Scenario A 69-year-old patient who has a past medical history of previous myocar

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Scenario
A 69-year-old patient who has a past medical history of previous myocardial infarction (MI), hypertension (HTN), hyperlipidemia (HLD), diabetes mellitus type II (DM II), Cerebrovascular accident (CVA), Depression, Chronic Obstructive Pulmonary Disease (COPD), Chronic Renal Insufficiency and one pack per day smoker presents to the emergency department with a three-day history of exertional shortness of breath, and intermittent chest pain without nausea or vomiting. EKG reveals atrial fibrillation with a heart rate in the 130s. The cardiology team was consulted to admit the patient for further evaluation and treatment. The patient was admitted and underwent cardiac catheterization that revealed multi-vessel coronary artery disease; he subsequently underwent coronary artery bypass surgery.
You are a new MSN prepared graduate preparing to see this patient with your preceptor. Your preceptor provides you with a list of home medications and postoperative medications ordered by the provider.
Home Medications:
Medication – Dosage
Zestril (lisinopril) – 40 mg by mouth daily
Metformin (Glucophage) – 1000 mg by mouth twice a day
Eqliquis (Apixaban) – 5 mg by mouth twice a day
Flomax (Tamsulosin) – 0.4 mg by mouth at bedtime
Deltasone (prednisone) – 10 mg by mouth as directed
Cymbalta (duloxetine) – 60 mg by mouth daily
Postoperative / Discharge Medications:
Mediation – Dosage
Aspirin (salicylate) – 81 mg by mouth daily
Plavix (clopidogrel) – 75 mg by mouth daily
Lopressor (metoprolol) – 25 mg by mouth twice a day
Oxycontin (oxycodone HCL) – 5-325 mg 2 tabs every 4 hours as needed for pain
Seroquel (quetiapine) – 25 mg twice a day
Instructions
Using Microsoft Word, create a medication list identifying which home medications to resume postoperatively and which medications to continue at discharge. You will use this list for a pre-conference discussion with the preceptor.
Part 1: Home Medications
Create a list of home medications and determine if they should be continued or discontinued upon discharge.
Include rationales for choices and support your selections with credible resources.
Part 2: Discharge Medications
Create a list of discharge medications and determine if they should be continued or discontinued upon discharge.
Include rationales for choices and support your selections with credible resources.
Use professional word choice and correct spelling, grammar, and APA style.

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