NURS 2230
Lakehead University
October 2, 2014
I declare that this paper is my original work. Excepting where I have cited my own previous work, this paper in its entirety, or any portion thereof, has not been submitted to meet the requirements of any other credit course.
Student Signature: ____________________________________ Date: ____________________
Patient History
In the context of this paper, the patient will be referred to as “Mrs. V.” Mrs. V is a seventy-two year old female. On August 12, 2014 Mrs. V’s life changed considerably. She was fairly independent with her ADLs prior to that day. She was ambulating with a walker for the last four years. She was able …show more content…
Monitor ECG, I&O, weight, LFT, RFT, CBC, glucose, K+.
Acetylsalicylic acid
ASA
Aspirin
OD
81 mg
PO
Antipyretic
Non-opioid analgesic
Salicylates
Treatment of inflammatory disorders (arthritis), mild-moderate pain, fever, prophylaxis of TIAs & MIs
Inhibits the production of prostaglandins
↓ platelet aggregation
↑ bleeding time, laryngeal edema
Take with food. Don’t take with other NSAIDs. Monitor liver & renal function, electrolytes, bleding time, CBC, serum drug levels if using long-term.
Metformin
Glycon
BID
500 mg
PO
Antidiabetic
Biguanide
Management of type II diabetes (used with diet or insulin or hypoglycemics)
↓ hepatic glucose production and ↓ intestinal glucose absorption
Lactic acidosis (too much lactate in the blood and low blood pH – occurs more frequently with renal insufficiency
Take with food. Do not crush or chew.
Atorvastatin
Lipitor
OD
40 mg
PO
Lipid-lowering …show more content…
Redirect client to identify alternate sources of hope such as relationships, faith, things to accomplish.
Rationale: “Recognizing positive aspects of one’s life may facilitate coping with an aspect of one’s life that is uncontrollable. Authentic relationships, self-representation and feelings of belonging have been identified as a client’s emotional needs in the living and dying phase” (Gulanick & Myers,