Scenario What Errors Explained for Students (Easy Guide)

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Original Question

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)? Hyzaar (losartan/hydrochlorothiazide) 50/25 mg PO daily #30 3 RF Lotrel (amlodipine/lisinopril) 5/40 mg PO daily #30 3 RF hydralizine 25 mg PO QID #120 1 RF digoxin 1.25 mg PO daily #30 1 RF Repatha 140 mg IV every 2 weeks #1 1 RF SCENARIO 2 Does fentanyl 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 (292)  Shape (Oval) Color (Brown) Form (Tablet)  Scoring (None) SCENARIO 4 DL is a 48-year-old male following up on his labs that were drawn last week. He smokes 1 pack per day. He is currently on losartan 50 mg po daily, linagliptin (Tradjenta) 5 mg PO daily and red yeast rice supplement. Fasting lipid profile shows Total Cholesterol 245 mg/dL, LDL 165 mg/dL, HDL 41 mg/dL, and Triglycerides 175 mg/dL. He is 5’10” and weighs 223 lbs. What treatment plan would you implement for DL? Include a complete medication order. What are GOAL Total Cholesterol, LDL, HDL, and Triglyceride levels? What is DL’s BMI per Medscape calculator? What patient monitoring and education would you provide? How many risk factors for Coronary Artery Disease (CAD) does DL have? Identify them specifically.

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