Fibrillation and transient ischemic attack

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Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs currently prescribed include the following:

* Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun

* Aspirin 81 mg daily

* Metformin 1000 mg po bid

* Glyburide 10 mg bid

* Atenolol 100 mg po daily

* Motrin 200 mg 1-3 tablets every 6 hours as needed for pain

- Select one the following factors: genetics, gender, ethnicity, age, or behavior factors

- 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.

Reference no: EM133507180

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