LM is an 86-year-old female admitted to the emergency department with delirium. Her spouse is with h. Question
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LM is an 86-year-old female admitted to the emergency department with delirium. Her spouse is with her and verifies that LM adheres to the medications she is currently prescribed. She does not self-monitor her BP or heart rate at home.
PMH:
A Fib diagnosed 1 month ago
HTN x 10 years
CKD x 5 years
Osteoarthritis x 7 years
GERD x 20 years
Medications:
Digoxin 0.25 mg QD
Metoprolol XL 25mg QD
Warfarin 3 mg QD
APAP 650 mg TID
Omeprazole 20mg QD
Multivitamin QD
Allergies: NKDA
Social History:
Married to husband for 57 years
No smoking, alcohol, limited daily exercise (short walks each morning)
Family History:
None reported
Vitals: Labs:
Wt 113 lbs Ht 5’4″ Na+ 138 K+ 4.0
BP 101/58, HR 52 Cl- 99 CO2 27
BUN 33 (HIGH) Cr 1.2 (OK)
Gluc 109
INR 3.8 (2.0-3.0 IS THERAPEUTIC…HIGH)
Dig 2.4 (0.8-2.4…HIGH)
PE:
Elderly female with altered level of consciousness, no signs of bruising, bleeding, or other injuries.
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.
SCIENCE
HEALTH SCIENCE
NURSING
NURS 6512
LM is an 86-year-old female admitted to the emergency department with delirium. Her spouse is with h
