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jimaguaaaSallie Mae Fischer problems identified (we need to identify and prioritize 4)
1) Polypharmacy- Sallie Mae was given new medications at discharge, one of the new medications is Lasix (furosemide) 80mg twice a day. At home, she is already taking Lasix 40mg once a day and she seems unaware that she is repeating the same medication. She also mentions in the video that she began taking the new medications at night. The Lasix is supposed to be taken twice a day and if she is only taking the medication at night, she is not adhering to doctors’ orders. Another repeated medication is Digoxin (Lanoxin). On her new discharge orders, she has Digoxin 0.25mg once a day, but also has Lanoxin at home 0.125 mg every other day. This could explain why her heart rate is lower than normal.
2) Oxygen – Upon Sallie Mae’s discharge, 2 liters of oxygen via nasal cannula was ordered as needed. Sallie Mae say’s that she turned the oxygen away when the company tried to deliver it because she didn’t want to be charged extra. Sallie Mae says that she has been very tired and hasn’t had much energy. Part of this could be the lack of oxygen which is related to her congestive heart failure. The supplemental oxygen would help Sallie Mae by increasing her oxygen saturation and decreasing her shortness of breath.