What are contraindications of your selected diabetic therapy

Assignment Help Other Subject

Reference no: EM133635998

In obese patient, age 45, comes to your office. She recently moved from another state three weeks ago and told you that her FNP diagnosed her with type 2 diabetes mellitus. She is currently not on any medicine for her diabetes, and she wishes to avoid insulin, if possible. She is a non-smoker. Her blood pressure is 138/74 mmHg. Labs from 3-weeks ago was hemoglobin A1C = 8.4%; total cholesterol = 260 mg/dL, triglycerides = 290 mg/dL, HDL = 49 mg/dL, LDL = 170 mg/dL (calculated 10-year ASCVD risk = 6.2%). You discuss current treatment goal recommendations endorsed by the ADA regarding glycemic control, blood pressure control, and lipid management. She agrees to start any medications you recommend with lifestyle modification and a DASH diet to treat hypertension.

Question 1. Which classes of diabetes medications are either weight neutral or cause weight loss? Please give one (1) example of a drug's generic and trade name in that class.

Question 2. Based on the current guidelines of the ADA, it would be appropriate to treat her with monotherapy since the patient is hesitant to take any injections. What agent would you recommend? Please provide the trade name, generic name, the dose you would start the patient with frequency, and route.

Question 3. What are the contraindications of your selected diabetic therapy?

The patient returns to your office six months later, complaining of fatigue for the past two months, constipation, and heavy, irregular menses. Upon examination, you note that her skin is dry, and her fingernails are brittle. You suspect she has hypothyroidism.

Question 4. What lab workup should you obtain? What sort of results will you see in patients who have hypothyroidism and hyperthyroidism?

Question 5. What is the treatment of choice for hypothyroidism? What is the mechanism of action? Please provide the initial dose, trade, and generic name of the drug, route, and frequency.

Question 6. What are the adverse effects, and what important teaching will you provide this patient on thyroid replacement therapy?

Reference no: EM133635998

Questions Cloud

Find and reflect on a new study related to asd : ample misinformation, numerous unsupported claims about the causes of ASD, and a plethora of untested alternative treatments. Find and reflect on a new study

Research and explain the long-term effects of taking : Research and explain the long-term effects of taking the drug diazepam and the risks of combining it with alcohol.

Deep dive into the ability of hit to assist : Deep dive into the ability of HIT to assist with managerial decision-making. Furthermore, let's explore the impact that HIT has on management

How would you terminate : How would you terminate this case? allsion has done well and she is ready to graduate and leave school.

What are contraindications of your selected diabetic therapy : What are the contraindications of your selected diabetic therapy - What are the adverse effects, and what important teaching will you provide this patient

What type of interest is basis for powers lawsuit : A leased part of Farmacre to Power for period of 99 years,that Power could build wind turbine on A's land.What type of interest is basis for Power's lawsuit?

Discuss the alternatives including strengths and weaknesses : Discuss the alternatives including the strengths and weaknesses of each. Discuss the reasons why such alternatives are not popular in the United States.

What would you recommend now and why : What would you recommend now and why? Complete the appropriate nutrition support order form if necessary - complete if you are recommending changes

Of what legal significance is it that banana peel is brown : Of what legal significance is it that the banana peel is brown? How does that change the determination of whether the elements of negligence are met?

User Account

All Pages