NR-293 Week 1 Discussion: Unfolding Case Study (GRADED A)
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Module
PHARM NR 293
Institution
PHARM NR 293
NR-293 Week 1 Discussion: Unfolding Case Study Unit 1: Unfolding Case Study “Hello, I am Lillian Tudor, and I was married to my high school sweetheart, Earl, for 53 wonderful years. He died 2 years ago and I miss him to this day. Earl and I had three children, two of whom passed before Earl. Our ...
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NR-293 Week 1 Discussion: Unfolding Case Study
Unit 1: Unfolding Case Study
“Hello, I am Lillian Tudor, and I was married to my high school sweetheart, Earl, for 53
wonderful years. He died 2 years ago and I miss him to this day. Earl and I had three
children, two of whom passed before Earl. Our oldest daughter, Leigh, is still helping me
around the house and is a blessing to me in my old age. Let me tell you something. Getting
old ain’t for sissies! I’m 84 years old as of last month. Leigh had the family meet at a buffet
restaurant in town for a surprise party! It was nice to see the grandkids, because they don’t
stop by often enough with their busy lives. Lynn, the oldest, has a great husband and two
kids with more energy than what seems humanly possible. Leigh complains that they are too
loud, but I think everyone else talks too softly these days! In fact, when Leigh comes over to
take me to the doctor, she’s always telling me my television is too loud.
“I have a lot of doctors who I see. There’s one for my heart and blood pressure who says my
cholesterol is too high and wants me to start a new medicine. Another one is for the
diabetes, which makes me use those stupid syringes to take insulin. And the last one is for
trying to help me with my stiff knees and sore joints. Like I said, getting old ain’t for a sissy!
Did I mention the adult briefs I wear to help with my bladder leakage? It’s those dang water
pills that I take to keep my feet from swelling so badly. All in all, it’s not a bad life.”
In addition to what Lillian has told you, here is a list of her current medications.
• Captopril 25 mg, three times a day
• Alprazolam (Xanax) 0.5 mg, by mouth as needed for anxiety
• Insulin lispro (Humalog) 7 units subcutaneous TID, 15 minutes before meals
• Tramadol for arthritis pain
• Furosemide 40 mg, twice per day
• Ciprofloxacin 250 mg every 12 hours
• Pilocarpine eye drops, two drops each eye, four times a day
• Lasix 60 mg, once per day in the morning
Select one medication and answer all five of the following questions.
1. If this was a medication order, do you have enough information to safely administer the
medication? Please explain your answer and provide the missing information, if any.
2. What is the medication’s classification? Does it have any special considerations about
which the nurse should be aware?
3. Why is Lillian taking this medication? If you are unsure based on the information you’ve
been given thus far, list common reasons for this medication to be given.
4. Does this medication present any possible adverse interactions with the other
medications Lillian is taking?
5. What are the implications of Lillian taking garlic supplements with her current Drug
Interactions?
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