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This Concept Map has information related to: ICU Cmap1, Physical Assessment for P.M., PMHx includes wears glasses, Consults include Dr. Bolla (cardiologist), Integumentary demonstrates Braden score is 23 indicating pt is not at increased risk for skin breakdown. Oral mucosa is pink and without lesions. Skin is warm, dry, and intact. There are no signs of pressure on the common pressure points., Pravachol 40mg PO Daily is taken for hypercholesterolemia and to reduce stroke and TIAs. S/E: hepatic dysfunction, rhabdomyolysis, hepatitis, myositis. Use with caution in electrolyte imbalances., Hospital Meds include Altace 2.5mg PO BID with food, Home Meds include metoprolol 25mg 1/2 tab PO BID, Nutrition on 10/27. Nutrition assessment showed pt weighs 63kg, is 5'1", and has a BMI of 26. Appetite is good, had swallowing challenges upon admission but swallowing is intact now. Recommend cardiac diet, monitor I/O, weight,and labs., K-Dur 20mEq PO BID is to prevent hypokalemia S/E: dysrhythmias, cardiac wave changes, N/V/D Use carefully with potassium-sparing diuretics. Can cause hyperkalemia with potassium-sparing diuretics or ACE inhibitors. Do not crush., Nursing Dx include 1. Risk for falls related to history of falls, decreased lower extremity strength, antihypertensive agents, and recent lacunar stroke.