Question

In: Nursing

A 49-year-old man is newly diagnosed with hypertension and has been prescribed quinapril 10-mg PO once...

A 49-year-old man is newly diagnosed with hypertension and has been prescribed quinapril 10-mg PO once daily. The nurse checks the patient’s blood pressure and then administers a 20-mg tablet to the patient. Shortly after taking the medication, the patient complains of dizziness, and the nurse notices mild swelling of the face. The patient states he wants to lie down in bed and attempts to stand up from the chair and move to his bed. The nurse witnesses a syncopal episode, catching the patient before he falls to the ground. With assistance of co-workers, the nurse transfers the patient to his bed, where the patient immediately regains consciousness but is confused as to what happened to him.

  1. Identify the clinical problem(s) in the case study.
  2. In conducting a root cause analysis, what information will be gathered related to this incident?

Solutions

Expert Solution

Nightingale answered 1 year ago
Next > < Previous

Related Solutions

Bob Jones, a 60 year old with hypertension has been prescribed prazosin for hypertension. Bob says...
Bob Jones, a 60 year old with hypertension has been prescribed prazosin for hypertension. Bob says he does “not feel all that bad” and does not want to start medication although his systolic blood pressure has been greater than 190 and diastolic greater than 110 on the last three readings. 1)      How would you respond to Bob in the most therapeutic manner? 2)      Bob and his wife both ask about the side effects associated with the new medication. What should you teach...
Miss R is diagnosed with bipolar disorder and prescribed valproic acid (Depakote), 250 mg, PO, tid....
Miss R is diagnosed with bipolar disorder and prescribed valproic acid (Depakote), 250 mg, PO, tid. Things were going fairly well until a month into therapy, when she stops taking the medication. She admits she became moody, angry, and emotionally labile after stopping the medications, which “(she) just couldn’t tolerate.” Q1: What are some reasons she might have stopped her medications? Miss R is seen two weeks later in the clinic for follow up after an incident outside a local...
Case Scenario C.R. is a 52-year old Hispanic, Spanish-speaking male who is newly-diagnosed with Hypertension (diagnosed...
Case Scenario C.R. is a 52-year old Hispanic, Spanish-speaking male who is newly-diagnosed with Hypertension (diagnosed 2 months ago). He presents to the ED with Hypertensive Crisis. C.R. is 65 inches and weights 280 lbs. BP is 195/120. Temperature is 37.2 C/98.9 F. Pulse is 70 beats per minute, respiratory rate is 20 breaths per minute. O2 saturation is 92%. Patient states, “I have a really bad headache, my vision is blurry and my chest hurts”. His wife is with...
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...
John, an overweight 49-year-old man with history of diabetes and hypertension is playing soccer. After half...
John, an overweight 49-year-old man with history of diabetes and hypertension is playing soccer. After half an hour of an intense game, he feels severe chest pain that travels to his lower jaw. He is pale, diaphoretic, and short in breath. Upon arrival to the ER, an ECG was taken and the results show the following (note the changes in leads II, III and aVF): Choose 3 out of the 5 prompts and answer: What could be the possible reason...
J.G., a 49-year-old man, was seen in the emergency department 4 days ago, diagnosed with alcohol...
J.G., a 49-year-old man, was seen in the emergency department 4 days ago, diagnosed with alcohol intoxication, and released after 8 hours to his brother's care. He was brought back to the ED 12 hours ago with an active gastrointestinal (GI) bleed and is being admitted to the intensive care unit (ICU); his diagnosis is upper GI bleed and alcohol intoxication. You are assigned to admit and care for J.G. for the remainder of your shift. According to the ED...
J.G., a 49-year-old man, was seen in the emergency department 4 days ago, diagnosed with alcohol...
J.G., a 49-year-old man, was seen in the emergency department 4 days ago, diagnosed with alcohol intoxication, and released after 8 hours to his brother's care. He was brought back to the ED 12 hours ago with an active gastrointestinal (GI) bleed and is being admitted to the intensive care unit (ICU); his diagnosis is upper GI bleed and alcohol intoxication. You are assigned to admit and care for J.G. for the remainder of your shift. According to the ED...
1. A 64-year-old man with a 40 pack/year history of cigarette smoking has been diagnosed with...
1. A 64-year-old man with a 40 pack/year history of cigarette smoking has been diagnosed with emphysema. He asks the APRN if this means he has COPD. Question 2 of 2: Explain the pathophysiology of chronic bronchitis and how it relates to COPD.
Mr. Thomas is a 62-year-old man who has been diagnosed with an acute myocardial infarction with...
Mr. Thomas is a 62-year-old man who has been diagnosed with an acute myocardial infarction with the following symptoms and history. His chief complaint is a persistent, crushing chest pain that radiates to his left arm, jaw, neck, and shoulder blade. He describes the pain, which he has had for the past 12 hours, as a squeezing sensation around his heart. He also reports nausea and dyspnea. He has a low-grade temperature, and his blood pressure is within a normal...
Richard is a 55 year old man who has been diagnosed with rheumatoid arthritis. Before being...
Richard is a 55 year old man who has been diagnosed with rheumatoid arthritis. Before being diagnosed, he was taking OTC ibuprofen to manage his pain. Once diagnosed, his prescriptions included celecoxib. He was also advised to stop taking additional OTC ibuprofen. Explain the mechanism of action and clinical effects of each of the drugs Richard has been taking. Compare and contrast the mechanism of action ibuprofen and celecoxib. Why might Richard have been prescribed celecoxib? Why do you think...
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT