Case Study Musculoskeletal System

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Home>Homework Answsers>Nursing homework helpipCase Study Musculoskeletal System6 months ago07.01.202512Report issuefiles (1)PharmCaseStudyMusculoskeletalSystem.docxPharmCaseStudyMusculoskeletalSystem.docxMusculoskeletal SystemPlease use the following Case Studies to complete your AssignmentDirections: For each of the scenarios below, answer the questions below using clinical practice guideline where applicable. Explain the problem and explain how you would address the problem. If prescribing a new drug, write out a complete medication order just as you would if you were completing a prescription. Use at least 3 sources for each scenario and cite sources using APA format.SCENARIO 1Buspirone has a half-life of approximately 2 hours. If a patient takes 15 mg at 8 am, what will the blood level be at 2 pm? Can buspirone be given as an adjunct to antidepressant therapy? Name 3 antidepressants you might prescribe for patients with co-existing depression and anxiety (include complete medication orders) and include patient monitoring.SCENARIO 2What are the errors (6 total) in the following prescriptions? Rewrite each prescription correctly.methylphenidate (Concerta) 5 mg BID before breakfast and lunch #60 1 refillpegloticase (Krystexxa) 8 mg IV infusion once per month #1 0 refillUbrelvy 200 mg po prn onset of migraine #12 1 refillalprazolam (Valium) 0.5 mg po TID #90 0 refillzolpidem 10 mg qhs #30 6 refillsSCENARIO 3Patient TL is experiencing symptoms of daily leg muscle weakness and feet cramping at night. He is currently on metformin 1000 mg po BID, Invokamet 50/500 mg BID with meals, atorvastatin 40 mg po daily and atomoxetine 40 mg po daily. Blood pressure is 118/78 and labs include: BG 90 mg/dL A1c 4.5% sCr 0.9 mg/dL eGFR 101 mL/min/1.73 m² total cholesterol 181 mg/dL LDL 95 mg/dL HDL 57 mg/dL TG 146 mg/dL B12 150 pg/mL CK 505 U/L What is your working diagnosis? What would you prescribe for TL and how would you improve his treatment? What would you monitor?SCENARIO 4When a person uses nicotine, it causes temporary feelings of relaxation and well-being. Nicotine binds to nicotinic receptors in the brain, augmenting the release of numerous neurotransmitters. Name at least three of these neurotransmitters. Patients may self-medicate ADHD, anxiety and depression by smoking. Is there a medication that could treat ADHD, anxiety, depression and provide smoking cessation? Write a complete medication order for this medication. Does the patient need to quit smoking before starting treatment?Grading CriteriaApplicable to all Scenarios:· Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.· Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.· Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.· References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.PharmCaseStudyMusculoskeletalSystem.docxMusculoskeletal SystemPlease use the following Case Studies to complete your AssignmentDirections: For each of the scenarios below, answer the questions below using clinical practice guideline where applicable. Explain the problem and explain how you would address the problem. If prescribing a new drug, write out a complete medication order just as you would if you were completing a prescription. Use at least 3 sources for each scenario and cite sources using APA format.SCENARIO 1Buspirone has a half-life of approximately 2 hours. If a patient takes 15 mg at 8 am, what will the blood level be at 2 pm? Can buspirone be given as an adjunct to antidepressant therapy? Name 3 antidepressants you might prescribe for patients with co-existing depression and anxiety (include complete medication orders) and include patient monitoring.SCENARIO 2What are the errors (6 total) in the following prescriptions? Rewrite each prescription correctly.methylphenidate (Concerta) 5 mg BID before breakfast and lunch #60 1 refillpegloticase (Krystexxa) 8 mg IV infusion once per month #1 0 refillUbrelvy 200 mg po prn onset of migraine #12 1 refillalprazolam (Valium) 0.5 mg po TID #90 0 refillzolpidem 10 mg qhs #30 6 refillsSCENARIO 3Patient TL is experiencing symptoms of daily leg muscle weakness and feet cramping at night. He is currently on metformin 1000 mg po BID, Invokamet 50/500 mg BID with meals, atorvastatin 40 mg po daily and atomoxetine 40 mg po daily. Blood pressure is 118/78 and labs include: BG 90 mg/dL A1c 4.5% sCr 0.9 mg/dL eGFR 101 mL/min/1.73 m² total cholesterol 181 mg/dL LDL 95 mg/dL HDL 57 mg/dL TG 146 mg/dL B12 150 pg/mL CK 505 U/L What is your working diagnosis? What would you prescribe for TL and how would you improve his treatment? What would you monitor?SCENARIO 4When a person uses nicotine, it causes temporary feelings of relaxation and well-being. Nicotine binds to nicotinic receptors in the brain, augmenting the release of numerous neurotransmitters. Name at least three of these neurotransmitters. Patients may self-medicate ADHD, anxiety and depression by smoking. Is there a medication that could treat ADHD, anxiety, depression and provide smoking cessation? Write a complete medication order for this medication. Does the patient need to quit smoking before starting treatment?Grading CriteriaApplicable to all Scenarios:· Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.· Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.· Written medication orders include all 5 aspects required for a valid order. 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