Concept Mqp

953 Words Feb 15th, 2014 4 Pages
CC

68 years old

Male

Endocarditis
Social:

* Spanish Speaking * Former Cigarette Smoker, quit 17 years ago

Cardiac:

* Endocarditis * AVR * CABG x1 * Abscess of aortic root * Pacemaker * Hypertension * Complete Heart Block * Mitral Regurgitation * Coronary Artery Disease * Aortic Stenosis * Paroxysmal A-Fib * Metoprolol tartrate (lopressor) * Amlodipine (Norvasc) * Enalapril (Vasotec) * Furosemide (Lasix) * D: Decreased cardiac output related to inflammation of lining of the heart and valves. * I: Monitor for symptoms of heart failure and decreased cardiac output. Listen to heart sounds, lung sounds and note flowing symptoms: dyspnea, orthopnea,
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* Side Effects: Diarrhea, muscle spasms, pain in the joints, arms or legs * Adverse Reactions: Unexplained muscle tenderness of weakness due to rhabdomylosis, breakdown of skeletal muscle into the blood stream which can cause kidney failure. * Nursing Implications: Teach patient to report any unexplained muscle tenderness or weakness especially with fever or malaise. Also teach patient this is a lifetime commitment. Stopping this medication can cause the patient to have a rebound of lipids and can cause death from an acute MI.

* Acetaminophen (Tylenol) 650 mg * Category: Analgesic * Taking medication for pain related to cardiac disorders and surgery. * Adverse Reactions: Liver damage * Nursing Implications: This medication is heavily metabolized by the liver therefore do not give to patients if they have elevated liver enzymes or liver disease.

* Oxycodone-Acetaminophen (Percocet) 5-325 mg * Category: Narcotic Analgesic * Taking medication for pain related to cardiac disorders and surgery. * Side Effects: N/V/C, dizziness, drowsiness * Adverse Reactions: Difficulty urinating, severe abdominal pain and mental or mood changes

Abnormal Labs

* WBC * Result: 14.4 * Normal Range: 4.0-10.0 * The white blood cells are increased due to the
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