Pharm Week 6 CS3

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Home>Homework Answsers>Nursing homework helpsciWeek 6 Case Study IIIPatient With FatigueEnzo is a 74-year-old male with a history of rheumatoid arthritis (RA) who presents in the clinic with a complaint of fatigue. Enzo is ambulatory with a walker and recently has had intermittent flare-ups of his rheumatoid arthritis (RA) disease activity, with increasing pain and swelling in his affected joints. His energy has been declining over the past few months, so he thought it was a good time to come in for follow-up laboratory testing and reassessment of his medications. Most troublesome, he has fainted twice in the past 2 weeks, which resulted in falls onto his carpeted floor. He is afraid to go out into public and even more afraid to drive his car. He has also had some chest pains with exertion. He is eating and sleeping okay, although he does sleep better if his head is elevated on a few extra pillows. He lives alone and gets meals delivered by a local organization.Past Medical HistoryRA for 35 years, affecting hands, feet, knees, hips, and cervical spineSystolic hypertensionPresbycusisMedicationsIbuprofen, 600 mg three to four times per day as neededMethotrexate, 7.5 mg weeklyAtenolol, 25 mg dailyHydrocodone/acetaminophen, 5 mg/500 mg every 6 hours as needed for painPhysical ExaminationHeight: 71 inches; weight: 160 lbs.; BMI: 22.3; blood pressure: 162/60; pulse: 84; respiration rate: 16; temperature: 98.6 °FWell-developed, well-nourished elderly male in no distress; paleLungs: bibasilar ralesHeart: regular rate and rhythm, grade 3/6 systolic murmur, audible S3; positive carotid bruit on the leftAbdomen: no masses, nontenderRectal: prostate 3+ enlarged, hemoccult negative brown stoolExtremities: marked ulnar deviation of MCP and IP joints in both handsLabs and ImagingHemoglobin: 8.9 g/dLMean corpuscular volume (MCV): 80 fLWhite blood cell count: 10.7 × 109/LPlatelets: 250,000/LReticulocyte count: 0.8%Ferritin: 415 mcg/LElectrocardiogram: no acute findings; some evidence of left ventricular hypertrophyDiscussion Questions1.What is Enzo’s diagnosis?2.What is the underlying pathophysiology of Enzo’s condition?3.What is the best therapeutic approach to the treatment of Enzo’s condition?Instructions:1. A minimum of 1 paragraphs per question is required.2. References must be cited in APA format 7th Edition, and must include minimum of 2 different scholarly resources published within the past 5 years.23 days ago10.06.202513Report issueBids(55)Dr. Ellen RMMISS HILLARY A+Dr. Aylin JMProf Double Rfirstclass tutorsherry proffMUSYOKIONES A+Dr ClovergrA+de plusSheryl HoganPROF_ALISTERpacesetters2121ProWritingGuruIsabella HarvardBrilliant GeekWIZARD_KIMAshley EllieLarry Kellyabdul_rehman_miss AaliyahShow All Bidsother Questions(10)Case Study 1: Requirement Analysis and Gathering for the State Firefighters AssociationsummaryQuestion 19.716-18CIS case study 1Assignmentresponse 2a ywJAN 15TH ESSAYDiscussion – Explain of Conclusions of Two Meansessay

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