Lalisa Makok Year Explained for Students (Easy Guide)
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Original Question
Lalisa Makok, a 55-year-old female client (DOB: 12/5/1969), presents to the clinic complaining of frequent heartburn and nausea daily, beginning after omeprazole was discontinued one month ago. She was originally seen by the NP complaining of these symptoms and prescribed omeprazole for an eight-week trial. During the eight-week trial, her symptoms resolved. Since the omeprazole was discontinued one month ago, the client has been experiencing daily heartburn and nausea. According to the CPG, the NP decides to send the client for a diagnostic endoscopy. The NP also considers what medications to prescribe to the client to relieve her symptoms. Past Medical History: High Cholesterol Allergies: Penicillin Medications: rosuvastatin (Crestor) 20mg PO daily Social History: She has never smoked cigarettes and drinks wine once per month. Physical Exam: Height: 5 feet 2 inches Weight: 154 lbs Body Mass Index (BMI): 28.2 Blood Pressure (BP): 114/68 Heart Rate (HR): 63 Respiratory Rate (RR): 17 Oxygen Saturation (O2 Sat): 96% on RA Temperature (TEMP): 98.7 oral Describe your assigned client’s situation. Why are they presenting to the clinic? What medications are they currently taking? Assess the applicable clinical practice guideline (CPG) for your assigned client linked on the same page in the lesson where the client case is located. What treatment is recommended by the CPG for your client’s situation? Discuss your personal professional assessment of the client’s situation provided in the scenario. What pharmacological treatment is necessary and why?
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