Reference no: EM133730936
Assignment:
You are the provider
1. Evaluate drug treatment plans for patients
2. Justify drug therapy plans based on patient history and diagnosis- You have to address the entire patient profile( i.e. if a patient has a toxicity or adverse reaction). How do you resolve it? If the patient has a disease state that is not being treated i.e. Diabetes, then treat it. Refer to current guidelines to start treatment.
3. Use clinical practice guidelines to develop your answers whenever possible. Always reference the current guidelines
4. Cited sources- I do review the articles- Make sure that your articles apply to the patient and the case i.e. do not use literature that tests in animals. Do not use literature that evaluates a medication in a specific disease state that your patient does not present with.
5. Use at least 3 resources per case.
6. Please do not address the pathophysiology. Do not give me the mechanism of action This makes the paper lengthy and is not needed. Focus on the Drug therapy plan and address the questions from the case.
7. Select appropriate medications- not medications used in other countries or medications that are not commonly prescribed.
8. Last, but not least. Do not refer to " the prescriber should". You are the prescriber. Make a decision. "May and/or could be" is not a decision and you will not get the desired grade outcome if you "play it safe" and do not make a decision on the drug therapy.
ASSIGNMENT
SCENARIO 1
A 52-year-old man was recently discharged from the hospital following treatment for atrial fibrillation. He was discharged on Warfarin 5 mg po q day and Amiodarone 200 mg tid. His INR is 8.8. What interaction has occurred with these 2 medications? What changes in his medications would you make?
SCENARIO 2
A 44-year-old women is currently taking Glipizide and Phenytoin. She has a new prescription for Ceftriaxone. All three medications are known to be highly protein bound. What effect does protein binding have on drug availability? How would you manage this patient's medication?
SCENARIO 3
Name two drugs that are highly affected by the first pass effect. As a prescriber, what actions would you take in prescribing these drugs to counter the first pass effect?
SCENARIO 4
James is a 49-year-old male that was prescribed atenolol for his high blood pressure. James states that he only occasionally takes the medication because he does not like the side effects. What information would you provide to the patient at his visit? How would you manage his medication? What alternative might you prescribe (include a complete medication order)?
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