Question

In: Nursing

A man of 65-year-old male weighing 65 kg recovering stroke patient. Past Health history (+) Hypertension...

A man of 65-year-old male weighing 65 kg recovering stroke patient.

Past Health history (+) Hypertension since 2000 (+) CAD since 2015 (+) history of asthma (-) DM

Home Medications:

Aspirin 80 mg/tab 1 tab once a day

Atorvastatin 80 mg/tab 1 tab at bedtime

Budesonide/Formoterol (Symbicort) 160/4.5 mcg 1 puff twice a day

Digoxin 0.5 mcg/tab 1 tab once a day

Metoprolol 25 mg/tab 1 tab twice a day Furosemide 20 mg/tab twice a day

Lactulose 30 ml at once a day, hold if BM >2/day

He was brought to the local community hospital due to difficulty of breathing and expiratory wheezes; diagnostic exams show Chest X-ray is clear and CBC shows platelet count= 145,000 and WBC= 5.0. Blood chemistry further shows SGPT=80 and CBG= 160 mg/dL. Additional orders were made as follows:

Salbutamol nebulization, 1 nebule every 8 hours Prednisone 40mg/tab twice a day

Esomeprazole 40mg once a day Monitor CBG every 4 hours Start Regular Insulin using the following sliding scale: <180= none 181-200= 2 units/SC 201-220= 4 units/SC 221-240= 6 units/SC 241-260= 8 units/SC >280=refer

State the case/patient-specific indications only

Medications

Purpose/Indication/s

Aspirin 80 mg/tab 1 tab once a day

Atorvastatin 80 mg/tab 1 tab at bedtime

Budesonide/Formoterol (Symbicort) 160/4.5 mcg 1 puff twice a day

Digoxin 0.5 mcg/tab 1 tab once a day

Metoprolol 25 mg/tab 1 tab twice a day

Furosemide 20 mg/tab twice a day

Lactulose 30 ml at once a day, hold if BM >2/day

Salbutamol nebulization

Prednisone 40mg/tab twice a day

Esomeprazole 40mg once a day

Solutions

Expert Solution

Case study

A. Condition of the patient

A man of 65-year-old male weighing 65 kg recovering stroke patient.

B. History of present ILLNESS

He was brought to the local community hospital due to difficulty of breathing and expiratory wheeze

C.Past History

Past Health history (+) Hypertension since 2000 (+) CAD since 2015 (+) history of asthma (-) DM

D. Medication

1.Aspirin 80 mg/tab 1 tab once a day

2.Atorvastatin 80 mg/tab 1 tab at bedtime

3. Budesonide/Formoterol (Symbicort) 160/4.5 mcg 1 puff twice a day

4.Digoxin 0.5 mcg/tab 1 tab once a day

5. Metoprolol 25 mg/tab 1 tab twice a day Furosemide 20 mg/tab twice a day

6.Lactulose 30 ml at once a day, hold if BM >2/day

E.Diagnostic formulation

Diagnostic exams show Chest X-ray is clear and CBC shows platelet count= 145,000 and WBC= 5.0.

Blood chemistry further shows SGPT=80 and CBG= 160 mg/dL

F.Management plan

Salbutamol nebulization, 1 nebule every 8 hours Prednisone 40mg/tab twice a day

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

Patient Jacob is a 65-year-old male weighing 65 kg recovering stroke patient. Past Health history (+)...

Patient Jacob is a 65-year-old male weighing 65 kg recovering stroke patient. Past Health history (+) Hypertension since 2000 (+) CAD since 2015 (+) history of asthma (-) DM Home Medications: Aspirin 80 mg/tab 1 tab once a day Atorvastatin 80 mg/tab 1 tab at bedtime Budesonide/Formoterol (Symbicort) 160/4.5 mcg 1 puff twice a day Digoxin 0.5 mcg/tab 1 tab once a day Metoprolol 25 mg/tab 1 tab twice a day Furosemide 20 mg/tab twice a day Lactulose 30 ml...

Patient chart reads. Patient is a 65-year-old male weighing 65 kg recovering stroke patient. Past Health...

Patient chart reads. Patient is a 65-year-old male weighing 65 kg recovering stroke patient. Past Health history (+) Hypertension since 2000 (+) CAD since 2015 (+) history of asthma (-) DM Home Medications: Aspirin 80 mg/tab 1 tab once a day Atorvastatin 80 mg/tab 1 tab at bedtime Budesonide/Formoterol (Symbicort) 160/4.5 mcg 1 puff twice a day Digoxin 0.5 mcg/tab 1 tab once a day Metoprolol 25 mg/tab 1 tab twice a day Furosemide 20 mg/tab twice a day Lactulose...

A 68 year-old male patient is in the intensive care unit recovering from a hemorrhagic stroke....

A 68 year-old male patient is in the intensive care unit recovering from a hemorrhagic stroke. The patient has made some progress and is able to move his previously paralyzed left arm and leg in a limited way. His speech is also improving. The nurse enters the room and greets the patient. The patient opens his mouth to speak, and his eyes immediately roll upward. His back arches, and then his arms and legs begin to jerk rhythmically. Q1: What...

A 65-year-old obese, black, Dominican man with a medical history of hypertension and hyperlipidemia is diagnosed...

A 65-year-old obese, black, Dominican man with a medical history of hypertension and hyperlipidemia is diagnosed with chronic hepatitis C, genotype 1a with an HCV-RNA = 4 million IU/mL. RAS testing for Y93H was positive. He is going to start therapy for his hepatitis for the first time. His medications at home include: enalapril 10 mg po QD and rosuvastatin 40 mg po QD. His physician insists on keeping all his current medications and asks you for recommendations: 1. Collect...

A 66-year-old female patient with a past history of diabetes mellitus, hypertension, and vascular disease presented...

A 66-year-old female patient with a past history of diabetes mellitus, hypertension, and vascular disease presented to an internist complaining of a cough and wheezing. The patient had immigrated to the United States from Ecuador several years earlier, and she spoke mainly Spanish. She lived with her son, who had been in the U.S. longer, spoke English fairly well, and worked as a computer technician. The son had sometimes come to medical visits with the patient in the past, but...

Mr. Parry is a 71 year old male with a history of hypertension. He is a...

Mr. Parry is a 71 year old male with a history of hypertension. He is a retired veteran who likes to spend his free time fishing and working in his garden. He presents to the clinic after a urologic follow up stating that he was recently diagnosed with BPH (Benign prostatic hypertrophy). He is relieved to finally know why he has increased urinary urgency, frequency and has been straining to pass urine over the past few years. Discussion 6.1: Explain...

PSR is an 85-year-old man (66.22 kg, 65 in) who suffers from urinary incontinence, gout, hypertension,...

PSR is an 85-year-old man (66.22 kg, 65 in) who suffers from urinary incontinence, gout, hypertension, hypothyroidism, DVT (Deep Vein Thrombosis), seizure, atrial fibrilation, parkinson,osteopenia, constipation.. PRS is treated at an anticoagulation clinic as it uses Warfarin chronically for atrial fibrillation and DVT episode. The patient uses Carbidopa/Levodopa, Donepezil, Prhyidone, Levothyroxine, Metoprolol Tartrate, Simvastatin and Warfarin. At the patient's routine visit to the anticoagulation clinic on 0 9/10/2019,questions are asked about their diet, new medications, missed doses, signs and symptoms...

The patient is a 54-year-old man with a history of schizophrenia. The patient was started on...

The patient is a 54-year-old man with a history of schizophrenia. The patient was started on haloperidol (Haldol) 6 months ago. Today the patient’s family calls the clinic to discuss symptoms that have occurred more frequently over the past 2 weeks. The family describes that the patient has had stiffness, a shuffling gait, hand tremors, and a delay in response to questions. What advice will the nurse offer to the family? Which medication(s) would the nurse anticipate the physician will...

A 65-year-old patient is recovering from a recent total Rt. knee replacement. The patient was complaining...

A 65-year-old patient is recovering from a recent total Rt. knee replacement. The patient was complaining of dyspnea /shortness of breath. The patients RN has mentioned the following test results; elevated d-dimer, low O2 sats, and a Rt. Lower leg DVT seen on a doppler ultrasound done earlier today. The patient’s Dr. fears the patient may have a pulmonary embolism. Please address the following elements; The patient has a 24 gauge IV in the back of the hand. The patient...

A 53-year-old male with past medical history of obesity (BMI of 38 kg/m 2 ) and...

A 53-year-old male with past medical history of obesity (BMI of 38 kg/m 2 ) and borderline diabetes presents to you with abnormal liver enzymes (ALT/AST) discovered 6 months ago. His family history is significant for liver cirrhosis. On physical examination you notice mild hepatomegaly (enlarged liver). A panel of lab tests revealed the following: aspartate aminotransferase (AST) 106 (normal range 10 – 40 U/L), alanine aminotransferase (ALT) 118 (normal range 7 – 56 U/L), with normal bilirubin (generated from...

Subjects