Cardiovascular System

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Home>Homework Answsers>Nursing homework helpLM is an 89-year-old female resident of a long-term care facility who has been experiencing multiple falls, some resulting in injuries such as bruising and skin tears. Over the last 6 months, her ambulation status has declined from independent to wheelchair level. She complains of pain in her legs when walking more than short distances across the nursing unit.PMH:HTNAlzheimer’s diseaseHypothyroidismOsteoarthritisDiabetesMEDICATIONS:Amlodipine 10 mg QDDonepezil 10 mg QHSLevothyroxine 0.88 mg QAMCelecoxib 200 mg QDFurosemide 40 mg QAMMetformin 500mg, 1 BIDGlyburide 5mg, 1 BIDALLERGIES:NKASOCIAL HISTORY:Widowed with 2 adult children living in town, retired photographer and owner of an art supply storeVITALS:LABS:Weight: 129 lbs                                   TSH 2.45         Free T4 0.98Height: 64 inches                                Na 135, K+ 3.8, Cl 99, CO2 25,BP: Supine = 177/82                           Glucose 101, SCr 0.9, BUN 42HR: 78 bpm                                         WBC 7.0, RBC 4.5, Hgb 11.9, Hct 34.1Plt 255Cr: 1.6 UA: CleareGFR: 45 ml/minPE:HEENT: Normocephalic, no evidence of trauma, PERRLA, EOMI, Dry mucous membranesCV: RRRRespiratory: Clear to auscultation bilaterallyAbdomen: Soft, non-tender, no masses or guardingG/U: Skin intact, assisted with toileting and personal hygiene by staffExtremities: Bilateral 2+ edema to lower extremities; skin dry, dark bruising and skin tear to right elbow and forearmNeuro: Alert and oriented to person only. MMSE 18/30, stable over last 12 months.PAIN ASSESSMENT:Faces pain scale: No pain occurs at rest, upon walking, pain is moderate to severe2- to 3-page and following: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 improvementReferences x 3 including :Rosenthal, L. D., & Burchum, J. R. (2021).Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants(2nd ed.) St. Louis, MO: Elsevier3 years ago08.06.202210Report issueAnswer(1)sherry proff4.9(1k+)5.0(80)ChatPurchase the answer to view itNOT RATEDPHARMACOTHERAPY.docx3 years agoplagiarism checkPurchase $10Bids(80)MISS HILLARY A+PROF_ALISTERProf Double Rfirstclass tutorDr. Sarah BlakeMUSYOKIONES A+sherry proffFiona DavaJudithTutorProf. KimDr CloverAshley EllieEmma BuntonColeen AndersonDiscount AssignBrilliant GeekWIZARD_KIMDr. Adeline ZoequerubohLarry Kellyother Questions(10)CalculusAssignment 2: Externalitiesargument essaypro Lexi only pleaseVisual basic modelsAttackFIN 419 Week 1 Limited Liability Corporation, Limited Liability Partnership, Corporation PaperMarket Position AnalysisWeek 3 discussion 2US History homework set

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