Chapter 35, Problem 1CS

(1)

Summary Introduction

To determine:

Before starting the medication, what teaching is important for Mr. S.

Case summary:

Mr. S. was a 63-year-old college professor who came to the office for a yearly check-up. He feels healthy and he didn’t take any medications. The only problem he discussed with the prescriber was about his difficulty in sex life. After the examination and assessment, Mr. S. was prescribed sildenafil (Viagra).

(2)

Summary Introduction

To determine:

What went wrong with Mr. S. who is back to the emergency department after falling in his bathroom stating that he felt “so dizzy”? What would have caused this syncope?

Case summary:

Mr. S. was a 63-year-old college professor who came to the office for a yearly check-up. He feels healthy and he didn’t take any medications. The only problem he discussed with the prescriber was about his difficulty in sex life. After the examination and assessment, Mr. S. was prescribed sildenafil (Viagra). Eleven months later, he was admitted to the emergency department with the chest pains and he was diagnosed with coronary artery diseases. He was prescribed isosorbide dinitrate.

(3)

Summary Introduction

To determine:

Mr. S, on his next follow-up visit one month later, addressed his difficulty with urination. He also wanted to try saw palmetto to improve his prostate health. How the nurse will respond to him and at this time what assessments are needed.

Case summary:

Mr. S. was a 63-year-old college professor who came to the office for a yearly check-up. He feels healthy and he didn’t take any medications. The only problem he discussed with the prescriber was about his difficulty in sex life. After the examination and assessment, Mr. S. was prescribed sildenafil (Viagra). Eleven months later, he was admitted to the emergency department with the chest pains and he was diagnosed with coronary artery diseases. He was prescribed isosorbide dinitrate.