CASE STUDIES
May 5, 2024
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.
For this Assignment, you evaluate drug treatment plans for patients with various disorders and justify drug therapy plans based on patient history and diagnosis.
Do Not place the references at the end of the assignment post, place the references after each individual scenario.
Below are the scenario cases:
Directions: For each of the scenarios below, answer the questions below using clinicalpractice guideline 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. Sara is a 45-year-old female presenting for her annual exam. Her blood pressuretoday is 160/90 HR 84 RR 16. Her height is 64 inches and her weight is 195. Herlast visit to the clinic 3 months ago shows a BP of 156/92. She is currently takingibuprofen 600 mg tid for back pain. She has no known allergies. What is the goalfor her blood pressure? What medication would you prescribe to treat her bloodpressure? What education would you prescribe?
2. Monty is a 52-year-old male following up on his labs that were drawn last week.He smokes 1 pack per day. He is currently on Lisinopril 20 mg po daily. He isallergic to penicillin. Fasting lipid profile shows total cholesterol 266, LDLcholesterol 180, HDL cholesterol 40, and Triglycerides 185. What treatment planwould you implement for Monty’s lipid profile? What is the goal Total Cholesterol(TC), HDL-C, and LDL-C level for Monty? How would you monitor theeffectiveness of your treatment plan? How many risk factors for coronary arterydisease does this patient have? Identify them specifically.
3. Beatrice is a 17-year-old female diagnosed with mild persistent asthma since age7. During her visit today, she reports having to use her albuterol MDI 3 to 4 daysper week over the past 2 months. Over the past week she has been usingalbuterol at least once per day. She reports being awakened by a cough threenights during the last month. She is becoming more short of breath with exercise.She also has a fluticasone MDI, which she uses “most days of the week.” Hercurrent medications include: Flovent HFA 44 mcg, two puffs BID, Proventil HFAtwo puffs Q 4–6 H PRN shortness of breath, Yaz one PO daily, Propranolol 80mg PO BID. What treatment plan would you implement for this patient? Whatmedication changes would you make? How would you monitor the effectivenessof this plan?
4. Daute is a 56-year-old man seeking evaluation for increasing shortness ofbreath. He noticed difficulty catching his breath about 3 years ago. Physicalactivity increases his symptoms. He avoids activity as much as possible toprevent any SOB. His previous physician had placed him onsalmeterol/fluticasone (Advair Diskus) one inhalation twice daily 2 years ago. Hethinks his physician initiated the medication for the shortness of breath, but he isnot entirely sure. He did not refill the prescription and has not been taking it.Pertinent history – Chronic bronchitis X 8 years with one exacerbation in last 12months of treatment with oral antibiotics. He has a 40-pack-year smoking history.
What treatment plan would you implement for this patient? What medication(s)would you monitor the effectiveness of this plan?
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