Posted: December 6th, 2022
Pharmacotherapeutics For Advanced Practice Essay Paper
Patient HM has a history of atrial fibrillation as well as a transient ischemic attack (TIA). Patient HM has been diagnosed with type 2 diabetes, high blood pressure, hyperlipidemia, and ischemic heart disease. For the time being, the following medications are being prescribed: Warfarin 5 mg daily on Monday through Friday and 2.5 mg daily on Tuesday through Thursday, Friday through Sunday, Aspirin 81 mg daily; Metformin 1000 mg PO bid; Glyburide 10 mg bid; Atenolol 100 mg PO daily; and Motrin 200 mg 1–3 tablets every 6 hours as required for pain Pharmacotherapeutics For Advanced Practice Essay Paper.
Age as a Factor
The influence of age on hypertension cannot be overstated. Patients over the age of 65 are more sensitive to medicines that induce sympathetic responses, identified as a risk factor for volume loss compared to younger individuals. Patients’ kidney and liver function deteriorate with age, affecting hypertension therapy and increasing the likelihood of potential complications. The adoption of nonpharmacological treatments, such as low-sodium regimens and weight reduction, to reduce blood pressure in geriatric patients who have been diagnosed with high blood pressure should be explored. Patients who benefit from this kind of intervention may be able to stop taking their antihypertensive medicine or decrease the number of medicines they need to sustain normal blood pressure (Arcangelo et al., 2017). The diagnosis of hypertension in younger patients is made based on diastolic and systolic target limits.
Treatment regimens must be adjusted to each patient’s needs, and the beginning dosages of antihypertensive medicines for children and adults are not the same as for kids. Aging individuals may have a rapid decrease in blood pressure, particularly while shifting postures rapidly, putting them at an exceptionally greater risk of suffering a serious or deadly fall. In light of the fact that this client has been diagnosed with atrial fibrillation plus is presently on Warfarin, an unexpected decrease in blood pressure that causes the client to fall may potentially result in serious hemorrhage complications.
Changes in Pharmacokinetic and Pharmacodynamic Processes Impacting the Recommended Drug Therapy
Cholesterol can accumulate on the inside of arterial walls, resulting in plaque formation. Plaque may block the circulation of blood via the arteries, reducing the amount of oxygen and nutrients reaching the brain, heart, and other critical organs. Unsteady plaques have the potential to burst open and produce a blood clot in the artery that may result in a stroke or heart attack in the patient. In this case, the client has battled with a variety of conditions, including hyperlipidemia and hypertension, as well as heart disease and a stroke. A diagnosis of diabetes was made in this client’s case, which is a risk factor for hyperlipidemia. Implementing a severe lifestyle adjustment, such as exercising on a regular basis, sustaining weight reduction, abstaining from alcohol or other drug addiction, and adhering to a low-fat diet, would be a suggested modification that may eventually alter the client’s present medication treatment (Conway et al.,2017). By reducing the drug dosages required or reducing the quantity of medicines required each day to maintain a healthy lifestyle, such modifications may enhance the heart disease, hypertension, diabetes, and hyperlipidemia status Pharmacotherapeutics For Advanced Practice Essay Paper.
Improving the Patient’s Drug Therapy Plan
An uneven and fast heart rhythm, known as atrial fibrillation, develops when the two upper chambers of the heart encounter erratic electrical impulses, causing the atria to tremble and resulting in inadequate communication between the ventricles and the two chambers. Heart disease, Age, diabetes, and high blood pressure are all variables that may enhance the likelihood of having atrial fibrillation. It is also possible to develop atrial fibrillation and have heart failure or a stroke. Clients may benefit from options to warfarin treatment since they may be used in the same dosage at the same time each day minus the requirement for monitoring and blood test. These medications include Eliquis, Pradaxa, and Xarelto, all of which are available without a prescription (Mayo Clinic, 2018). Treatments like surgical maze procedures, catheter ablations, and AV node ablations, among others, are also helpful to patients suffering from atrial fibrillation Pharmacotherapeutics For Advanced Practice Essay Paper.
Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins. https://www.academia.edu/30404856/Pharmacotherapeutics_for_Advanced_Practice_Text_Book?auto=download
Conway, D. S., Thompson, N. R., & Cohen, J. A. (2016). Influence of hypertension, diabetes, hyperlipidemia, and obstructive lung disease on multiple sclerosis disease course. Multiple Sclerosis Journal, 23(2), 277-285. https://doi.org/10.1177/1352458516650512
Mayo Clinic. (2019, June 20). Atrial fibrillation – Diagnosis and treatment – Mayo Clinic. Mayo Clinic – Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/atrial-fibrillation/diagnosis-treatment/drc-20350630
pharmacotherapeutics for cardiovascular disorders paper must include 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. To Prepare Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece. Review the case study assigned by your Instructor for this Assignment. Select one the following factors: genetics, gender, ethnicity, age, or behavior factors. Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes Pharmacotherapeutics For Advanced Practice Essay Paper.
Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy. Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient. Assignment for Week 2: Case Study Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). Thepatient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs currently prescribed include the following: Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun Aspirin 81 mg daily Metformin 1000 mg po bid Glyburide 10 mg bid Atenolol 100 mg po daily Motrin 200 mg 1–3 tablets every 6 hours as needed for pain Pharmacotherapeutics For Advanced Practice Essay Paper
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