NR508 Week 5 Discussion Latest 2019 January Question # 00597191 Course Code : NR508 Subject: Health Care Due on: 01/25/2019 Posted On: 01/25/2019 07:08 AM Tutorials: 1 Rating: 4.7/5
NR508 Advanced
Pharmacology
Week 5
Discussion
Maria is a 46-year-old woman who presents for her yearly
physical examination. Her medical history is notable for mild depression and
moderate obesity. Six months ago her fasting lipid profile was normal. Maria
report that her mother and brother have diabetes and hypertension. She reports
that she knows she should be on a low calorie, low fat diet and exercising but
with her full-time job and four children, she finds it difficult to exercise,
and she eats out most of the time. She is 67″ tall and weighs 225lbs
today, no current medication. She does report taking a multivitamin daily but
still feels tired, biotin Vit-C when she remembers. She is a nonsmoker, only
drinks sweet tea with each meal, 3-4 cups of coffee per day.
Today: BP 120/70 mm Hg, pulse 76, temperature 98.7,
respirations 18, weight 225 pounds. Urine dip + glucose, fasting plasma glucose
179 mg/dl, HgbA1C is 7.4%, TSH 5.6. The physical exam is notable for acanthosis
nigricans at the neck but otherwise is normal.
What are your treatment goals for Maria?
What is your plan for drug therapy? What is the mechanism of
action for each drug?
Please give five teaching points for each drug prescribed.
How would you change the plan if her initial HbgA1C was
10.2mg/dL and her fasting blood glucose was 305mg/dL? Provide a detailed
alternative plan with the rationale.
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