Primary care physician’s office for routine follow-up
Case study: A 49-year-old man presented to his primary care physician’s office for routine follow-up, addressing conditions of difficult-to-control hypertension, hyperlipidemia, and ischemic heart disease.
The patient’s medications included:
- Lisinopril (40 mg/day)
- Amlodipine (10 mg/day)
- HCTZ (25 mg/day)
- Simvastatin (20 mg/day)
One year earlier, following a diagnosis of coronary artery disease, he was treated with a drug-eluting stent. Additional post-procedure medications he is taking are: - Clopidogrel (75 mg/day) and
- Aspirin (81 mg/day)
- Provide the following information regarding the medications in the case study:
Drug Name Classification Indication for Use Side Effects/Adverse Effects (list 4) Nursing Interventions – (list 4)
Lisinopril (40 mg/day)
Amlodipine (10 mg/day)
HCTZ (25 mg/day)
Simvastatin (20 mg/day)
Clopidogrel (75 mg/day)
Aspirin (81 mg/day)
- While taking the medications listed above what lab test(s) would you expect to have the patient be required to follow up with their physician? (for example: do any of the medications require follow-up on the medication effects on the kidneys or liver).
- The patient asks besides taking these medications what can I do to improve my health. What other nonpharmacological things can the patient do to increase his health?
- When should the patient be taking Simvastatin and why at that time of the day?
- What does the patient need to be monitoring on themselves while taking the above medications?
- What predisposing risk factors do these diseases (conditions) have in common?
Sample Solution
Bank of Ghana Law (No. 34) of 1957 laid out the national bank to fundamentally give money, direct financial strategies and be the monetary specialist and investor of the public authority (Swamp, 2011; Gakpleazi, 2011). As per Mawutor (2014) and Osakunou (2009), Bank of Ghana Act 1963 (Act 182) was ordered to make arrangement for the lacuna in administrative and administrative job of the national bank which was not tended to by the Bank of Ghana Law (No. 34) of 1957. The Demonstration 182 was altered by the Bank of Ghana (Alteration) Act 1965 (Act 282). The principal banking regulation, Act 339 was declared in 1970 to among different arrangements set the base capital and save prerequisites, organization the Main Analyst of Banks and depict reasonable exercises (Mensah, 2009). The economy experienced troubles that steamed the financial framework around 1983. Most banks were undercapitalised from rising expansion, expanding “swarming out” , lacking financial oversight, non-existent unfamiliar trade saves and rising non-performing advances (Antwi-Asare and Addison, 2000; Doe, 2012). With specialized help from the Global Financial Asset, Ghana organized two periods of a Monetary Recuperation Program from 1984-1989 to rebuild, create and balance out the economy. A more far reaching Monetary Area Change Program (FINSAP) was started from 1988-2003 with help from the World Bank and states of Japan and Switzerland. FINSAP included rebuilding foundations, working on the legitimate and administrative setting for banking tasks and loosening up loan fees (Quartey and Afful-Mensah, 2014; Sowa, 2002). As a continuation, Adjei-Frimpong (2013) recorded the sanctioning of the second financial regulation, PNDC Regulation 255 of every 1989 which prepared for permitting a few banks. The financial regulation specified requirements for least capital, capital ampleness, prudential loaning and monetary revealing. Hence, Bank of Ghana Regulation 1992 (PNDCL 291) was passed to repeal the arrangements of ACTs 182 and 282 and give included administrative power the national bank. In any case, the monetary difficulties elevated around the 2000s and called for additional rigid changes and regulation to address the provisos. Bank of Ghana Act 2002 (Act 612) was declared to additionally attest the autonomy of the national bank from legislative impact, keep up with cost strength and elevate monetary approaches to improve development of the financial framework (Appiah-Adu and Bawumia, 2016; Mawutor, 2014). The general financial idea was acquainted in Ghana in 2003 with kill division of banks, increment entrance and rivalry for capital preparation and make a level stage for banks. The base capital prerequisite was expanded to GHS 7 million and banks were supposed to accomplish this by 2006. Right after the different changes, the Financial Demonstration 2004 revoked the Financial Demonstration 1989 to blend existing financial regulations, manage banks and other related issues (Adjei-Frimpong, 2013; Lowland, 2007; IMF, 2011). The Financial Demonstration 2004 was additionally altered as the Banking (Correction) Act 2007 to allow the foundation of a Global Monetary Administrations Community to help the progression of unfamiliar direct venture and pay from unfamiliar>
GET ANSWER