ClinicalScenario : Sarah Thomason, a 57-year-old female, who…

ClinicalScenario : Sarah Thomason, a 57-year-old female, who… Clinical Scenario:  Sarah Thomason, a 57-year-old female, who present with complaint of a possible worsening shortness of breath on exertion and chest tightness when she engages in activity. The patient has a history of hypertension, hyperlipidemia, coronary artery bypass Graft in 2019 and coronary artery disease.  The patient takes atorvastatin for her hyperlipemia. She works as a human resource director and describes her work as very stressful. She drinks 1-2 glasses of wine nightly with each meal and smokes about a pack of cigarettes per day.  She has a family history of hypercholesteremia (mother) and her father was diagnosed with coronary artery disease and died of a heart attack. What is the definition of coronary artery disease? Describe the pathophysiology of CAD? What are some etiologies of coronary artery disease?    What are Sarah’s risk factors for coronary artery disease and identify those that are nonmodifiable? What is Sarah’s present manifestation of coronary artery disease?    What lipid panels would the physician order to determine the patient’s cholesterol level?Noticing: Evaluation of client’s medical history: Describe any potential issues related to Sarah’s current lifestyle practices and describe your thoughts about how these lifestyle choices are negatively impacting Sarah’s life?   Interpreting: What are some diagnostic work-up tests to rule out and/or diagnose a patient with coronary artery disease. Please list and describe each?  Interpreting: What contraindications and adverse effects should healthcare personnel screen for prior to the use of atorvastatin?   Clinical Scenario Progression: It has been found that Jennifer has coronary artery disease and is diagnosed with atherosclerosis.What are the two categories of drug used to treat coronary artery disease and describe each category of meds?  Interpreting: The doctor prescribes Atorvastatin 40 mg by mouth daily at bedtime, metoprolol tartrate 25 mg daily and aspirin 81 mg by mouth daily for Jennifer.When discussing administration of atorvastatin with Sarah, what information should be included?  When discussing administration of metoprolol and aspirin with Sarah, what information should be included?  Responding: When starting Atorvastatin, metoprolol, and aspirin it is important to discuss possible adverse reactions with Sarah. Complete the following chart with information related to interventions and which reactions should be reported to the provider.Adverse drug reactions to Atorvastatin, metoprolol, and aspirinPatient and/or Nursing interventionsReport to provider(yes/no)          Reflecting:What administration considerations apply to atorvastatin and should be included in the patient teaching?   What specific interventions and/or nursing considerations relating to atorvastatin should the nurse discuss with the patient?   What are some important client instructions relating to atorvastatin?   List some other medications that can be prescribed for a patient with coronary artery disease to help with lowering their cholesterol? Interpreting:Why would a percutaneous coronary revascularization (PCR) procedure or a Coronary Artery Bypass Grafting (CABG) be done for a patient with coronary artery disease (CAD)?   Reflecting:What administration considerations apply to beta-adrenergic blockers, such as metoprolol, and what information should be included in patient teaching?   What specific nursing interventions and/or nursing considerations relating to metoprolol should the nurse discuss with the patient?    Why would a patient with coronary artery disease be prescribed a calcium channel blocker medication such as verapamil?   What are specific nursing interventions and/or nursing considerations relating to verapamil that the nurse should discuss with the patient and potential contraindications? Health Science Science Nursing NUR 2005 Share EmailCopy link Comments (0)

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