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WCU Age Related Factors Impacting Medication Therapy Essay

WCU Age Related Factors Impacting Medication Therapy Essay

Description

Use 6 outside references that Have DOI and published within the last five years. and u have to select one of the following: 

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

To Prepare

  • Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.
  • Review the case study assigned by your Instructor for this Assignment.
  • Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.
  • Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
  • Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
  • Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.

Case assignment for week 2

Write 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 2

LM is an 89-year-old female resident of a long-term care facility who has been experiencing multiple falls, some resulting in injuries such as bruising and skin tears. Over the last 6 months, her ambulation status has declined from independent to wheelchair level. She complains of pain in her legs when walking more than short distances across the nursing unit.

PMH:

  • HTN
  • Alzheimer’s disease
  • Hypothyroidism
  • Osteoarthritis
  • Diabetes

MEDICATIONS:

  • Amlodipine 10 mg QD
  • Donepezil 10 mg QHS
  • Levothyroxine 0.88 mg QAM
  • Celecoxib 200 mg QD
  • Furosemide 40 mg QAM
  • Metformin 500mg, 1 BID
  • Glyburide 5mg, 1 BID 

ALLERGIES: NKA

SOCIAL HISTORY:

Widowed with 2 adult children living in town, retired photographer and owner of an art supply store

     

VITALS:

  • LABS:
  •  
  • Weight:   129 lbs

TSH   2.45        Free T4 0.98

 

Height:   64 inches

  • Na 135, K+ 3.8, Cl 99,   CO2 25,
  •  
  • BP:   Supine = 177/82
  • Glucose 101, SCr 0.9,   BUN 42
  •  

HR:   78 bpm

WBC 7.0, RBC 4.5, Hgb   11.9, Hct 34.1

 

Plt   255

 

Cr:   1.6 UA: Clear

 

eGFR:   45 ml/min

PE:

HEENT: Normocephalic, no evidence of trauma, PERRLA, EOMI, Dry mucous membranes

CV: RRR

Respiratory: Clear to auscultation bilaterally

Abdomen: Soft, non-tender, no masses or guarding

G/U: Skin intact, assisted with toileting and personal hygiene by staff

Extremities: Bilateral 2+ edema to lower extremities; skin dry, dark bruising and skin tear to right elbow and forearm

Neuro: Alert and oriented to person only. MMSE 18/30, stable over last 12 months.

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