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Posted: September 5th, 2022
Write a 2- to Three-page paper that addresses the next:
Clarify how the issue you chose would possibly affect the pharmacokinetic and pharmacodynamic processes within the affected person from the case examine you had been assigned. Describe how modifications within the processes would possibly affect the affected person’s advisable drug remedy. Be particular and supply examples. Clarify the way you would possibly enhance the affected person’s drug remedy plan and clarify why you’d make these advisable enhancements.
BN is a 74-year-old African American male who is seeing his PCP as a result of he seen when he wakened that his “coronary heart was not beating proper; it feels prefer it is going to gradual.” He denies chest ache, SOB, N/V. He notes feeling dizzy earlier within the day. 6 weeks earlier his PCP began him on Diltiazem CD to additional decrease his BP to purpose. His Metoprolol was lowered at the moment as effectively from 75 mg to 50 mg BID. His PCP recommends he be admitted to the hospital.
Upon presentation to the hospital:
PMH:
• HTN x 7 years • Kind II DM • CAD s/p angioplasty 2 years in the past • MI Three years in the past • EF = 60% • PVD s/p left femoral to posterior bypass • Hx of A Fib x four years
Drugs:
• Digoxin zero.25 mg QD • KC140 mEq QD • Vitamin C 500 mg QD • Diltiazem CD 180 mg QD • ASA EC 325 mg QD • Vitamin E 400 IU QD • Metoprolol 50 mg BID • Warfarin 5 mg QD • Ibuprofen 200 mg 2 tabs prn headache • Lisinopril 20 mg QD • Imdur 30 mg QD • HCTZ 12.5 mg QD • Humalog 8u with meals • Lantus 26u QHS
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