Sallie Mae Fisher’s Health History
and Discharge Orders
Sallie Mae Fisher Health History
Ms. Fisher is an 82-year-old female with a history of chronic congestive heart failure (CHF), atrial fibrillation, and hypertension. During the last 6 months, she has been hospitalized four times for exacerbation of her CHF. She was discharged home last Saturday from the hospital after a 3-day stay to treat increased dyspnea, an 8-pound weight gain, and chest pain.
Ms. Fisher is recently widowed and lives alone. She has a daughter, Thelma Jean, who lives in town but works full time and has family issues of her own. Therefore, family support is limited.
Hospital Discharge Instructions
- Mountain Top Home Health to evaluate cardio-pulmonary status, medication management, and home safety.
- Medical Equipment Company to deliver oxygen concentrator and instruct patient in use. O2 at 2 liters per nasal prongs PRN.
- Prescriptions given at discharge:
- Digoxin 0.25 mg once a day
- Lasix 80 mg twice a day
- Calan 240 mg once a day
- Order written to continue other home meds.
Sallie Mae’s Home Medication List
- Zocar 50 mg once a day
- Minipres 1 mg once a day
- Vasotec 10 mg twice a day
- Prilosec 20 mg once a day
- Furosemide 40 mg once a day
- Effexor 37.5 mg at bedtime
- Lanoxin 0.125 mg every other day
- Multivitamin once a day
- Potassium 40 mEq once a day
- Ibuprofen 400 mg q 4 hours as needed for pain
- Darvocet N 100 mg q 4 hours as needed for pain
- Nitroglycerin ointment, apply 1 inch every day