Grace Peters is 72 years old. She presented to her GP last week, complaining of dizziness and headaches. Grace has a his
Posted: Sun Feb 13, 2022 8:53 am
Grace Peters is 72 years old. She presented to her GP last week,
complaining of dizziness and headaches. Grace has a history of:
Type II Diabetes Mellitus (T2DM), hypertension (HT) and high
cholesterol. She manages these conditions with metformin 1000 mg
BD, enalapril 10 mg daily and rosuvastatin 10 mg daily. She also
has Atrial Fibrillation (AF), for which she takes apixaban 2.5mg
twice daily (BD) and metoprolol 25 mg BD. Grace used to smoke 20–30
cigarettes/day but quit 5 years ago. She underwent a CT scan, but
the results were normal. Her GP changed her hypertension management
plan and was commenced on irbesartan/ hydrochlorothiazide 300/25
daily and amlodipine 5mg daily. Her apixaban was increased to 5mg
BD. A week after seeing her GP, Grace rose early to meet friends
for breakfast. By 0600 she had developed a severe headache which
became intolerable by 0800, her headache was so bad that she did
not take her morning medications. One of her friends collected her
and brought her to the local hospital. You are assigned to care for
her. As you are about to enter her room, you overhear Grace crying
to her friend, explaining that she is worried as her mother had
died of a stroke.
Correctly identifies 6+ of the relevant NSQHS Standard 4
criteria and RN Standards for Practice in relation to medication
safety and the patient context?
complaining of dizziness and headaches. Grace has a history of:
Type II Diabetes Mellitus (T2DM), hypertension (HT) and high
cholesterol. She manages these conditions with metformin 1000 mg
BD, enalapril 10 mg daily and rosuvastatin 10 mg daily. She also
has Atrial Fibrillation (AF), for which she takes apixaban 2.5mg
twice daily (BD) and metoprolol 25 mg BD. Grace used to smoke 20–30
cigarettes/day but quit 5 years ago. She underwent a CT scan, but
the results were normal. Her GP changed her hypertension management
plan and was commenced on irbesartan/ hydrochlorothiazide 300/25
daily and amlodipine 5mg daily. Her apixaban was increased to 5mg
BD. A week after seeing her GP, Grace rose early to meet friends
for breakfast. By 0600 she had developed a severe headache which
became intolerable by 0800, her headache was so bad that she did
not take her morning medications. One of her friends collected her
and brought her to the local hospital. You are assigned to care for
her. As you are about to enter her room, you overhear Grace crying
to her friend, explaining that she is worried as her mother had
died of a stroke.
Correctly identifies 6+ of the relevant NSQHS Standard 4
criteria and RN Standards for Practice in relation to medication
safety and the patient context?