Each Scenarios Below Question & Answer Guide (With Explanation)
This question tests key academic concepts commonly covered in coursework.
What This Question Is About
This question relates to each scenarios below and requires a structured academic response.
How to Approach This Question
Start by identifying the main issue, then apply relevant academic frameworks.
Key Explanation
This topic involves each scenarios below. A strong answer should include explanation, application, and examples.
Original Question
For each of the scenarios below, answer the questions using required learning resources, Medscape, clinical practice guidelines (ie JNC 8, AHA, ACC). Explain the problem and discuss how you would address the problem. When recommending medications, write a complete prescription for each medication. What order would you send to a pharmacy? Include drug, dose, route, frequency, special instructions, # dispensed (days supply), etc. Also state if you would continue, discontinue or taper the patient’s current medications. Use at least 3 sources from 2020-2025 for each scenario. Answer each scenario thoroughly. SCENARIO 1 What are the errors in the following prescriptions (5 total)? Rewrite each prescription correctly. What is each medication used for? What is the MOA? lisinopril/HCTZ (Zestoretic) 10 mg/25 mg PO once daily for blood pressure control #90 3 RF clonidine 0.3 mg patch PO once weekly #4 1 RF Raneza 500 mg extended release tablet PO BID #60 3 RF ramipril (Vasotec) 1.25 mg PO once daily #30 1 RF Repatha 140 mg SC once weekly #4 0 RF SCENARIO 2 Does morphine have a high or low first pass effect? Please discuss why this is important to know and how it relates to bioavailability. What route has 100% bioavailability? In addition to parenterally, how can this medication be given to counter the first pass effect? Write a sample prescription for this medication. SCENARIO 3 Where are the majority of cytochrome P450 (CYP) enzymes located? Using the Medscape pill identifier, enter the following characteristics to identify the medication. What CYP enzyme metabolizes this medication? How can this information be applied to medication therapy management? Write a sample prescription for the identified medication and strength. Imprint (E 137) Shape (Round) Color (Pink) Form (Tablet) Scoring (None) SCENARIO 4 TJ is a 50-year-old male following up on his labs that were drawn last week. He smokes 1 pack per day. He is currently on lisinopril 40 mg po daily, liraglutide (Victoza) 0.6 mg subcutaneously once daily and St. John’s Wort. Fasting lipid profile shows total cholesterol 260 mg/dL, LDL 180 mg/dL, HDL 43 mg/dL, and TG 185 mg/dL. He is 5’9″ and weighs 204 lbs. What treatment plan would you implement for TJ? What are GOAL Total Cholesterol (TC), HDL, LDL, and Triglyceride levels for TJ? What is his BMI per Medscape calculator? What patient monitoring and education would you provide? How many risk factors for coronary artery disease does this patient have? Identify them specifically.
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