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:

  1. Lisinopril (40 mg/day)
  2. Amlodipine (10 mg/day)
  3. HCTZ (25 mg/day)
  4. 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:
  5. Clopidogrel (75 mg/day) and
  6. Aspirin (81 mg/day)
  7. 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)

  1. 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).
  2. 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?
  3. When should the patient be taking Simvastatin and why at that time of the day?
  4. What does the patient need to be monitoring on themselves while taking the above medications?
  5. What predisposing risk factors do these diseases (conditions) have in common?

Sample Solution

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