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Musculoskeletal System CASE STUDIES

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Musculoskeletal System CASE STUDIES   Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and health histories. For this Assignment, you evaluate drug treatment plans for patients with various disorders and justify drug therapy plans based on patient history and diagnosis. To Prepare: Review the case study posted in “Announcements” by your Instructor for this Assignment Review the information provided and answer questions posed in the case study When recommending a medication, write out a complete prescription for the medication Whenever possible, use clinical practice guidelines in developing your answers when possible Include at least three references to support your answer and cite them in APA format. Enclosed are the scenarios: Directions: For each of the scenarios below, answer the questions below using clinicalpractice guidelines where applicable. Explain the problem and explain how you wouldaddress the problem. If prescribing a new drug, write out a complete medication orderjust as you would if you were completing a prescription. Use at least 3 sources for eachscenario and cite sources using APA format. 1. Mary is a 35-year-old woman who has been diagnosed with hypothyroidism. Herlabs today show a TSH of 20, MCV 78, MCHD 26, Ferritin 9, TIBC 418. She hasa history of iron deficiency anemia for 2 months. Current medications includeKelp tablets daily, ibuprofen 400 mg daily as needed, and ethinylestradiol/norgestrel one tablet daily. What medication would you start this patienton for her hypothyroidism? How would you monitor this patient’s response to themedication? What education would you provide regarding her medications andtheir interactions? 2. Joe is a 48-year-old male diagnosed with Type II Diabetes Mellitus for a yearago. He has controlled his blood glucose through dietary changes. He hashypertension and is currently on Lisinopril 20 mg po daily. He has no knownallergies. His lab work includes these results: fasting BG is 225 mg/dL; HgA1C =7.5%. Basic Metabolic Profile (BMP) is normal except for a Cr of 2.0 and eGRFof 28. What treatment plan would you implement for Joe? What medicationswould you prescribe and how would you monitor them? What education wouldyou provide regarding his treatment plan? 3. Jose is a 55-year-old truck driver being evaluated for his commercial driver’slicense. He has a known history of diabetes mellitus type II. Current medicationsinclude Metformin 1000 mg Bid, Glipizide 20 mg po daily. Diltiazem 120 mg poBID. He is allergic to sulfa. Lab results show a fasting blood glucose of 325mg/dL, HgA1C = 10.6%. Basic metabolic Profile is normal. What treatment planwould you implement for Jose? What medications would you prescribe and howwould you monitor them? What education would you provide regarding histreatment plan? 4. Jenny is a 63-year-old woman with complaints of heartburn 4 to 5 times a weekover the past 3 months. Her symptoms are worse at night after going to bed. Herheartburn is worse, and she coughs a lot at night. She has tried OTC Prevacid 24hour once daily for the past 2 weeks. This has helped the symptoms some, butshe is still bothered by them. Current medications include Diltiazem CD 120 mgPO once daily, Hydrochlorothiazide 25 mg PO once daily, Metformin 500 mg POtwice daily, Aspirin 81 mg PO daily, Fluticasone/salmeterol DPI 100 mcg/50 mcgone inhalation twice daily. Your working diagnosis for this patient is GERD. Whattreatment plan would you implement for Jenny? What medications would you prescribe and how would you monitor them? What education would you provide regarding her treatment plan?

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