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Case: Mr. Gates is a 71-year-old man who was diagnosed with Alzheimer's disease 5 years ago. His prescribed medications include donepezil (Aricept) 10 mg once a day at bedtime and memantine (Namenda) 5 mg each morning and evening. His wife tells you that he is still able to feed and dress himself as well as help with simple tasks, such as feeding the dog. He is admitted to the hospital for spinal surgery, which will be done under general anesthesia. Mrs. Gates tells you that she is worried about how her husband will react to general anesthesia.
Question 1. What assessment questions will you be sure to ask Mr. Gates's wife?
Question 2. Which teaching points will you be sure to include about Mr. Gates's medications and surgery?
Question 3. What will you discuss with Mrs. Gates about Alzheimer's disease and the risks of general anesthesia?
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