Reference no: EM133559158

Case Study: Tamika, an 18-year-old Asian woman, came in today for her birth control refill. You noticed her blood pressure during the last visit was 152/88; today, her blood pressure is 150/76. She reports having increased swelling in her ankles after being at work all day. She's on cetirizine 10mg daily, Wellbutrin XL 300mg daily, and Depo-Provera injections. You don't have any labs on the chart except for a urine pregnancy test from 6 months ago. You are going to start her on a diuretic.

Questions:

1. What medication did you choose from the category and why was it the best choice? What was the mechanism of action that made it a good choice for the patient? Provide a rationale that includes the guidelines you followed. Make sure your medication is written in script format.
2. Discuss specific patient education based on the prescribed therapy. Give 5-10 individual items that you are going to explain to the patient about the medication, goal of therapy, common side effects, lifestyle modifications, etc.
3. List a minimum of two MAJOR adverse reactions for the selected agent that would cause you to change therapy.
4. Describe three MAJOR drug-drug or drug-food interactions for the selected agent.
5. What is your next step if the patients return within 14 days and the blood pressure is not at goal? Provide a rationale that includes the guidelines you followed. Make sure your medication is written in script format.