizers PRN for wheezing
24) multivitamin one PO every day
25) vitamin E 400 IU PO every day
26) calcium carbonate 500 mg PO TID
27) vitamin D 800 models PO every day
28) kava root 100 mg PO QID
29) nitrofurantoin (Macrobid) 100 mg PO qHS
Primarily based in your evaluate of the three references discovered in the library information below readings and the info in the case research:
1) Checklist three drugs you’ll have issues in administering to an aged shopper and clarify why.
2) Focus on what alternate options you would possibly suggest to both the shopper or supplier.
three) Describe the instructing and/or info you would wish to offer to make sure the shopper understands the medicine routine previous to discharge.
