How to Answer Mary Smith Year Questions (Complete Guide)
This type of question evaluates analytical and critical thinking skills.
What This Question Is About
This question relates to mary smith year and requires a structured academic response.
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Use appropriate theories and support your answer with clear reasoning.
Key Explanation
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Original Question
Mary Smith is a 59-year-old female with high blood pressure who comes in for a recheck. Her previous doctor retired. She has been on BP meds for years [prescribed by her previous provider and her son in law, who is a nephrologist]. She says he feels well, but her BP has been running high. She shows you her BP log—systolic 160s-170 and diastolic 88-98. She denies CP, SOB or edema. She still works part time in the technology company that she founded 25 years ago. She does not smoke or drink. She has no allergies. Past Medical History—CAD [stent in right coronary at the age of 40]; Proteinuria; HTN; Dyslipidemia, Obstructive Sleep Apnea [on CPAP] Current Medications—Hydralazine 50 mg BID; HCTZ 25 mg each AM; Crestor 40 mg each evening; ASA 81 mg [she says he only takes it on the days that the top number on her BP is less than 160 mm Hg]. On exam today, you see a 59 y/o Caucasian female who is 5’4″ 200 pounds. VS: 98-60-18 164/94 CBC, CMP normal; TSH normal; Urine analysis normal except 1+ proteinuria BS 110 mg/dL; creatinine 1.0 mg/dL What will you prescribe for Mary’s BP? Please note, do not stop her current medications. Part One [25 points] Instructions Points Cite the drug and drug class that is the best choice for this patient at this time: X/15 Cite the name of the medicine you will prescribe and its MOA: X/9 If there was data from the patient’s history or exam that was relevant to choosing this agent, cite those here: X/1 Part Two [35 points] Instructions Points Labs/Diagnostics needed before starting this drug? Any ongoing lab monitoring or diagnostics need while the patient is on this medication? X/2 Black Box Warning for this Medication? X/3 Contraindications? X/2 ADEs X/10 Common Side Effects X/10 Specific education/counseling that should be done for this patient at this time? X/2 When should patient follow-up? X/2 Significant drug-drug or drug- food interactions that should be discussed with this patient at this time? X/1 Any lifespan considerations that are important for this patient today because of this drug? X/1 References cited in the body of the work; clearly describe exactly where you found the information so the instructor can check your references. X/2 Part Three [40 points] Instructions Points Write the patient the prescription(s) for the new medication(s) on the provided prescription(s). Include any special instructions if needed. Prescription(s) must be clear, legible, accurate, and complete. Change the name [and credentials] on the RX to be your future NP credentials X/40 Advanced Pharmacy Clinic 123 Pill Ave., Anywhere, TX 70001 (123) 456-7890 Name:_________________________________Date:_________ Address:_______________________________DOB:__________ â„Ÿ SIG Disp: Refill_____times ______________________ A.B. Smart MD phone (123)456-7890 J.B. Jones, MSN, RN, AGNP 123 Pill Ave, Anywhere, TX 70001 NPI ID# DEA# AB12345 DPS# 112321 DEA# Please note—if you prescribe more than one agent [even if an agent is an OTC], you will complete one of these tables for each drug prescribed.
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