Problem
A. You are the public. health nurse for you,r county and are seeing a 65year-old .patient for a monthly foot care appointment. The patient has a history of .peripheral vascular disease, hypertension, atherosclerosis, a previous coronary artery bypass graft X4. The. patient lives a sedentary. lifestyle and weighed 376 pounds at the last visit. -He is 5 ft 6 inches tall.
a. Aspirin 325 mg dailyy
b. Enalapril 2.5 mg BID
c. Atorvastatin20 mg daily
B. What is the pathophysiology of your patient's pertinent health history? Identify usual risk factors for this condition, prevention measures, and diagnostic tests usually done to determine if this condition exists.
C. What assessments will you focus on for your patient? What do you expect to see during the assessment of your patient based on information in your textbooks about the condition?
D. What possible complications are you most concerned with for this patient? What abnormal assessment data would point to the presence of these complications?
E. What will you do with the assessment data? What data would necessitate provider notification? What data would necessitate emergency action and what actions would you take?
F. Complete the table using your patient's at-home-medications:
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Generic and trade name, dosage, frequency and route
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Pharmacological Classification and Mechanism of action
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Reason (why your client takes/needs this medication
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Adverse reactions & contraindications
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Nursing Interventions (what would you see on assessment, what education needs to be provided to the patient, what assessment findings might point to a problem caused by the medication, etc.)
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