1. What are you treatment goals for this patient? Please create a pharmacologic plan and state...

1. What are you treatment goals for this patient? Please create a pharmacologic plan and state your rationale for this plan.

2. What are 5 patient education points based on your plan?

A patient is a 69 year-old male who presents to your clinic with complaints of heart palpitations and light headedness going on an off for the past month. He has a history of hypertension and urinary retention. He is currently prescribed HCTZ.

Vital signs: BP = 180/95

Irregular HR 78

Resp. 20

Weight 99kg

Lower extremities with moderate 3+ edema noted bilaterally, ABD + BS Patient is alert & oriented to name, place, & time

Lab Na 143mEq/L

CL 99mol/L

BUN 18mg/dl

Hbg 15

Solutions

Expert Solution

What are your treatment goals for this patient?

My treatment get ready for this patient would incorporate getting his circulatory strain to a normal level to deal with the heart palpitations and dazedness.
The subsequent stage is treating the edema, which may happen because of the hypertension.
And in conclusion, build up an arrangement to help decrease his weight, which at 99kgs could be hazardous to his health.

What is your pharmacologic plan; please explain your rationale for your plan?

My pharmacological arrangement incorporates changing the pharmaceutical that this customer is taking since the on and off discombobulating and palpitation demonstrate that the medication isn't viable in controlling his weight.
Therefore, experimenting with different types of pharmaceutical can help. Solution of a medication, for example, Triamterene ought to be done, which can be joined with HTCZ to treat both edema and hypertension (Alexander, 2017).
Triamterene is a potassium-saving diuretic that meddles with sodium reabsorption at the distal tubules accordingly diminishing potassium discharge.
The tranquilize works better when utilized as a part of mix with HTCZ (Alexander, 2017). For the weight reduction, I would prescribe a strict eating less carbs regiment that guarantees customer calorie admission is lessened and furthermore the utilization of hostile to stoutness medications, for example, Orlistat, which can decrease the intestinal fat assimilation (Kim, Lin, Blomain, and Waldman, 2011).

What are five key patient education points based on your plan?

The first key patient instruction is to know what number of calories he should take every day.
The second is conceivable sustenance tranquilize connections; customer should recognize what nourishments to maintain a strategic distance from, for example, liquor (Bloch, and Basile, 2017).
Thirdly, he should know the potential symptoms of the new medications recommended to him and their normal method of activity.
Fourth, there is have to comprehend what to do on the off chance that he misses a measurement or in the event of overdose.
And in conclusion, he ought to comprehend what unique eating routine directions his condition expects him to have.

Nightingale answered 1 year ago

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