Sallie Mae Fisher’s Health History
and Discharge Orders
Sallie Mae Fisher
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.
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
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
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