Reference no: EM133877702
SCENARIO 1
What are the errors in the following prescriptions? Rewrite each prescription correctly. What is each medication used for? What is the MOA?
bupropion XL 150 mg po TID #90 3 RF
lithium carbonate 300 mg po TID #90 for goal therapeutic range of 1.5-2.2 mEq/L
pregabalin 75 mg po BID #60 6 RF
atomoxine 40 mg po once daily #30 2 RF
allopurinol 300 mg PO QID #120 0 RF
SCENARIO 2
Patient TR presents to the clinic needing refills. How would you improve his medication therapy? What patient monitoring would you provide? What are 5 possible disease states TR may have? List them. He is currently on metformin 1000 mg po BID with meals, Synjardy 5 mg/500 mg po BID, Humira 40 mg SC every other week, tizanidine 2 mg po prn muscle pain up to 3 times daily, zolpidem 10 mg po qhs, prednisone 40 mg po daily, atorvastatin 20 mg po daily. Blood pressure is 118/78 and labs include: BG 94 mg/dL A1c 5% sCr 0.9 mg/dL eGFR 101 mL/min/1.73 m² total cholesterol 181 mg/dL LDL 95 mg/dL HDL 57 mg/dL TG 146 mg/dL
SCENARIO 3
PJ is a 35-year-old male with chief complaint "I want to stop drinking but I don't know how." PJ reports drinking heavily for the past 10 years. He consumes approximately 8-10 standard drinks per day, primarily beer and occasionally spirits. He has tried to quit drinking multiple times but experiences severe withdrawal symptoms, including tremors, sweating, anxiety, and insomnia, which lead to relapse. PJ denies illicit drug and nicotine use. He is motivated to quit drinking after an episode of blacking out at work. BP 130/78 HR 92. He appears anxious, mild tremor noted with mild abdominal tenderness in the epigastric region, no hepatomegaly. Labs include Hgb 14.2, AST 180, ALT 80, albumin 3.3, bilirubin 1.8, Na 137, K 3.9, Mg 1.7, vitamin B12 310, folate 5, A1C 5.5%
Name 3 medications that can be used to treat Alcohol Use Disorder (AUD). Discuss each medication and select the BEST option. Write complete medication orders for ALL THREE medications. Include patient monitoring and education. Does the patient need to stop drinking when starting the medication?
SCENARIO 4
ER is a 5'6" female that is 35 years old and weighs 155 lbs. She presents with the complaint, "I've been feeling really down and tired for months. I can't concentrate at work, and I just don't enjoy anything anymore." She has hypothyroidism x 3 years and is currently on levothyroxine 50 mcg daily. Blood pressure is 115/75 and labs include BG 99 mg/dL, A1c 5%, B12 415 pg/mL, vitamin D 60 ng/mL, TSH 2.8 mIU/L. What would you prescribe for this patient? Include a complete medication order. What additional information would assist your medication selection for ER? What patient education would you provide?