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Clinical Scenario: Sarah Thomason, 57-year-old female who present with the complaint of a possible worsening shortness of breath on exertion and chest tightness when she engaged 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 worked as a human resource director and describe her work as very stressful. She drinks a 1-2 glasses of wine nightly with each meals and smoke about a pack of cigarette per day.  She has a family history of hypercholesteremia (mother) and her father was diagnosed with coronary artery disease and die of a heart attack.

 

1.      What is the definition of coronary artery disease?

 

2.      What are some etiologies of coronary artery disease?  

 

 

3.      What are Sarah’s risk factors for coronary artery disease?

 

 

4.      What is Sarah’s present manifestation of coronary artery disease?

 

 

 

 

 

5.      What lipid panels would the physician order to determine the patient cholesterol level?

Noticing:

6.      Evaluation of client’s medical history: Describe any potential issues related to Sarah current lifestyle practice and describe your thoughts about how these lifestyle choices are negatively impacting Sarah’s life?

 

 

7.      Interpreting: What is some diagnostic work-up test to rule out and or diagnose a patient with coronary artery disease. Please list and describe each?

Interpreting:

8.      What contraindications and adverse effects should healthcare personnel screen for prior to the use of atorvastatin?

 

 

Adverse effect:

9.      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 described each category of meds?

 

 

 

Interpreting: The doctor prescribes Jennifer Atorvastatin 40 mg by mouth daily at bedtime.

10.  When discussing administration of atorvastatin with Sarah, what information should be included?

 

 

 

 

Responding:

11.  When starting Atorvastatin, 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

Patient and/or Nursing interventions

Report to provider

(yes/no)

 

Reflecting:

12.  What administration considerations apply to atorvastatin and should be include in the patient teaching?

13.  What specific interventions and/or nursing considerations relating to atorvastatin should the nurse discuss with the patient?

14.  What is important client instruction relating to atorvastatin?

SCIENCE
HEALTH SCIENCE
NURSING
NUR 2005

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