What drug therapy would you prescribe for E.H. and why?
What drug therapy would you prescribe for E.H. and why?
1) **********minimum 3 full pages ( not words)**************************** (cover or reference page not included)
2)¨**********APA norms ( All paragraphs need to be cited properly. All responses must be in a narrative format)
3)********** It will be verified by Turnitin and SafeAssign*****************
4) **********References from the last 5 years
5) The points don’t be must copied in the work. It must be identified by numbers.
This assignment has two parts.
______________________________________________________________
Part 1: Minimum 2 full pages.
Chronic Stable Angina
E.H. is a 45-year-old African American man who recently moved to the community from another state. He requests renewal of a prescription for a calcium channel blocker, prescribed by a physician in the former state. He is unemployed and lives with a woman, their son, and the woman’s 2 children. His past medical history is remarkable for asthma and six “heart attacks” that he claims occurred because of a 25-year history of drug use (primarily cocaine). He states that he used drugs as recently as 2 weeks ago. He does not have any prior medical records with him. He claims that he has been having occasional periods of chest pain. He is unable to report the duration or pattern of the pain. Before proceeding, explore the following questions: What further information would you need to diagnose angina (substantiate your answer)? What is the connection between cocaine use and angina? Identify at least three tests that you would order to diagnose angina.
Diagnosis: Angina
1. List specific goals of treatment for E.H.
2. What dietary and lifestyle changes should be recommended for this patient?
3. What drug therapy would you prescribe for E.H. and why?
4. How would you monitor for success in E.H.?
5. Describe one or two drug–drug or drug–food interactions for the selected agent.
6. List one or two adverse reactions for the selected agent that would cause you to change therapy.
7. What would be the choice for the second-line therapy?
8. Discuss specific patient education based on the prescribed first-line therapy.
9. What over-the-counter and/or alternative medications would be appropriate for E.H.?
____________________________________________________________
Part 2: Minimum 1 page
Chief complaint: “I’m here for a medication refill because I ran out of my medicines”.
HPI: Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with exertion, especially when she is walking fast, and it is resolved when she is resting. She reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. Her symptoms of shortness of breath resolve after sitting upright on 3 pillows. She also has lower leg edema pitting 1+ which started 2 weeks ago. She indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight of stairs, but it resolves after sitting down to rest. She has not tried any over the counter medications at home.
She started taking her medications, but failed to refill the prescriptions because she cannot afford the medications as she only works part-time and lives alone. In addition, she reports that she does not think taking all these medications would help her condition anyway.
PMH: Primary Hypertension, Previous history of MI 1 year ago
Surgeries:
1 year ago-Left Anterior Descending (LAD) cardiac stent placement
Allergies: Penicillin
Vaccination History: Up-to-date
