Medication safety project | Nursing homework help

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You are assigned a new admission. The client’s diagnoses include:

   

1) Dementia 

2) Parkinson’s disease 

3) CVA with residual L-sided weakness 

4) Osteoporosis 

5) Urinary incontinence 

6) Recurrent UTIs 

7) Hypertension 

8) CAD; stent 2 years ago 

9) CHF (EF 30%) 

10) Atrial fibrillation 

11) Hyperlipidemia 

12) Osteoarthritis, especially hips and knees 

13) Macular degeneration 

14) Type 2 DM 

15) Peripheral neuropathy 

16) Chronic renal insufficiency 

17) Anemia 

18) Hypothyroidism 

19) COPD on oxygen 

20) Diverticulosis

   

The client’s medication list includes: 

   

1) donepezil (Aricept) 5 mg PO daily 

2) Sinemet 10/100 PO TID 

3) aspirin 325 mg PO daily 

4) 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) 

8) gabapentin (Neurontin) 300 mg PO TID 

9) iron sulfate 325 mg PO TID 

10) trazodone 50 mg PO qHS 

11) levothyroxine 50 mcg PO daily 

12) furosemide (Lasix) 60 mg PO BID 

13) potassium chloride 20 mEq PO daily 

14) metoprolol 100 mg PO BID 

15) lisinopril 20 mg PO daily 

16) amlodipine 10 mg PO daily 

17) acetaminophen 1,000 mg PO TID 

18) docusate sodium 100 mg PO BID 

19) polyethylene glycol powder (Miralax) 17 g PO daily 

20) tiotropium (Spiriva) 18 mcg inhaled daily 

21) montelukast (Singulair) 10 mg PO daily 

22) fluticasone/salmeterol (Advair) 100/50 inhaled BID 

23) Albuterol/Atrovent nebulizers PRN for wheezing 

24) multivitamin one PO daily 

25) vitamin E 400 IU PO daily 

26) calcium carbonate 500 mg PO TID 

27) vitamin D 800 units PO daily 

28) kava root 100 mg PO QID

29) nitrofurantoin (Macrobid) 100 mg PO qHS

  

Based on your review of the three references found in the library guide under readings and the information in the case study:

1) Explain which of these medications you would have concerns in administering to an elderly client and why. 

2) Discuss what alternatives you would recommend to either the client or provider (as appropriate).

3) Describe the teaching you would provide and/or information you would need to ensure that the client understands related to the medication regimen prior to discharge. 

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