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Posted: June 29th, 2022
JB is a 58-year-old male who presents to the emergency department
JB is a 58-year-old male who presents to the emergency department with chest pain. Through evaluation and testing, he is diagnosed with a myocardial infarction (heart attack). The attending physician orders several medications to treat JB’s condition: aspirin, a beta blocker, a statin, and nitroglycerin as needed for chest pain.
As the advanced practice nurse caring for JB, you have the following responsibilities in this scenario:
Ensure the medications ordered are appropriate based on evidence-based guidelines for managing acute MI (Thygesen et al., 2020). This includes verifying doses and administration instructions/schedules.
Counsel JB on the purpose of each medication, potential side effects, drug interactions to watch out for, and lifestyle modifications important for secondary prevention (American Heart Association, 2021).
Coordinate with pharmacy to have the prescriptions filled accurately and timely upon discharge. This involves writing clear, complete prescriptions per state regulations (NABP, 2023).
Address any concerns JB or his family have regarding starting multiple new medications. Provide reassurance on the benefits of adherence to his treatment plan.
Monitor JB during his hospital stay for effectiveness of the medications and any adverse reactions. Report any issues promptly to the physician for follow-up.
The ethical considerations in this case revolve around fully informing JB of his diagnosis and evidence-based treatment plan, respecting his autonomy in decision-making, and promoting his health and safety through proper medication management and education.
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