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Posted: September 12th, 2022

1)Amitriptyline 25 mg PO QHS

Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.
Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.
What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources. Explain if there was a difference between what you wanted to get out of each decision and how it turned out in the exercise. Tell how they were the same or different. Give examples and be specific.
Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.
The three decisions chosen: 1)Amitriptyline 25 mg PO QHS and titrate upward weekly by 25 mg to a max dose of 200 mg per day 2)Continue current medication and increase the dose to 125 mg at bedtime this week continuing towards the goal dose of 200 mg daily. Instruct the client to take the medication an hour earlier than usual starting tonight and call the office in 3 days to report how his function is in the morning .3)Continue the current dose of Elavil of 125mg per day, refer the client to a life coach who can counsel him on good dietary habits and exercises. (Client has noticed that he is putting on a little weight.)
Book used for class: Rosenthal, L., & Burchum, J. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician Helpants-e-boobcik. Elsevier Health Sciences.
http://cdn-media.waldenu.edu/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_07/index.html

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