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