Joe, 72-year-old male, who has been successfully
Joe, 72-year-old male, who has been successfully transitioned to an assisted living. •Medical History: hypertension, high cholesterol, enlarged prostate, chest pain, heartburn, and arthritis. •His medication list includes: •Lisinopril •HCTZ •Simvastatin •Prilosec OTC •Nitroglycerin patch •He has been constipated for several days. •Today he notes that his vision is blurry. •Joe also reports his mouth is very dry and he feels hotter than usual •Upon further questioning, the nurse learns that Joe has been experiencing an increase in nighttime urination, so he has stopped drinking any fluids after dinner. •Joe is now getting up just once a night but now his urine smells funny. Answer in class: 1. Review his home medications, discuss the mechanism of action, indication/use, and adverse effects 2. What does Joe’s clinical manifestations indicate? 3. What caused Joe to stop drinking water? 4. What could the nurse suggest to help Joe increase the amount of fluid/water he is drinking?
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