Case Study Assessment Homework Help

Caring for a patient with pneumonia and chest pain

Mr. John Black is a 61 year old patient admitted to your medical ward via the emergency department with L) Lower Lobe pneumonia.

Past History:

Angina, Hypertension and Type 2 diabetes mellitus

Family History:

Mother – AMI, Migraines

Father – CA Colon

Medications:

• frusemide 40mg Daily

• Slow K 600mg Daily

• metoprolol 50mg Daily

• metformin 500mg BD

• glyceryl trinitrate(GTN) sublingual PRN

• ceftriaxone 1G Daily for 3/7

• salbutamol 5mg 4/24 +PRN via nebuliser

Allergies – Penicillin

Please answer the following questions supported by current health care related literature (i.e. Peer-reviewed Journal articles less than 7 years old).

• Ensure your answers realte to the case study and are not simply a general discussion about the medication/pathophysiology in question

• All answers must be referenced according to the APA 6 citation standards.

• Provide your answers on the marking rubric template provided on LMS

• Provide a brief introduction and conclusion (maximum 100 words each)

• Do not use dot points – use academic writing & sentence construction

• Responses must be provided under the headings Question 1, Question 2 etc

• Word limit: 1500 words +/- 10% (each question = approx. 300 words)

Question 1:

Why is Mr Black prescribed metoprolol? Discuss the rationale behind the use of this drug for Mr Black and relate your discussion to the relevant underlying pathophysiology.

Include in your discussion, action and therapeutic benefits of the drug for Mr Black, as well as possible adverse and/or side effects and nursing precautions that should be considered when administering Metoprolol to this patient specifically.

Question 2:

Discuss the pathophysiology of Angina.

Question 3:

Why is Mr Black prescribed GTN? Discuss the rationale behind the use of this drug for Mr Black.

Include in your discussion, action and therapeutic benefits of the drug for Mr Black, as well as possible adverse and/or side effects and nursing precautions that should be considered when administering GTN to this patient specifically.

Question 4:

Explain why Mr Black has been commenced on IV Ceftriaxone. Discuss the rationale behind the use of this drug for Mr Black.

Include in your discussion, action and therapeutic benefits of the drug for Mr Black, as well as possible adverse and/or side effects and nursing precautions that should be considered when administering ceftriaxone to this patient specifically. Do not include in your discussion any information on how to give IV medications.

Question 5:

Explain why Mr Black is prescribed metformin. Discuss the rationale behind the use of this drug for Mr Black.

Include in your discussion, action and therapeutic benefits of the drug for Mr Black, as well as possible adverse and/or side effects and nursing precautions that should be considered when administering metformin to this patient specifically.