Linda Apple 79 year old woman diagnosed with a small CVA in the right hemisphere. Her past medical history includes paroxysmal atrial fibrillation, hypertension, hyperlipidemia, and a remote history of deep vein thrombosis. A recent cardiac stress test was normal, and her blood pressure has been well controlled.
Medications she took before the CVA were flecainide, hormone replacement therapy, amlodipine, aspirin, simvastatin and trandolapril.
This essay should present the rationale for the use of and nursing care of a patient prescribed one of the medications included in the case study above.

1. Why is this medication being used to treat this patient?
2. How does this medication work?
3. What possible contra-indications or adverse effects need to be considered when taking this medication?
4. What possible alternatives exist for this medication and when might they be utilised?
5. What is the nursing care required for the patient whilst on this medication?
6. How would we assess the effectiveness of the medication?
7. What is the evidence base behind the use of this medication and the nursing care for the patient?

 
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