course materials

1. Sallie Mae Fisher Health History week 5
Sallie Mae Fisher Health History week 5Sallie Mae Fisher Health History week 5Ms. 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 is
limited.Hospital Discharge InstructionsMountain 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:· Digoxin 0.25 mg once a day· Lasix 80 mg twice a day·
Calan 240 mg once a dayOrder written to continue other home meds.Sallie Mae’s Home
Medication ListZocar 50 mg once a dayMinipres 1 mg once a dayVasotec 10 mg twice a
dayPrilosec 20 mg once a dayFurosemide 40 mg once a dayEffexor 37.5 mg at
bedtimeLanoxin 0.125 mg every other dayMultivitamin once a dayPotassium 40 mEq once a
dayIbuprofen 400 mg q 4 hours as needed for painDarvocet N 100 mg q 4 hours as needed
for painNitroglycerin ointment, apply 1 inch every dayORDER NOW FOR CUSTOMIZED,
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