Simvastatin Client Education Project By: Mirelle Stone & Jeffery Roethlein

Simvastatin Client Education Project By: Mirelle Stone & Jeffery Roethlein
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  • Yes, my name is Tom Smith and my birthdate is May 2, 1959. I have no known allergies. Can you please remind me what my Simvastatin is for?
  • Mr. Smith, I am here to administer your evening 40 mg oral dose of Simvastatin. Can you please confirm your name and date of birth and any known allergies?
  • Ok, thank you for teaching me about the drug. I will call the doctor if I experience any of those complications. In case I do, what other options do I have to treat my high cholesterol?
  • Yes, Mr. Smith. Your prescription for Simvastatin was ordered to treat your high cholesterol. Now, you should know that while taking this medication you might experience muscle aches or pains, abdominal cramping, weakness, constipation or diarrhea, and heartburn. You must notify your physician if you feel any of these symptoms or other unexplained effects. Some of these symptoms, such as muscle pain or tenderness, indicate that you are having an adverse reaction to the drug and must consider other options.
  • Thank you so much for the helpful information.
  • Looking in this mirror, I am so pleased to see that my gums have returned to their healthy pink state. It actually feels good to brush and floss my teeth regularly.
  • I am glad you asked. There are alternative methods to reduce your cholesterol in avoidance of adverse effects. You may consider speaking with the physician about taking a daily dose of an omega-3 fatty-acid, also known as fish oil, which is an essential nutrient that helps promote good heart health and lower your "bad" fats. Moreover, you should also consider engaging in regular exercise and lowering your intake of foods high in salt, sugar, or fat. These behaviors will promote positive outcomes. Also, it is important for you to notify your physician if you plan on taking any new medications due to possible drug interactions. For example, warfarin is a drug that when taken with Simvastatin can increase your risk for bleeding. Moreover, please avoid drinking grapefruit juice with Simvastatin because it can cause muscle pain and at worst - muscle breakdown.
  • Mr. Smith is here at the hospital for acute exacerbation of GERD and is requiring his daily home medication of Simvastatin. Simvastatin inhibits 3-hydroxy-3methylglutaryl-coenzyme A (HMG-CoA) reductase, an enzyme which catalyzes an early step in the synthesis of cholesterol (Lilley, Collins, & Snyder, 2016).
  • Mr. Smith cannot recall what he takes his Simvastatin for. Thus, the nurse teaches him about his medication. Reference: Lilley, L. L., Collins, S. R., & Snyder, J. S. (2016). Pharmacology and the nursing process (8th ed.). St. Louis, MO: Elsevier Saunders.
  • It is important for Mr. Smith to be informed on alternative methods that can effectively lower his high cholesterol. It is also significant that he understands possible interactions to prevent worsening condition or other adverse effects.
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