Review Following Case Question & Answer Guide (With Explanation)
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What This Question Is About
This question relates to review following case and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves review following case. A strong answer should include explanation, application, and examples.
Original Question
• Review the following case studies and answer ALL questions. • When recommending medications, write out a complete prescription for each medication. What order would you send to a pharmacy? Include drug, dose, route, frequency, special instructions, # dispensed (days supply), refills, etc. Also state if you would continue, discontinue or taper the patient’s current medications. • Use clinical practice guidelines in developing your answers. Please review all Required Learning Resources. Use the Medscape app or website and JNC 8 to complete assignment. • Include at least three references to support each scenario and cite them in APA format. Please include in-text citations. You do not need an introduction or conclusion paragraph. SCENARIO 1 What are the errors in the following prescriptions (5 total)? Rewrite each prescription correctly. What is each medication classification? What is the mechanism of action (MOA)? • linaglipton 5 mg PO daily #30 5 RF • Tresiba inject 10 units SC TID with meals #1 box of 5 pens 1 RF • tiotropium (Spiriva) 2.5 mcg PO BID #60 1 RF • Qulipta 60 mg PRN for migraine #30 1 RF • levothyroxine 88 mg PO daily #30 5 RF SCENARIO 2 PK is a 16-year-old female diagnosed with mild persistent asthma since age 12. During her visit today, she reports having to use her albuterol MDI 3 days per week over the past 2 months. Over the past week she has been using albuterol at least once per day. She reports being awakened by a cough 5 nights during the last month. She also has a fluticasone MDI, which she uses “most days of the week.” Her current medications include: Flovent HFA 44 mcg two puffs BID, Proventil HFA two puffs Q 4-6 hr PRN shortness of breath, fexofenadine 180 mg po daily, diphenhydramine 50 mg qhs prn. What treatment plan would you implement for PK? What medication changes would you make? Include a complete medication order. How would you monitor the effectiveness of this plan, and what patient education would you provide? SCENARIO 3 ES is a 45-year-old African American male that was prescribed bisoprolol for his high blood pressure. Blood pressure today is 142/89 HR 60 RR 15. He states that he only occasionally takes the medication because he does not like the side effects. What information would you provide to the patient at his visit? What is his goal blood pressure? How is hypertension treated per current guidelines (JNC 8, ACC, AHA)? How would you improve his treatment? Include a complete medication order. SCENARIO 4 TF is a 60 year old male presenting to the clinic for medication refills. Current medications include acetylcholinesterase inhibitor donepezil 5 mg po qhs, anti-amyloid monoclonal antibody lecanemab (Leqembi) 10 mg/kg IV every 2 weeks for early Alzheimer’s disease, and atorvastatin 40 mg po daily. His lab work today includes: fasting BG is 195 mg/dL; HgA1C = 8.5%. Basic Metabolic Profile (BMP) is normal except for Cr 1.9 and eGRF 28. What is his goal A1C? Please SELECT and DISCUSS which of the following would be best to prescribe for TF: • canagliflozin (Invokana) 100 mg PO daily • exenatide (Byetta) 5 mcg SC twice daily • glimepiride 1 mg PO daily • glyburide 2.5 mg PO daily • metformin 500 mg PO daily • semaglutide (Ozempic) 0.25 mg SC once weekly • sitagliptin (Januvia) 50 mg PO daily
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