PT is currently suffering from a condition known as angioedema due to the fact that he uses Enalapril. The drug is an example of an angiotensin-converting enzyme (ACE) receptor responsible for the treatment of hypertension. As the clinician, it would be crucial to allow PT to appreciate that the condition they are experiencing is life-threatening because it is an allergic reaction to a medication. In this regard, the patient should stop using Enalapril with immediate effect. Research has shown that the ACE inhibitors are the primary cause of angioedema due to drug interactions in the US due to their wide prescription. Some of the common symptoms associated with the condition include swelling in different areas of the body, including the face, tongue, and lips (Spickett, 2014).
At the time of discharge, it is critical to ensure that PT has dropped the current ACE inhibitor they are using and instead find another one that does not cause any allergic reaction. The best way is to consider the use of a medication falling under the class of calcium channel blockers. The most effective one, in this case, would be Norvasc. I would ensure that PT continues with the use of steroids which were prescribed earlier. I would also refer the patient to an acute care facility to facilitate the checking of his airways, which will be observed for a period of not less than 24 hours. PT should also understand the basic things required for any person being discharged from the hospital.
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For instance, the patient will need to make a follow-up with their primary care provider. This would be important given that it is their first time they are experiencing a problem of this nature. PT should also understand that in case they have any problem with their breathing or if they experience swelling and wheezing, then they should visit an emergency room or contact 911.
Reference
Spickett, G. (2014). Urticaria and angioedema. JR Coll Physicians Edinb, 44(1), 50-54.
