#4 Case Study
A 94-year-old female patient has a medical history of long-standing hypertension and diabetes
mellitus type II. She is 5 feet tall and weighs 115 pounds. She makes an appointment with her
primary physician. Her current medications are Inderal 20 mg t.i.d., Isordil 20 mg t.i.d., and one
multivitamin per day.
Her physician examines her and finds the following symptoms: BP, 220/132; P, 110 irregular; R,
32; T, 100F. She complains of urinary burning, has pedal edema 3+, and has gained 6 pounds.
The physician orders 60 mg furosemide stat IV, a chest x-ray, electrocardiogram, CBC, and SMA
18. Within 30 minutes she begins to diurese, and in 1 hour she is sent home with the following
orders:
Inderal 40 mg po t.i.d.
Lasix 20 mg po q12h
K-Lor 20 mEq po q12h
Isordil 20 mg po q.i.d.
multivitamin 1 po daily
Zithromax 600 mg po daily x 3 days
Glucotrol 0.02 g po daily ac breakfast
hydroxyzine 0.05 g po hs prn
trovafloxacin 0.1 g po daily x 7 days
Answer the following questions.
1.
How many tablets of Inderal will you administer to the patient per day if each tablet
contains 40 mg?
3 tablets
2.
How many mg of Lasix will the patient get per day?
40 mg
3.
Each packet of K-Lor contains 40 mEq. The directions state: Add packet to 4 oz of
juice. How many milliliters with each dose?
120 ml
4.
