Brenda Buckeye is an obese (BMI is 36) 55-year-old woman who presents to your office for preventive . Question
Answered step-by-step
Asked by drhijazi81
Brenda Buckeye is an obese (BMI is 36) 55-year-old woman who presents to your office for preventive care. She reports that she has been very thirsty during the day and reports frequent nocturnal urination. The patient admits to a sedentary life style which led to a weight gain of 25 pounds within the past 2 years, and occasional fatigue and headache. BP 164/92 mmHg, P 90, R 20, T 98.6 F. Fasting blood sugar 148 mg/dL, HbA1c 8.1%, LDL-cholesterol 250 mg/dL, HDL-cholesterol 30 mg/dL, and triglycerides 252 mg/dL. CBC with diff and rest of BMP are WNL.
The patient was previously diagnosed with hypertension is taking HCTZ 25 mg daily. She has been compliant with her medication. Home BPs range from 140/88 to 168/96. She reports that she has not limited salt or saturated fat intake with her diet.
1- What is the relevant objective and subjective assessment data from the case study?
2- What does this data indicate? What conclusions can you make? What is your preliminary
diagnosis(es)?
3- Search the literature using databases, and select a clinical practice
guideline (CPG) to guide your prescribing for these diagnosis(es). Which CPG did you
select? (Include the reference for the CPG). Why did you select it?
4- Based on the CPG you have selected, what non-pharmacologic and pharmacologic
interventions will you use for your treatment plan? How does each intervention treat the
pathophysiology of the diagnosis(es)? What is the priority for each intervention (which
interventions are first versus later)?
5- What are the important prescribing considerations for the pharmacologic interventions?
6- write prescription for each medication you would prescribe, including all elements of a
prescription.
7- What outcomes would you anticipate – therapeutic effects and adverse effects? How will
you evaluate for these outcomes?
8- What patient education and follow up is required for the medications you have prescribed?
SCIENCE
HEALTH SCIENCE
NURSING
NUR 3420
Brenda Buckeye is an obese (BMI is 36) 55-year-old woman who presents to your office for preventive
