Biology Homework – LM is an 86-year-old female admitted
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Scenario
LM is an 86-year-old female admitted to the emergency department with delirium. Her spouse is with her and verifies that LM adheres to the medications she is currently prescribed. She does not self-monitor her BP or heart rate at home.
PMH:
· A Fib diagnosed 1 month ago
· HTN x 10 years
· CKD x 5 years
· Osteoarthritis x 7 years
· GERD x 20 years
Medications:
· Digoxin 0.25 mg QD
· Metoprolol XL 25mg QD
· Warfarin 3 mg QD
· APAP 650 mg TID
· Omeprazole 20mg QD
· Multivitamin QD
Allergies: NKDA
Social History:
· Married to husband for 57 years
· No smoking, alcohol, limited daily exercise (short walks each morning)
Write a 2-page paper that addresses the following:
· Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
· Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
· Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvemen
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