CLINICAL PHARMACY EXAMINATION

ST, a 64-year-old patient, has heart failure (HF), which is being controlled with
digoxin (Lanoxin), furosemide (Lasix), and a low-sodium diet. She is taking
potassium chloride (KCl ) 20 mEq perday orally. Three days ago, ST had flulike
symptoms such as anorexia, lethargy, and diarrhea. Her fluid and food intake
was diminished. She refused to take the KCl and stated that the drug makes her
sick. She has been taking the digoxin and furosemide daily.
The nurses assessment during the home visit yesterday includes poor skin
turgor, poor muscle tone, irregular pulse rate, and decreased bowel sounds. The
nurse obtained a blood sample for serum electrolytes; results indicated
potassium (K) 2.9 mEq/L, sodium (Na) 137 mEq/L, and chloride (Cl) 96 mEq/L.
This morning she was admitted at emergency department because when she
was taking a bath she felt something uncomfortable in her chest, like 3 years ago
when she was diagnosed myocardial infarction.
Her vital signs are blood pressure 174/94 mmHg, pulse 56 beats/minute irregular
and respirations 30/minute.

Create pharmaceutical care plan for that patient with the SOAP
method !

Note.
Pharmaceutical care plan include subjective, objective, problem medis, current
therapy, Drug related problems (DRPs) and drug monitoring.