Posted: November 15th, 2022
Advanced Pharmacology Essay Paper Discussion
Melina’s symptoms and the results of her tests point inexorably toward the diagnosis of hypothyroidism as the condition she is dealing with. Her elevated TSH levels indicate that her thyroid is not producing an adequate amount of thyroid hormones, which indicates that she has hypothyroidism. A shortage of thyroid hormones, as seen in hypothyroidism, may cause disturbances in a variety of bodily functions, including the pace at which the heart beats, the temperature of the body, and the metabolic process overall. Advanced Pharmacology Essay Paper Discussion
It is my responsibility to inform Melina about the risks associated with her condition, which includes the development of low-density lipoproteins. This may result in heat sickness and its complications, which may include severely advanced hypothyroidism. In addition to that, I would tell her that she should be calm since she is now taking the appropriate medicine. The fact that she has low TSH levels makes it risky for her to begin an exercise regimen (Simon et al., 2020). Furthermore, I would suggest that she postpone seeing a medical professional and initiate an exercise routine until her TSH levels have returned to their normal state. In order to prevent food from messing with the effects of the medicine, her medicine should be administered early in the morning before taking breakfast. She will need to take a very low amount of iodine in the event that she develops Hashimoto’s disease. Advanced Pharmacology Essay Paper Discussion
The management and treatment of hypothyroidism involve reversing the symptomatic development of the disease and correcting any medical impairments that have developed (Simon et al., 2020). It is possible to supplement the natural synthesis of thyroid hormone that occurs in the body. When treating hypothyroidism in adults who are generally healthy, the standard treatment consists of administering the utmost recommended dosage of levothyroxine.
Lankhaar, J. A., Kemler, E., Hofstetter, H., Collard, D. C., Zelissen, P. M., Stubbe, J. H., & Backx, F. J. (2021). Physical activity, sports participation and exercise-related constraints in adult women with primary hypothyroidism treated with thyroid hormone replacement therapy. Journal of Sports Sciences, 39(21), 2493-2502. https://doi.org/10.1080/02640414.2021.1940696
Simon, C., Weidman-Evans, E., & Allen, S. (2020). Subclinical hypothyroidism. Journal of the American Academy of Physician Assistants, 33(5), 21-26. Advanced Pharmacology Essay Paper Discussion https://doi.org/10.1097/01.jaa.0000660120.03250.55
Reply to one of the following prompts. In the subject line of your posts, please identify which prompt you are responding to, for example, prompt #2. 1. Melina is a 36-year-old female with complaints of excessive fatigue, muscle aches, difficulty sleeping, weight gain, and hair loss. She has been experiencing these symptoms for the past six months. She recently lost her job as a clerk and is under a lot of stress. She denies taking any medication and denies any medical history. She is crying at the clinic today and tells you that she does not feel right. Her labs demonstrate that her TSH is significantly elevated at 8. How will you approach and manage her complaints? What discussion will you have with the patient regarding her therapy going forward? 2. John is a 40-year-old male who has come to the clinic to review his recent lab results. He has a history of hypertension and has been on Lisinopril 20mg daily for a couple of years. He was diagnosed with “pre-diabetes” about four years ago. He states he has been trying to “eat right, exercise, and lose weight” and he has lost 5 pounds during the previous year. He hasn’t had a follow-up appointment in over a year because he was afraid to come into the office due to COVID-19. Today, his BMI is 30 and his blood pressure is 150/90. His labs show that his CBC, complete metabolic panel, and TSH are all within normal limits. His HbA1c is 8.5. Advanced Pharmacology Essay Paper Discussion
What other information would you want to know about this patient? What would you recommend as your treatment plan and which clinical guidelines would you use to help develop your plan? 3. Janie is a 55-yer-old female who presents to the clinic today asking for a prescription for Synthroid to help her lose weight. She said her friend was diagnosed with “low thyroid” recently and lost a lot of weight after starting Synthroid. Janie denies complaints of fatigue, dry skin, hair loss, or constipation. Janie’s labs (CBC, complete metabolic panel, TSH, free T4) are all within normal limits. What other information would you want to know about Janie? How would you address Janie’s request? Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas. TEXTBOOK Pharmacotherapeutics For Advanced Practice Nurse Prescribers • Author: Woo, T. & Robinson, M. • Publisher: F. A. Davis • Edition: 5th • Required Reading o Ch. 18: Drugs Affecting the Endocrine System: Pancreatic Hormones and Antidiabetic drugs o Ch. 19: Drugs Affecting the Endocrine System: Pituitary, Thyroid, and Adrenal Drugs o Ch. 35: Diabetes Mellitus o Ch. 43: Hyperthyroidism and Hypothyroidism Advanced Pharmacology Essay Paper Discussion
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