Pharmacology and the Nursing Process, 8e
Pharmacology and the Nursing Process, 8e
8th Edition
ISBN: 9780323358286
Author: Linda Lane Lilley PhD RN, Shelly Rainforth Collins PharmD, Julie S. Snyder MSN RN-BC
Publisher: Elsevier Science
Question
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Chapter 19, Problem 1CS

(1)

Summary Introduction

To determine:

Why F was ordered with Propranolol and purpose of it?

Case summary:

A 58-year-old school orchestra teacher named F was hospitalized due to his myocardial infarction. His physician told him that his myocardial infarction is mild and he should change his lifestyle practice like diet and exercise. Mr.F has asthma. He also had gall bladder removal at the age of his 50. His blood pressure is in the range of 118/74 and pulse rate of 78 to 112 beats/min. His doctor prescribed the following drugs during his discharge.

Aspirin, (81mg/day: PO)

Propranolol (40mg, three times a day: PO).

(2)

Summary Introduction

To determine:

What could be causing the shortness of breath problem in F? What will happen as a result?

Case summary:

After his discharge, F experiences more and more shortness of breath even when he is taking rest at home. When the nurse calls F about his health condition, Mr. F says this problem.

(3)

Summary Introduction

To determine:

What went wrong to make F be upset and what will be done about it? Will the beta blocker be discontinued today? Explain your answer.

Case summary:

F came for visit to a doctor after two months. His cardiac function is stable and blood pressure is normal too. He does not have any breathing problem. However, F complaints to the nurse that he is going to stop that new pill. He thought that his problem is due to that new medicine.

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