An 82-year-old male patient, Jeff Raines, comes

An 82-year-old male patient, Jeff Raines, comes in to see the primary care NP complaining of feeling “lightheaded.” The patient lives with his family and manages his own medications. He tells you that he was at the gym earlier today and had to sit down because he got “lightheaded” and thought he was going to pass out while walking on the treadmill. After a short rest, the “dizziness went away.” When asked, he told you that he had similar episodes in the past when his “medications were adjusted.” Patient is also concerned with peripheral edema that worsened when his meds were adjusted by his cardiologist; he denies shortness of breath. Patient describes feeling constipated and trouble urinating, telling you he feels like he “has to go but it just won’t come out.” During his review of systems, patient tells you that he is “not sleeping well” for the past three months and thinks this is about when his Wellbutrin was increased. He has no appetite and feels “jittery at times.” His BUN is 40 His creatinine is 1.9 TSH is 10 He currently takes Ramipril 10mg po bid MVI 1 po qd Benadryl 50mg po q 6 hrs prn Norvasc 10mg po qd Flomax 0.4mg po qd Wellbutrin XL 300mg po qhs HCTZ 50mg po qhs Pseudoephedrine 60mg po q 4-6 Levothyroxine 100mcg po Questions to answer: 1. what medication changes would you as the nurse practitioner student make to help the patient. SCIENCE HEALTH SCIENCE NURSING NURS MISC

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