The Russel truck driver medication history assignment

This is a paper that focuses on the Russel truck driver medication history assignment. The paper also focuses on the case study to answer the assignment below questions.

The Russel truck driver medication history assignment

Case Scenario
Russell is a truck driver aged 68 years whos admitted to Monash Health with breathlessness.

History of presenting complaints

He describes progressive dyspnoea that he has had for the past three months and is now breathless when showering and dressing. For the past week, he has felt more comfortable overnight sleeping on three pillows. He denies any chest pain.

You have taken Russell’s history and vitals and also made a Med call to review Russell.
Past medical history
Russell says he had a heart attack 15 years ago, which was treated with a stent, and has had no chest pain since then.

Russell has Chronic Obstructive Pulmonary Disease (COPD) for the past 30 years.

He also has had problems with high blood pressure, diabetes and also cholesterol.

Medication history

His medications are as following –
Aspirin 100mg oral daily,
Salbutamol 2 – 4 puffs PRN
Budesonide/Efomoterol fumarate dehydrate 2 puffs daily
Perindopril 5 mg in the morning daily
Atenolol 50 mg daily in the morning
Metformin 500mg oral BD
Atorvastatin 40 mg daily.

He used to smoke 20 cigarettes per day since he was 18 years old, but stopped smoking when he had his heart attack. He drinks a small amount of alcohol.

Case scenario questions

Q1. Firstly, discuss risk factors that contributed to Russell developing heart failure (10 marks)

Q2. Secondly, describe pathophysiology of right and left sided heart failure using clinical presentation and examination findings of Russell (20 marks)

Russell has long history of COPD.

Q3. Thirdly, explain the term ‘acute exacerbation of COPD’ [8 marks]
Also, what factors put patients like Russell at high risk for exacerbations of COPD? [8 marks]

Q4. Fourthly, use the table below (or something similar) to discuss the following drugs:

Perindopril, Spironolactone, Budesonide/Fomoterol fumarate dehydrate puffs. Do not list gastrointestinal upsets (such as nausea and vomiting) as complications/side effects or nursing considerations.

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