KL is a 79 yo man requesting
KL is a 79 yo man requesting assistance for something to help with sleep. Has past medical history significant for coronary artery disease and s/p CABG, hyperlipidemia, hypertension, major depressive disorde, and benign prostatic hypertrophy. He is taking the following medications: Aspirin 81mg, Lisinopril 20mg, Metoprolol 100mg succinate, simvastatin 20mg, Fluoxetine 40mg hs, and doxazosin 4mg hs. He admits to drinking 2 alcoholic drinks/night and denies smoking. Include in your discussion: The differences in initial, middle and terminal insomnia and how would you best choose pharmacologic treatment for each one of these based on the half~lives of each hypnotic? Identify any secondary causes for insomnia what treatment plan do you recommend for KL’s insomnia? (Be specific with your recommendations- which hypnotic and why)
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