Discuss what alternatives you would recommend to either the client or provider

Hi, Based on This information, please answer these questions carefully:

You are assigned a new admission. The client’s diagnoses include:

1) Dementia

2) Parkinson’s disease

3) CVA with residual L-sided weakness

4) Osteoporosis

5) Urinary incontinence

6) Recurrent UTIs

7) Hypertension

8) CAD; stent 2 years ago

9) CHF (EF 30%)

10) Atrial fibrillation

11) Hyperlipidemia

12) Osteoarthritis, especially hips and knees

13) Macular degeneration

14) Type 2 DM

15) Peripheral neuropathy

16) Chronic renal insufficiency

17) Anemia

18) Hypothyroidism

19) COPD on oxygen

20) Diverticulosis

The client’s medication list includes:

1) donepezil (Aricept) 5 mg PO daily

2) Sinemet 10/100 PO TID

3) aspirin 325 mg PO daily

4) warfarin (Coumadin) 5 mg PO qHS

5) tolterodine (Detrol) 2 mg PO BID

6) atorvastatin (Lipitor) 40 mg PO qHS

7) insulin (long-acting and sliding scale)

8) gabapentin (Neurontin) 300 mg PO TID

9) iron sulfate 325 mg PO TID

10) trazodone 50 mg PO qHS

11) levothyroxine 50 mcg PO daily

12) furosemide (Lasix) 60 mg PO BID

13) potassium chloride 20 mEq PO daily

14) metoprolol 100 mg PO BID

15) lisinopril 20 mg PO daily

16) amlodipine 10 mg PO daily

17) acetaminophen 1,000 mg PO TID

18) docusate sodium 100 mg PO BID

19) polyethylene glycol powder (Miralax) 17 g PO daily

20) tiotropium (Spiriva) 18 mcg inhaled daily

21) montelukast (Singulair) 10 mg PO daily

22) fluticasone/salmeterol (Advair) 100/50 inhaled BID

23) Albuterol/Atrovent nebulizers PRN for wheezing

24) multivitamin one PO daily

25) vitamin E 400 IU PO daily

26) calcium carbonate 500 mg PO TID

27) vitamin D 800 units PO daily

28) kava root 100 mg PO QID

29) nitrofurantoin (Macrobid) 100 mg PO qHS

Based on your review of the three references found in the library guide under readings and the information in the case study:

1) Explain which of these medications you would have concerns in administering to an elderly client and why.

2) Discuss what alternatives you would recommend to either the client or provider (as appropriate).

3) Describe the teaching you would provide and/or information you would need to ensure that the client understands related to the medication regimen prior to discharge.