26 Aug A 68-year-old man who is living with his wife of 45 years. Over the last six days, he has developed a fever, coarse and fine crackles in his right lower lobe, and a productive cough of yellow sputum.

Respond to these case studies:

1. A 68-year-old man who is living with his wife of 45 years. Over the last six days, he has developed a fever, coarse and fine crackles in his right lower lobe, and a productive cough of yellow sputum. He complains of right chest pain with deep breaths. His diagnosis is community-acquired pneumonia. A decision is made to treat him as an outpatient. He has no other health problems, and his renal and hepatic functions are normal. He has no drug allergies.

a. What will you prescribe for him? What dosage will you prescribe?

b. Discuss the pathophysiology of the disease or physiology of the organism that the drug(s) is addressing.

c. Rationales for using the specified drug(s), emphasize the APRN role in the assessment, diagnosis, and pharmacological interventions of clients. If he does not respond within 48 hours, what will you prescribe next?

d. Indications, contraindications of the drug(s)

e. List the prices of three drugs to treat the selected problem from two different pharmacies.

f. Describe in detail the instructions the patient should receive for the selected drug(s). Write this at a fifth-grade level.

2. A 62-year-old woman has been diagnosed with hyperlipidemia. Her total cholesterol, LDL cholesterol, and triglycerides are significantly elevated. She has been trying diet and exercise for the last 6 months, but her lipid levels remain elevated. Her family medical history is significant for both parents dying of cardiac disease and her brother age, 60 has just had an MI. She has also been diagnosed with atherosclerosis with moderate plaques noted in her right carotid artery.

a. What will you order including any diagnostic test labs?

b. What are the guidelines you need to give her to prevent complications or adverse effects?

c. Discuss the pathophysiology of the disease or physiology of the organism that the drug(s) is addressing.

d. Rationales for using the specific orders, emphasize the APRN role in the assessment, diagnosis, and pharmacological interventions of clients. e. Indications, contraindications of the drug(s)

f. List the prices of three drugs to treat the selected problem from two different pharmacies.

g. Describe in detail the instructions the patient should receive for the selected drug(s). Write this at a fifth-grade level.

3. Tony, a 72-year-old male, has scheduled this visit for difficulty in urination and increased frequency, especially at night. What tests and/or medications would you order? Write his prescriptions.

4. Mrs. Smith is an African-American woman of 76 years. Her daughter has scheduled this visit for increasing lethargy, insomnia, and uncontrolled weeping. What is your initial impression? How would you treat Mrs. Smith? Write her prescriptions

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