Sallie
Mae Fisher Health History
Ms. Fisher is an 82-year-old female with a history of
chronic congestive heart failure (CHF), atrial fibrillation, and hypertension.
During the last 6 months, she has been hospitalized four times for exacerbation
of her CHF. She was discharged home last Saturday from the hospital after a
3-day stay to treat increased dyspnea, an 8-pound weight gain, and chest pain.
Ms. Fisher is recently widowed and lives alone. She
has a daughter, Thelma Jean, who lives in town but works full time and has
family issues of her own. Therefore, family support is limited.
Hospital
Discharge Instructions
·
Mountain Top Home Health to
evaluate cardio-pulmonary status, medication management, and home safety.
·
Medical Equipment Company to
deliver oxygen concentrator and instruct patient in use. O2 at 2
liters per nasal prongs PRN.
·
Prescriptions given at
discharge:
o Digoxin 0.25 mg once a day
o Lasix 80 mg twice a day
o Calan 240 mg once a day
·
Order written to continue other
home meds.
Sallie
Mae’s Home Medication List
·
Zocar 50 mg once a day
·
Minipres 1 mg once a day
·
Vasotec 10 mg twice a day
·
Prilosec 20 mg once a day
·
Furosemide 40 mg once a day
·
Effexor 37.5 mg at bedtime
·
Lanoxin 0.125 mg every other
day
·
Multivitamin once a day
·
Potassium 40 mEq once a day
·
Ibuprofen 400 mg q 4 hours as
needed for pain
·
Darvocet N 100 mg q 4 hours as
needed for pain
·
Nitroglycerin ointment, apply 1
inch every day
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