Adverse reactions include abnormal heart rhythms, cramps, dizziness, decreased urination, low blood pressure, nausea, and vomiting. Baseline electrolyte reading will be obtained and monitored frequently (Edmunds and Mayhew, 2014)Losartan 25 mg is an antihypertensive used to treat hypertension. Losartan can be taken with or without food. It is recommended to take the medication in the morning. If a dose is
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6missed, he should take the medication as soon as he remembers. If it almost time for the next dose skip the missed dose and continue taking as scheduled (Epocrates, 2019).Atorvastatin 40mg daily is to be take at bedtime for high cholesterol. This is because our bodies produce the most cholesterol in the evening so taking the medication in the evening will have the most effect. If you have any of the following signs or symptoms please call the providerunusual fatigue or weakness, loss of appetite, upper belly pain, dark colored urine, and yellowing of the skin or whites of the eyes (Edmunds and Mayhew, 2014). Benzonatate 100mg is an antitussive used to treat Henry’s cough. It anesthetizes the respiratory passage, lung, and pleural stretch receptors and also reduces cough reflex. Patient willbe educated not to take more than 600mg in 24 hours and not to dissolve or open cap. Medication can be taking with or without food. It is used as needed. No noted drug interactions and no monitoring will be needed (Epocrates, 2019).Dapagliflozin 5 mg is an antidiabetic medication that will be used in conjunction with Metformin to treat his diagnosis of diabetes. Dapagliflozin inhibits sodium-glucose cotransporter2, reducing glucose reabsorption and increasing urinary glucose excretion. Mr. Tompkins will have a baseline eGFR, BP, lipid panel, A1C, and continued monitoring. Educate patient on taking medication at the same time every day. Medication can be taken with or without food in the morning. Do not stop taking medication without speaking to provider. If a dose is missed, he should take the medication as soon as he remembers. If it almost time for the next dose skip the missed dose and continue taking as scheduled (Epocrates, 2019).Levothyroxine 50mcg is a hormone replacement to treat hypothyroidism. Levothyroxinespecifically replaces thyroxine, a thyroid hormone involved in metabolism, growth and development. The dose of 50mcg was chosen to start due to the risk of iatrogenic
7hyperthyroidism and will be increased and monitored as necessary. It will be explained to patientthat monitoring will include free T4 and T4 total to ensure optimal treatment. Patient will be educated to take medication daily on an empty stomach at least 30 minutes before breakfast. He should take with a full glass of water as the tablet can dissolve quickly and cause swelling in the throat resulting in choking or gagging. If a dose is missed Mr. Tompkins should take it as soon ashe remembers. If it is close to the time of the next dose he should skip the missed dose and resume taking as prescribed. Patient should call 911 if he experiences chest pain, chest heaviness,or pain in the jaw or shoulder area. Notify provider if adverse reaction noted including sleep
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