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APA format and solid academic work is required. Attached is a short case study Woo, Pharmacotherapeutics for APN Prescribers, 4e Instructor Case Study-16-1 Chapter 16 Drugs Affecting the...

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APA format and solid academic work is required. Attached is a short case study
Woo, Pharmacotherapeutics for APN Prescribers, 4e Instructor Case Study-16-1
Chapter 16 Drugs Affecting the Cardiovascular and Renal System
Instructor Case Study
Jack is a 54-year-old patient who has difficulty coming in for primary care visits. He sees cardiology,
pulmonary clinic, and endocrine clinic for his comorbid conditions of diabetes mellitus, post–coronary
artery bypass grafting (CABG) 2 years ago, and mild chronic obstructive pulmonary disease issues from a
30 year pack history of smoking. His last visit with you was over a year ago. Today, your registered nurse
brings you a telephone triage call requesting a refill of his Crestor prescription, which was ordered by
cardiology soon after his CABG. Per the electronic links to the cardiology service within your facility, the
medication was due to be renewed about 2 months ago. His last lipid labs were a year ago and his last
complete metabolic panel (CMP) was done at the same time. He was recently at the pulmonary clinic
and his last recorded HgA1C was 9.0 from a visit to endocrine 4 months ago.
Review of records include a prescription for his hypertension (Lisinopril 20 mg daily), metformin 1,000
mg twice a day for his diabetes, and no known medications for his pulmonary issues. The Crestor
prescription appears to have multiple dosing levels over the past few refills.
His last vital signs were blood pressure 170/110 mm Hg, pulse 88, and respirations 22. His body mass
index is 30 and he indicates a pain level of 4 out of 5. His pulse oximetry was 92% on room air.
1. How do you respond to this telephonic request?
2. What steps are required to get Jack’s therapeutic plan under control?
3. What is the role of the primary care provider in this scenario?
Answered Same Day Dec 26, 2021

Solution

David answered on Dec 26 2021
123 Votes
Considering the co-mo
id ailments of Jack and considering his last recorded health
condition, it seems feasible to provide him with homecare treatment regime. Responding to the
telephonic request I must a
ange for a team of health practitioners who would be visiting the
patient’s home for conducting certain specific pathological tests. There are certain steps that are
needed to be taken in order to get Jack’s therapeutic plan under control. His lack of consistency
in following the treatment regime must either be attributed to his apathy towards proper
treatment or to his inability to visit primacy care facilities and...
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