hypertension and hyperlipidemi

    hypertension and hyperlipidemia
    Case Study 1: Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed…

    Case Study 1:
    Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:
    Atenolol 12.5 mg daily
    Doxazosin 8 mg daily
    Hydralazine 10 mg qid
    Sertraline 25 mg daily
    Simvastatin 80 mg daily
    Case Study 2:
    Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs currently prescribed include the following:
    Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun
    Aspirin 81 mg daily
    Metformin 1000 mg po bid
    Glyburide 10 mg bid
    Atenolol 100 mg po daily
    Motrin 200 mg 1–3 tablets every 6 hours as needed for pain
    Case Study 3:
    Patient CB has a history of strokes. The patient has been diagnosed with type 2 diabetes, hypertension, and hyperlipidemia. Drugs currently prescribed include the following:
    Glipizide 10 mg po daily
    HCTZ 25 mg daily
    Atenolol 25 mg po daily
    Hydralazine 25 mg qid
    Simvastatin 80 mg daily
    Verapamil 180 mg CD daily
    To prepare:
    Review this week’s media presentation on hypertension and hyperlipidemia, as well as Chapters 19 and 20 of the Arcangelo and Peterson text.
    Select one of the three case studies, as well as one the following factors: genetics, gender, ethnicity, age, or behavior factors.
    Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
    Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
    Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.
    With these thoughts in mind:
    By Day 3
    Post an explanation of how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you selected. Then, describe how changes in the processes might impact the patient’s recommended drug therapy. Finally, explain how you might improve the patient’s drug therapy plan.

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