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Patient CB is an 88 year-old female with a history of strokes. The patient has been...

Patient CB is an 88 year-old female with 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, Simvastatin 80 mg daily, Verapamil 180 mg CD daily.

Write a 2- to 3-page 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.
  • Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.
  • the factors are age, gender, and behavior

Solutions

Expert Solution

Ans.

Signs and symptoms of stroke include:

  • Trouble speaking and understanding what others are saying. You may experience confusion, slur your words or have difficulty understanding speech.
  • Paralysis or numbness of the face, arm or leg. You may develop sudden numbness, weakness or paralysis in your face, arm or leg. This often affects just one side of your body. Try to raise both your arms over your head at the same time. If one arm begins to fall, you may be having a stroke. Also, one side of your mouth may droop when you try to smile.
  • Problems seeing in one or both eyes. You may suddenly have blurred or blackened vision in one or both eyes, or you may see double.
  • Headache. A sudden, severe headache, which may be accompanied by vomiting, dizziness or altered consciousness, may indicate that you're having a stroke.
  • Trouble walking. You may stumble or lose your balance. You may also have sudden dizziness or a loss of coordination.

When to see a doctor

Seek immediate medical attention if you notice any signs or symptoms of a stroke, even if they seem to come and go or they disappear completely. Think "FAST" and do the following:

  • Face. Ask the person to smile. Does one side of the face droop?
  • Arms. Ask the person to raise both arms. Does one arm drift downward? Or is one arm unable to rise?
  • Speech. Ask the person to repeat a simple phrase. Is his or her speech slurred or strange?
  • Time. If you observe any of these signs, call 911 or emergency medical help immediately.

Call 911 or your local emergency number right away. Don't wait to see if symptoms stop. Every minute counts. The longer a stroke goes untreated, the greater the potential for brain damage and disability.

If you're with someone you suspect is having a stroke, watch the person carefully while waiting for emergency assistance.

Type 2 diabetes

Also called: adult onset diabetes

A chronic condition that affects the way the body processes blood sugar (glucose).

With type 2 diabetes, the body either doesn't produce enough insulin, or it resists insulin.

Although there's no cure for type 2 diabetes, studies show it's possible for some people to reverse it. Through diet changes and weight loss, you may be able to reach and hold normal blood sugar levels without medication. This doesn't mean you're completely cured

Requires a medical diagnosis

Symptoms include increased thirst, frequent urination, hunger, fatigue and blurred vision. In some cases, there may be no symptoms.

People may experience:

Whole body: excessive hunger, excessive thirst, or fatigue

Weight: weight gain or weight loss

Also common: frequent urination, blurred vision, or poor wound healing

7 Ways You Can Help Someone Living withType 2 Diabetes

  1. Don't nag! ...
  2. Encourage healthy eating. ...
  3. Attend a diabetes support group with them. ...
  4. Offer to attend doctor appointments. ...
  5. Be observant to drops in blood sugar. ...
  6. Exercise together. ...
  7. Be positive.

Self-care in diabetes

There are seven essential self-carebehaviors in people with diabetes which predict good outcomes. These are healthy eating, being physically active, monitoring of blood sugar, compliant with medications, good problem-solving skills, healthy coping skills and risk-reduction behaviors

Nightingale answered 1 year ago
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