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Medication DeEscalation Answer Key
Medication DeEscalation Answer Key
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The document from the Home Centered Care Institute lists various medications prescribed to a patient, along with their indications, risks, and notes on potential adjustments or discontinuations. Below is a summary of the medications discussed:<br /><br />1. **Donepezil 10mg PO qhs**: Indicated for Alzheimer's disease. No specific risks or recommendations for discontinuation.<br /> <br />2. **Memantine 5mg PO BID**: Used for Alzheimer's disease with agitation. No specific risks or discontinuation notes provided.<br /><br />3. **Isosorbide MN 60mg PO daily**: Given for Coronary Artery Disease. No recent chest pain noted, and a reduced dose trial is suggested due to a lack of active chest pain.<br /><br />4. **Furosemide 40mg PO BID**: Prescribed for congestive heart failure and leg edema. Suggests reducing the evening dose to alleviate nocturia while maintaining its strong indication.<br /><br />5. **K-Cl 20mEq PO BID**: Potassium supplementation. No specific risks or recommendations for discontinuation.<br /><br />6. **Mg Cl 64mg PO BID**: Indicated with no history of hypomagnesemia, noted as part of a prescribing cascade likely due to PPIs. A trial discontinuation of PPI is suggested first.<br /><br />7. **Metoprolol 25mg PO daily**: For hypertension. No specific risks or recommendations for discontinuation.<br /><br />8. **Hydrocodone-APAP 5/325mg PO q6 PRN**: For osteoarthritis pain in the right knee. Caution regarding lethargy and the need for parameters on maximum daily APAP dosing.<br /><br />9. **APAP 325mg PO PRN**: For pain control. Recommendation to differentiate total APAP intake from Hydrocodone/APAP and adhere to AGS guidelines on maximum dosage (2,000-3,000mg/day).<br /><br />10. **Levothyroxine 112mcg PO daily**: For hypothyroidism. No specific risks or recommendations.<br /><br />11. **Omeprazole 20mg PO daily**: Previously for GERD. Suggests trial discontinuation and checking magnesium levels due to potential hypomagnesemia.<br /><br />12. **Ocuvite 1mg PO daily**: For macular degeneration. No specific risks or recommendations.<br /><br />13. **Multivitamin 1 PO daily**: For vitamin supplementation. No specific risks or recommendations.<br /><br />The notes emphasize monitoring the patient's responses to these medications and making adjustments as necessary to minimize risks and side effects.
Keywords
Alzheimer's disease
Coronary Artery Disease
congestive heart failure
hypertension
osteoarthritis pain
hypothyroidism
GERD
macular degeneration
medication adjustments
side effects
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