SIM 10/7/26

Aspirin Order

81 mg PO daily

Atorvastatin Order

20 mg PO daily

Metoprolol Order

25 mg PO every 12 hours

Docusate sodium Order

100 mg PO daily

Metformin Order

500 mg PO twice daily

Gabapentin Order

100 mg PO three times daily

Nitro-Dur Order

0.2 mg/hr transdermal patch

Aspirin Type of Medication

Antiplatelet; NSAID

Aspirin Intended Effects

Reduces platelet clumping to help prevent blood clots, heart attacks, and strokes

Aspirin Side Effects

Stomach upset, heartburn, nausea, vomiting; easier bruising or bleeding

Atorvastatin Type of Medication

Statin; HMG-CoA reductase inhibitor (lowers LDL)

Atorvastatin Intended Effects

Lowers LDL cholesterol and cardiovascular risk

Atorvastatin Side Effects

Muscle or joint aches, diarrhea, nausea, indigestion

Metoprolol Type of Medication

Beta blocker

Metoprolol Intended Effects

Slows heart rate, lowers BP, and reduces the heart’s workload

Metoprolol Side Effects

Fatigue, dizziness, low BP, slow pulse, diarrhea; sometimes depression or rash

Docusate Type of Medication

Stool Softener; surfactant laxative

Docusate Intended Effects

Softens stool to make it easier to pass and reduce straining

Docusate Side Effects

Abdominal Cramps, nausea, diarrhea. Liquid forms can irritate the throat

Metformin Type of Medication

Oral antidiabetic, biguanide

Metformin Intended Effects

Decreases liver glucose production and improves insulin sensitivity

Metformin Side Effects

Diarrhea, nausea/vomiting, gas, abdominal discomfort, indigestion, weakness, headache, sometimes metallic taste

Gabapentin Type of Medication

Anticonvulsant; gabapentinoid

Gabapentin Intended Effects

Used for seizures and nerve pain

Gabapentin Side Effects

Sleepiness, dizziness, fatigue, unsteady walking, swelling of the feet/legs; blurred or double vision

Nitro-Dur Type of Medication

Vasodilator/antianginal (Nitrate)

Nitro-Dur Intended Effects

Relaxes blood vessels and decreases the heart’s workload to prevent angina

Nitro-Dur Side Effects

Headache, dizziness, lightheadedness, flushing, skin irritation at the patch site

6 Rights

1. Right patient

2. Right medication

3. Right dose

4. Right time

5. Right route

6. Right documentation

Additional Rights

1. Right education

2. Right assessment

3. Right to refuse

4. Right evaluation

Why is Senora Chase taking Aspirin?

Her CAD increased the risk of a clot forming in a coronary artery.

Why is Senora Chase taking Atorvastatin?

Treats her high cholesterol because she has muscle pain and weakness

Why is Senora Chase taking Metoprolol

Treats her high blood pressure and helps control angina.

Why is Senora Chase taking Docusate?

Softens stool to prevent or treat constipation and reduce straining.

Why is Senora Chase taking Metformin?

Treats her type 2 diabetes

Why is Senora Chase taking Gabapentin?

Treats nerve pain from diabetic neuropathy.

Why is Senora Chase taking Nitro-Dur?

Prevents angina