Case study: Amelia is a 68-year-old woman who was brought into ED by her neighbour. She woke this morning at 0600 hours with a 5/10 headache. At 0700 she called her neighbour and asked her to bring her to hospital when she began to feel weak, and her headache increased to 7/10. At this time, one side of her face began to “feel strange”. She has past medical history of Atrial fibrillation (AF), hypertension (HT) and dyslipidaemia which she manages with Apixaban 2.5mg BD, Sotolol 80mg daily, Amlodipine 5mg daily, Irbesartan/hydrochlorothiazide 300/25mg daily, Rosuvastatin 10mg daily. Amelia used to smoke 20 cigarettes/day but states she quit 5 years ago. When she was brought into ED, she told staff that she did not take her medications this morning as she was too distracted by her increasing headache. You are assigned to care for Amelia. As you are about to enter her room, you overhear Amelia crying to her neighbour, explaining that she is worried as her mother had died of a stroke. Vital signs: • BP 180/94 • HR 80 • RR 19 • SpO2 97% • Temp 37 Explain the mechanism of action of "Irbesartan/hydrochlorothiazide 300/25mg daily, PO" and the pharmacological management in relation to the patient context, with reference to the National Safety and Quality Health Service Standard 4: Medication Safety and the RN Standards for Practice. (400 words)

Surgical Tech For Surgical Tech Pos Care

5th Edition

ISBN:9781337648868

Author:Association

Publisher:Association

Chapter4: Special Populations

Section: Chapter Questions

Problem 3CS

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Case study:

Amelia is a 68-year-old woman who was brought into ED by her
neighbour. She woke this morning at 0600 hours with a 5/10 headache.
At 0700 she called her neighbour and asked her to bring her to hospital
when she began to feel weak, and her headache increased to 7/10. At
this time, one side of her face began to “feel strange”.
She has past medical history of Atrial fibrillation (AF), hypertension (HT)
and dyslipidaemia which she manages with Apixaban 2.5mg BD, Sotolol
80mg daily, Amlodipine 5mg daily, Irbesartan/hydrochlorothiazide
300/25mg daily, Rosuvastatin 10mg daily.
Amelia used to smoke 20 cigarettes/day but states she quit 5 years ago.
When she was brought into ED, she told staff that she did not take her
medications this morning as she was too distracted by her increasing
headache.
You are assigned to care for Amelia. As you are about to enter her room,
you overhear Amelia crying to her neighbour, explaining that she is
worried as her mother had died of a stroke.

Vital signs:
• BP 180/94
• HR 80
• RR 19
• SpO2 97%
• Temp 37

Explain the mechanism of action of "Irbesartan/hydrochlorothiazide
300/25mg daily, PO" and the pharmacological management in relation to the patient context, with reference to the National Safety and Quality Health Service Standard 4: Medication Safety and the RN Standards for Practice.

(400 words)

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