Question

“Hello, I am Lillian Tudor, and I was married to my high school sweetheart, Earl, for 53 wonderful years. He died 2 years ago and I miss him to this day. Earl and I had three children, two of whom passed before Earl. Our oldest daughter, Leigh, is still helping me around the house and is a blessing to me in my old age. Let me tell you something. Getting old ain’t for sissies! I’m 84 years old as of last month. Leigh had the family meet at a buffet restaurant in town for a surprise party! It was nice to see the grandkids, because they don’t stop by often enough with their busy lives. Lynn, the oldest, has a great husband and two kids with more energy than what seems humanly possible. Leigh complains that they are too loud, but I think everyone else talks too softly these days! In fact, when Leigh comes over to take me to the doctor, she’s always telling me my television is too loud.  

“I have a lot of doctors who I see. There’s one for my heart and blood pressure who says my cholesterol is too high and wants me to start a new medicine. Another one is for the diabetes, which makes me use those stupid syringes to take insulin. And the last one is for trying to help me with my stiff knees and sore joints. Like I said, getting old ain’tfor a sissy! Did I mention the adult briefs I wear to help with my bladder leakage? It’s those dang water pills that I take to keep my feet from swelling so badly. All in all, it’s not a bad life.”

In addition to what Lillian has told you, here is a list of her current medications.

Captopril 25 mg, three times a day   

Alprazolam (Xanax) 0.5 mg, by mouth as needed for anxiety  

Insulin lispro (Humalog) 7 units subcutaneous TID, 15 minutes before meals   

Tramadol for arthritis pain  

Furosemide 40 mg, twice per day   

Ciprofloxacin 250 mg every 12 hours  

Pilocarpine eye drops, two drops each eye, four times a day   

Lasix 60 mg, once per day in the morning  

Select one medication and answer all five of the following questions.

1. If this was a medication order, do you have enough information to safely administer the medication? Please explain your answer and provide the missing information, if any.

2. What is the medication’s classification? Does it have any special considerations about which the nurse should be aware?

3. Why is Lillian taking this medication? If you are unsure based on the information you’ve been given thus far, list common reasons for this medication to be given.

4. Does this medication present any possible adverse interactions with the other medications Lillian is taking?

5. What are the implications of Lillian taking garlic supplements with her current Drug Interactions?“Hello, I am Lillian Tudor, and I was married to my high school sweetheart, Earl, for 53 wonderful years. He died 2 years ago and I miss him to this day. Earl and I had three children, two of whom passed before Earl. Our oldest daughter, Leigh, is still helping me around the house and is a blessing to me in my old age. Let me tell you something. Getting old ain’t for sissies! I’m 84 years old as of last month. Leigh had the family meet at a buffet restaurant in town for a surprise party! It was nice to see the grandkids, because they don’t stop by often enough with their busy lives. Lynn, the oldest, has a great husband and two kids with more energy than what seems humanly possible. Leigh complains that they are too loud, but I think everyone else talks too softly these days! In fact, when Leigh comes over to take me to the doctor, she’s always telling me my television is too loud.  

“I have a lot of doctors who I see. There’s one for my heart and blood pressure who says my cholesterol is too high and wants me to start a new medicine. Another one is for the diabetes, which makes me use those stupid syringes to take insulin. And the last one is for trying to help me with my stiff knees and sore joints. Like I said, getting old ain’tfor a sissy! Did I mention the adult briefs I wear to help with my bladder leakage? It’s those dang water pills that I take to keep my feet from swelling so badly. All in all, it’s not a bad life.”

In addition to what Lillian has told you, here is a list of her current medications.

Captopril 25 mg, three times a day   

Alprazolam (Xanax) 0.5 mg, by mouth as needed for anxiety  

Insulin lispro (Humalog) 7 units subcutaneous TID, 15 minutes before meals   

Tramadol for arthritis pain  

Furosemide 40 mg, twice per day   

Ciprofloxacin 250 mg every 12 hours  

Pilocarpine eye drops, two drops each eye, four times a day   

Lasix 60 mg, once per day in the morning  

Select one medication and answer all five of the following questions.

1. If this was a medication order, do you have enough information to safely administer the medication? Please explain your answer and provide the missing information, if any.

2. What is the medication’s classification? Does it have any special considerations about which the nurse should be aware?

3. Why is Lillian taking this medication? If you are unsure based on the information you’ve been given thus far, list common reasons for this medication to be given.

4. Does this medication present any possible adverse interactions with the other medications Lillian is taking?

5. What are the implications of Lillian taking garlic supplements with her current Drug Interactions?“Hello, I am Lillian Tudor, and I was married to my high school sweetheart, Earl, for 53 wonderful years. He died 2 years ago and I miss him to this day. Earl and I had three children, two of whom passed before Earl. Our oldest daughter, Leigh, is still helping me around the house and is a blessing to me in my old age. Let me tell you something. Getting old ain’t for sissies! I’m 84 years old as of last month. Leigh had the family meet at a buffet restaurant in town for a surprise party! It was nice to see the grandkids, because they don’t stop by often enough with their busy lives. Lynn, the oldest, has a great husband and two kids with more energy than what seems humanly possible. Leigh complains that they are too loud, but I think everyone else talks too softly these days! In fact, when Leigh comes over to take me to the doctor, she’s always telling me my television is too loud.  

“I have a lot of doctors who I see. There’s one for my heart and blood pressure who says my cholesterol is too high and wants me to start a new medicine. Another one is for the diabetes, which makes me use those stupid syringes to take insulin. And the last one is for trying to help me with my stiff knees and sore joints. Like I said, getting old ain’tfor a sissy! Did I mention the adult briefs I wear to help with my bladder leakage? It’s those dang water pills that I take to keep my feet from swelling so badly. All in all, it’s not a bad life.”

In addition to what Lillian has told you, here is a list of her current medications.

Captopril 25 mg, three times a day   

Alprazolam (Xanax) 0.5 mg, by mouth as needed for anxiety  

Insulin lispro (Humalog) 7 units subcutaneous TID, 15 minutes before meals   

Tramadol for arthritis pain  

Furosemide 40 mg, twice per day   

Ciprofloxacin 250 mg every 12 hours  

Pilocarpine eye drops, two drops each eye, four times a day   

Lasix 60 mg, once per day in the morning  

Select one medication and answer all five of the following questions.

1. If this was a medication order, do you have enough information to safely administer the medication? Please explain your answer and provide the missing information, if any.

2. What is the medication’s classification? Does it have any special considerations about which the nurse should be aware?

3. Why is Lillian taking this medication? If you are unsure based on the information you’ve been given thus far, list common reasons for this medication to be given.

4. Does this medication present any possible adverse interactions with the other medications Lillian is taking?

5. What are the implications of Lillian taking garlic supplements with her current Drug Interactions?

Answer 1

1.ANS: Well, If this was a medication order, I have enough information to safely administer the medication. Lillian is diabetic and suffering from hypertention and joint pain. For that she is taking Captopril 25 mg, three times a day, Lasix 60 mg, once per day in the morning, Alprazolam (Xanax) 0.5 mg, by mouth as needed for anxiety, Insulin lispro (Humalog) 7 units subcutaneous TID, 15 minutes before meals for diabetes. For relief from stiff knees and sore joints (arthritis pain) she is taking Tramadol hcl acetaminophen drugs that contain aliskiren drug class which should not be taken with Captopril in diabetic condition.

2. ANS:   Tramadol hcl acetaminophen drugs contain aliskiren drug class. It does have special considerations about which the nurse should be aware as aliskiren drug class which should not be taken with Captopril in diabetic condition.

3. ANS: Lillian is taking this medication for relief from stiff knees and sore joints (arthritis pain).

4. ANS: Yes, this medication (Tramadol) present possible adverse interactions with the other medication (Captopril ) Lillian is taking.

5. ANS:   The implications of Lillian taking garlic supplements with her current Drug Interactions is positive as garlic inhibit angiotensin-converting enzyme and will be helpful in interacting with Captopril.