Client Name JK Date of Review 11/1/2020
Allergies: none
Storage of Medication: drawer
Keeps medications in original container? Yes, unless traveling: will take what is needed for trip and put into one bottle
Access issues? none
How many providers does this client use? 1
| Drug (generic) | Trade Name | Dose | Where client obtains meds from? | Frequency | Intended Use | Patient Use (if different) | Demonstrates UnderstandingYes or No |
| Rosuvastatin Calcium | Crestor | 20mg | CVS | 1x before bed with full glass of water | hyperlipidemia | High cholesterol | Yes |
| lisinopril | Zestril, Prinivil | 30mg | CVS | 1x in morning | hypertension | High blood pressure | yes |
| Albuterol sulfate | Airomir | 90mcg per actuation | CVS | About 5x a year | Bronchodilator | Allergy season rescue inhaler | yes |
| indomethacin | Indocin | 75 mg | CVS | During gout attack (about 1-2x a year)Takes 1-2 a day PRN (ranging from 2 days-2 weeks) | Anti-inflammatory | Gout | yes |
Based on your review of the above individual’s medications, what do you feel are actual or potential safety concerns surrounding medication administration and why?
Rosuvastatin Calcium is a medication given to reduce total and LDL cholesterol. The patient expressed known possible drug-drug interactions between this medication and lisinopril. To reduce risk of interactions, rosuvastatin is taken at night and lisinopril is taken in the morning. Another possible interaction with rosuvastatin is with antacids. It is important to remember to take an antacid at least 2 hours after taking rosuvastatin so it does not decrease the effects of the medication. Indomethacin can interact with lisinopril, reducing the hypotensive effects of the medication. Since indomethacin is not taken on a regular basis, it is important to closely monitor blood pressure when taking this medication. If the effects of lisinopril are reduced, the patient should call the provider and see if an adjustment of the dosage is necessary. When taking indomethacin, it is important to take with food to avoid GI upset. Indomethacin can also increase the risk of heart related issues, especially in patients with preexisting conditions. The patient expresses understanding to take this medication for the shortest duration necessary. It is most important with these three medications that aspirin and alcohol uses should be avoided. Safety regarding albuterol sulfate involves proper administration of the medication through the inhaler. The patient demonstrated correct understanding on how to properly use the inhaler and when the inhaler is necessary.
Considering concepts of safe medication administration and delivery, how would you approach a teaching plan with this individual to improve the safety of their medication delivery?
When it comes to a patient who has high cholesterol and high blood pressure, education is extremely important. Even though this patient was genetically predisposed to these conditions and is not overweight, diet and exercise can still contribute to decreasing these levels. Cardiovascular exercise is a way to strengthen the heart muscle and decrease the mass of the left ventricle (Bacon et al., 2004). By having a stronger heart, blood can be pumped more effectively. When blood is pumped more effectively and efficiently, blood pressure will decrease. Exercise is also a great way to reduce stress, which can lead to a decrease in blood pressure. For patients with high cholesterol, it is important to avoid a diet high in fats. The best way to do this is by avoiding fried foods and saturated fats. Another great way to affect lipid levels is by adding more fruits and vegetables. For the best results, medication therapy for these conditions should be given in conjunction with diet and exercise
