Case Study, Chapter Jim Wanamaker, 44 years
Case Study, Chapter Jim Wanamaker, 44 years old, has a family history of coronary artery disease and MI. He has been found to have elevated total cholesterol (239), elevated triglyceride levels (140), low levels of HDLs (25), and high levels of small, dense, LDLs (160). He is started on drug therapy. After 2 months he returns for follow-up. Data ObtainedFfrom Nursing Assessment · States has made dietary changes: “Less meat, less dairy, more fruits and vegetables, including daily grapefruit juice” · Lung sounds: bilateral crackles, with one wheeze heard in the LLL · Physical examination otherwise normal · Vital signs: temperature, 97.8° F; pulse, 84; respirations, 18; blood pressure, 138/88 Lab Data · Total cholesterol: 220 · Triglycerides: 129 · HDLs: 30 · LDLs: 140 · SGOT: 38 · SGPT: 40 Current Drug Therapy · Lovastatin, 40 mg PO qd · Erythromycin, 500 mg PO tid for 10 days (started 4 days ago for respiratory infection) CONSIDER THE CORE DRUG KNOWLEDGE FOR THIS DRUG Why is Jim on these drugs? Are there any contraindications or precautions that would eliminate the use of these drugs for Jim? CONSIDER THE CORE PATIENT VARIABLES FOR THIS DRUG What patient variables are most important to consider for Jim when assessing his drug therapy? Are there any aspects of core drug knowledge that are especially relevant to consider because they may interact with the core patient variables? Which of the findings from the nursing assessment demonstrate effectiveness of drug therapy? Which of the findings from the nursing assessment demonstrate possible adverse effects from drug therapy? CONSIDER THE NURSING MANAGEMENT NEEDED WITH THIS DRUG THERAPY What actions are indicated to maximize therapeutic effects? What actions are indicated to minimize adverse effects? What teaching is required for Jim regarding his drug therapy? Do you need any additional data to determine appropriate teaching?
******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."
