Medication Safety Project
Hi, Based on This information, please answer these questions carefully: 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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