How you as a nurse would collaborate

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Reference no: EM133272080

Case Study: Kathryn Freeman

Kathy Freeman is a 78-year-old obese female with a history of major depressive disorder, generalized anxiety disorder, degenerative joint disease, diabetes type 2, asthma, and hypertension. She also has a long history of substance use disorder (alcohol). Approximately 25 years ago Kathy went through a time of rehabilitation and relapse, and now has been sober for 14 years. She continues to smoke one pack per day. She lives alone in a small apartment. She is divorced and has no children.

Kathy was hospitalized for an elective knee replacement (TKA) which initially went well, but on post-operative day one she had an ischemic cerebral vascular accident (CVA) that resulted in moderate left sided weakness and swallowing difficulty.

Past Medical History

Medications

Major Depressive Disorder

Generalized Anxiety Disorder

Asthma

Tobacco Use Disorder

Hypertension

Diabetes Mellitus Type 2

Morbid Obesity

History of Substance Use Disorder

(alcohol- sober for 14 years)

Fluoxetine (Prozac) 40mg po daily

Lisinopril (Prinivil) 20 mg po daily

Hydrochlorothiazide (HCTZ) 25mg po daily

Metformin (Glucophage XR) 500mg po twice daily

Albuterol MDI 2 puffs every 4 hours PRN

Aspirin 81mg po daily

Ibuprofen 400mg-600mg po every 6 hours as needed for pain

Enoxaparin 30 mg subcutaneously twice daily (for a total of 10 days)

Rivaroxaban (Xarelto) 20 mg po daily

St. John's Wort (OTC) 900 mg po twice daily (currently on hold)

No known diagnosed allergies (NKDA)

It is now post-operative day 4 and Kathy is being discharged to a Transitional Care Unit (TCU) tomorrow. You are working on medication reconciliation and discharge planning.

Questions:

Provide an example of how you as a nurse would collaborate with an interdisciplinary team member (other than the physician) for discharge planning.

List 4 potential drug interactions from Kathy's medication list. You can consider the herbal medication as well.

Reference no: EM133272080

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