Pharmacotherapy for Cardiovascular Disorders Assignment Paper

Pharmacotherapy for Cardiovascular Disorders Assignment Paper

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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: Pharmacotherapy for Cardiovascular Disorders Assignment Paper

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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)
Family History: Pharmacotherapy for Cardiovascular Disorders Assignment Paper

None reported

Vitals: Labs:

Wt 113 lbs Ht 5â€4” Na+ 138 K+ 4.0

BP 101/58, HR 52 Cl- 99 CO2 27

BUN 33 Cr 1.2

Gluc 109 INR 3.8

Dig 2.4

PE:

Elderly female with altered level of consciousness, no signs of bruising, bleeding, or other injury.

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Write a 2 to 3-page paper that addresses the following: (There will be a penalty for extra-long papers)

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 patientâ€s recommended drug therapy. Be specific and provide examples.

Explain how you might improve the patientâ€s drug therapy plan and explain why you would make these recommended improvements.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. Pharmacotherapy for Cardiovascular Disorders Assignment Paper