Explain the mechanism of action of "AMLODIPINE" (5mg, PO, daily) 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). The patient case: 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

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Question

Explain the mechanism of action of "AMLODIPINE" (5mg, PO, daily) 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).

The patient case:

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

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