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MW is a 68-year-old female with complex health needs.

 

Physical Assessment

Pitting edema to lower extremities-Cardiovascular
BP 160/80-HTN
BMI 38 (clinically obese)
Blood Glucose 230- DM high
A1C 8.7-DM high
Cholesterol – Total 230,(H) HDL 39, LDL 97
Hypokalemia – K 3.1 mmol/L
Chronic Pain – poor walking ability
Shortness of breath – no wheeze audible
Liver function is normal, but digoxin levels are moderately high

Medications

Amitriptyline 25mg PO q hs
Temazepam 15mg PO q hs
Metformin 500mg PO BID
Aspirin 81mg PO daily
Digoxin 0.25mg PO Daily
Simvastatin 40mg PO Daily
Amlodipine 5mg PO Daily
Furosemide 40mg PO Daily
Telmisartan 40mg PO Daily
Tramadol 50mg q6h prn Pain
Diclofenac Extended Release 100mg PO Daily
Nitroglycerin 0.4 SL PRN Chest pain
Salmeterol Inhaler 1 inhalation BID
St John’s Wort 300mg PO TID

Identify Drug-Drug Interactions, Drug Disease Interactions, and pharmacokinetics/pharmacodynamics.

Provide recommendations of how to improve the issues

Thank you
 

SCIENCE
HEALTH SCIENCE
NURSING
NSG 518AOL

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