Discussion Question 1

For this questions, please read the following case study and then respond to the questions noted below. 

 Ms. BD is a 33-year-old G2P1 female who has a history of chronic HTN. She was diagnosed with this in the interim since her first pregnancy, and she has been well controlled with Prinizide 12.5/20 PO BID. Her period, usually very regular, was 5 days late. She performed a home pregnancy test which was positive. She states she feel “OK” but is concerned about both her HTN and her developing fetus. She has no other medical problems, symptoms, or concerns. 

Assessment: Physical examination is unremarkable. Her BP is 128/68 and her pulse is 74. Her urine human chorionic gonadotropin (HCG) is positive. Her potassium is 4.2, blood  urea nitrogen (BUN) is 14, and creatinine is 0.6. Alanine aminotransferase (ALT) is 29. White blood cells (WBCs) are 6.5, hemoglobin (Hgb) is 12.8, hematocrit (Hct) is 39, and platelets are 330,000. 

1.Is there any additional subjective or objective information you need for this client? Explain. 

2.Is Prinizide safe in pregnancy? What are the possible complications to the pregnant woman and her fetus? 

3.Why is it important to assess the above laboratory values? How might this information impact your treatment plan? 

4.Would you make any changes to Ms. BD’s blood pressure medications? Explain. If yes, what would you prescribe? Discuss the medications safety in pregnancy, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings.

5.What health maintenance or preventive education is important for this client based on your choice medication/treatment?

6.Would you treat this patient or refer her? Where would you refer this patient?

Do 2 pages

Provide References.

 

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Check attached file 

 

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Please reflect on your pharmacological journey, and how you will apply what you have learned to your practice. 

 

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Write a 3-page paper APA in-text citations, 4 references that addresses the following:

Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the case study below:

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.

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.

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.

 

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