Elderly Female With Altered Level of Consciousness Essay

Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.
Review the case study assigned by your Instructor for this Assignment.
Select 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. Elderly Female With Altered Level of Consciousness Essay
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.
By Day 7 of Week 2
Write a 2 pages 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. Elderly Female With Altered Level of Consciousness Essay
Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

Case Scenario
AB 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.  Elderly Female With Altered Level of Consciousness Essay

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PMH: 

A fib x 1 month

HTN x 10 years 

CKD x 5 years 

Osteoarthritis x 7 years 

GERD x 20 years 

Allergies: 

NKDA 

Medications:   Elderly Female With Altered Level of Consciousness Essay

Digoxin 0.25mg once daily 

Metoprolol succinate 25mg once daily

Warfarin 3 mg once daily

APAP 650mg three times daily

Omeprazole 20mg once daily

MVI once daily

Social History: 

Married to husband for 57 years 

No smoking, alcohol, limited daily exercise (short walks each morning)  Elderly Female With Altered Level of Consciousness Essay

Family History: 

None reported 

Vitals:                                    

Ht: 5’4”

Wt: 113 lbs

HR: 52 bpm

BP: 101/58

Labs: 

Gluc 109

Na 138

K 4.0

Cl 99

CO2 27  

BUN 33

Scr 1.2 

INR 3.8

Dig 2.4 

Physical Exam: 

Elderly female with altered level of consciousness

No signs of bruising, bleeding, or other injury Elderly Female With Altered Level of Consciousness Essay