Pharmacology Assignment Paper

consider the following scenarios:

LW is a 32 year old female patient who comes to your medical clinic for primary care.  She has been on hormonal contraceptives for years, although she\'s just been married and has stopped her pills in hopes of becoming pregnant.  Her PMHx includes obesity, HTN (diagnosed 3 years ago), familial hypercholesterolemia, and PCOS.  Her current medications are as follows: Metformin 2000 mg PO daily, Lisinopril 10 mg PO daily, rosuvastatin 5 mg PO daily, and a multivitamin.

GD is an 82-year-old patient is taking 2 mg of terazosin for BPH every morning. He comes in complaining of dizziness, generalized muscle weakness and persistent lower urinary tract symptoms (LUTS).

How should you advise these patients and manage their medications?  What was the process you went through to assess the current medications and to recommend an updated regimen?

LW is a 32-year-old female patient who comes to your medical clinic for primary care. Pharmacology Assignment Paper. She has been on hormonal contraceptives for years, although she has just been married and has stopped her pills in hopes of becoming pregnant. Her PMHx includes obesity, HTN (diagnosed 3 years ago), familial hypercholesterolemia, and PCOS. Her current medications are as follows: Metformin 2000 mg PO daily, Lisinopril 10 mg PO daily, rosuvastatin 5 mg PO daily, and a multivitamin.

GD is an 82-year-old patient is taking 2 mg of terazosin for BPH every morning. He comes in complaining of dizziness, generalized muscle weakness and persistent lower urinary tract symptoms (LUTS).

ORDER A PLAGIARISM -FREE PAPER NOW

Advise To the Patients and Management of Their Medications

LW and GD have different conditions and are on drugs to control them. LW has diabetes and hypertension, which increase her risk for PCOS and hypercholesterolemia. LW should engage in daily aerobic exercises for at least 30 minutes during each exercise session to reduce her cholesterol level. Wu et al. (2019) recommend daily exercises to reduce low-density lipoproteins. Medical history entails collecting necessary information about the patient’s past and current condition, and reveals current medications. To assess the current medications, I enquired each other times whether they are living with any medical condition. Their response led to the enquiry of what type of drug they are currently using. I developed a list of the medication and compared with the medications to be prescribed. Pharmacology Assignment Paper.  The next step was to make a clinical decision and communicate with the patient about the new recommendations about their respective treatment. I assessed their knowledge of the drugs’ purposes and the prescribed regimen. Durand et al. (2017) recommend that clinicians consider patients’ medication history to avoid repeated doses or polypharmacy. In addition, the assessment involved inquiries on the action taken for a missed dose and possible side effects.

Since she has stopped her contraceptives hoping for pregnancy, therapy changes should occur for rosuvastatin and Lisinopril since they are teratogenic and can cause adverse effects to the fetus. Methyldopa 250 BD will be appropriate for her during pregnancy as well as rosuvastatin 5mg OD. GD is on terazosin to decrease symptoms of prostatic hyperplasia. The persistent lower urinary symptoms warrant the use of antispasmodic together with terazosin. Dicyclomine 10mg TDS will be appropriate. GD should use the terazosin 4mg at night instead of in the morning to reduce side effects such as dizziness and generalized muscle weakness caused by alpha-blocker action (Tae et al., 2021). Pharmacology Assignment Paper. 

References

Durand, H., Hayes, P., Morrissey, E. C., Newell, J., Casey, M., Murphy, A. W., & Molloy, G. J. (2017). Medication adherence among patients with apparent treatment-resistant hypertension: systematic review and meta-analysis. Journal of hypertension, 35(12), 2346-2357.

Tae, B. S., Jeon, B. J., Park, J. Y., Bae, J. H., Cho, Y. S., & Choi, H. (2021). Current Status of Benign Prostatic Hyperplasia Prescription in Korea Based on the Clinician’s Urology Specialty Using Nationwide Healthcare System Data. Journal of the Korean Continence Society.

Wu, N., Bredin, S. S., Guan, Y., Dickinson, K., Kim, D. D., Chua, Z., & Warburton, D. E. (2019). Cardiovascular health benefits of exercise training in persons living with type 1 diabetes: a systematic review and meta-analysis. Journal of clinical medicine, 8(2), 253. Pharmacology Assignment Paper.