Question: Sara is a 45-year-old female presenting for her annual exam. Her blood pressure today is 160/90 HR 84 RR 16. Her height is 64 inches .......

Below are the scenario cases:

Directions: 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 eachscenario and cite sources using APA format.

1. Sara is a 45-year-old female presenting for her annual exam. Her blood pressure today is 160/90 HR 84 RR 16. Her height is 64 inches and her weight is 195. Her last visit to the clinic 3 months ago shows a BP of 156/92. She is currently takingibuprofen 600 mg tid for back pain. She has no known allergies. What is the goal for her blood pressure? What medication would you prescribe to treat her blood pressure? What education would you prescribe?

2. Monty is a 52-year-old male following up on his labs that were drawn last week.He smokes 1 pack per day. He is currently on Lisinopril 20 mg po daily. He is allergic to penicillin. Fasting lipid profile shows total cholesterol 266, LDL

cholesterol 180, HDL cholesterol 40, and Triglycerides 185. What treatment plan

would you implement for Monty’s lipid profile? What is the goal Total Cholesterol

(TC), HDL-C, and LDL-C level for Monty? How would you monitor the

effectiveness of your treatment plan? How many risk factors for coronary artery

disease does this patient have?   Identify them specifically.

3. Beatrice is a 17-year-old female diagnosed with mild persistent asthma since age. During her visit today, she reports having to use her albuterol MDI 3 to 4 days per week over the past 2 months. Over the past week she has been using

albuterol at least once per day. She reports being awakened by a cough three

nights during the last month. She is becoming more short of breath with exercise.

She also has a fluticasone MDI, which she uses “most days of the week.” Her

current medications include: Flovent HFA 44 mcg, two puffs BID, Proventil HFA

two puffs Q 4–6 H PRN shortness of breath, Yaz one PO daily, Propranolol 80

mg PO BID. What treatment plan would you implement for this patient? What

medication changes would you make? How would you monitor the effectiveness

of this plan?

4. Daute is a 56-year-old man seeking evaluation for increasing shortness of

breath. He noticed difficulty catching his breath about 3 years ago. Physical

activity increases his symptoms. He avoids activity as much as possible to

prevent any SOB. His previous physician had placed him on

salmeterol/fluticasone (Advair Diskus) one inhalation twice daily 2 years ago. He

thinks his physician initiated the medication for the shortness of breath, but he is

not entirely sure. He did not refill the prescription and has not been taking it.

Pertinent history – Chronic bronchitis X 8 years with one exacerbation in last 12

months of treatment with oral antibiotics. He has a 40-pack-year smoking history.

What treatment plan would you implement for this patient? What medication(s)

would you monitor the effectiveness of this plan?