Pharmacology Discuss the patient’s vital signs and include any additional questions which you would ask the patient. 3- Review the lab/CXR results and discuss any concerns/abnormal results. 4- Please provide the patient with education relat

Mr. AF is a 58-year-old male with a past medical history of atrial fibrillation, hypertension, osteoarthritis, hyperlipidemia and early COPD. He is an accountant, married, with 2 grown children. He reports that he continues to smoke 1/2 pack of cigarettes per day. He presents to the Emergency Department with a chief complaint of cough and upper respiratory congestion.

Medications:

Warfarin 4 mg daily

Hydrochlorothiazide 25 mg po daily

Lisinopril 20 mg po daily

Atorvastatin 10 mg po daily

Acetaminophen 325 mg po twice daily as needed.  

Current lab work:

WBC 13,000, Hgb 15, HCT 45, BUN 14 Cr 1.2 Na 145 K. 3.2 INR 2.3

Chol 253 HDL 42 LDL 160 Triglycerides 300

Vital Signs

BP 150/96, P 92, R 18, Temp 100.2 CXR:+ Infiltrate Right lower lobe

The ED Provider has ordered Levofloxacin 500 mg po daily for 7 days.

1-     
Discuss and describe the indication, mechanism of action, side effects and patient education related to all of the patient’s current medications and the new prescription Levofloxacin

2-     
Discuss the patient’s vital signs and include any additional questions which you would ask the patient.

3-     
Review the lab/CXR results and discuss any concerns/abnormal results.

4-     
Please provide the patient with education related to warfarin and levofloxacin.

Provide any additional patient education which is required.