Explain how the factor you selected might influence

Reference no: EM133250049

Question: Write a 2- to 3-page paper that addresses the following:

Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.

Describe how changes in the processes might impact the patient's recommended drug therapy. Be specific and provide examples.

Explain how you might improve the patient's drug therapy plan and explain why you would make these recommended improvements.

Case Study 1

LM is an 86-year-old female admitted to the emergency department with delirium. Her spouse is with her and verifies that LM adheres to the medications she is currently prescribed. She does not self-monitor her BP or heart rate at home.

PMH:

A Fib diagnosed 1 month ago

HTN x 10 years

CKD x 5 years

Osteoarthritis x 7 years

GERD x 20 years

Medications:

Digoxin 0.25 mg QD

Metoprolol XL 25mg QD

Warfarin 3 mg QD

APAP 650 mg TID

Omeprazole 20mg QD

Multivitamin QD

Allergies: NKDA

Social History:

Married to husband for 57 years

No smoking, alcohol, limited daily exercise (short walks each morning)

Family History:

None reported

Vitals: Labs:

Wt 113 lbs Ht 5'4" Na+ 138 K+ 4.0

BP 101/58, HR 52 Cl- 99 CO2 27

BUN 33 Cr 1.2

Gluc 109 INR 3.8

Dig 2.4

PE:

Elderly female with altered level of consciousness, no signs of bruising, bleeding, or other injury.

Reference no: EM133250049

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