Mr. Frank Jura is a 54 year

Mr. Frank Jura is a 54 year old male, currently admitted to the cardiac unit in response to an exacerbation of his unstable angina. Mr. Jura also presents with uncontrolled Type II diabetes, hypertension, and is currently obese. As a pregraduate PN student on the unit, you are assigned to Mr. Jura’s care for the duration of your shift. You have negotiated the plan of care with your RPN preceptor (who is also assigned to Mr. Jura), and divided the responsibilities of his care for the remainder of the 12-hour shift. After completing your AM vitals, you notice that Mr. Jura’s blood pressure has been hovering just above high-normal range (around 145/90) as long as he has been admitted. Curious at this trend, you examine his medication administration record and note that he is currently prescribed the following cardiac and diabetes related medications/treatments: Ramipril 2.5mg PO OD Metoprolol 100 mg PO BID Hydrochlorothiazide 20 mg PO OD Transderm nitropatch 0.2 (0.2 mg/hour) – apply patch at 0800 and remove at 2000 Nitrospray, 1 spray (0.3-0.6mg) SL q5 mins up to 3 times; use at first sign of angina Metformin 500 mg 2 tablets PO BID Gliclazide MR 30 mg 3 SCIENCE HEALTH SCIENCE NURSING NURSING NURS23921

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