learning material

• Woo, T. M., & Robinson, M. V. (2020). Pharmacotherapeutics for Advanced Practice Nurse Prescribers (5th ed.). F.A. Davis Company.
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Jeremy, age 55 white male, has come in for his annual physical. He has hypertension and type 2 diabetes mellitus. His blood pressure is controlled with lisinopril 20 mg daily and amlodipine 5 mg daily, NKA, and denied any hx of smoking.

His most recent HbA1c was 7.2% while taking metformin 500 mg twice a day. His father died at age 55 of a myocardial infarction, and his brother, age 57, just underwent angioplasty.

Jeremy eats fast food at least five times a week because of his work schedule. He weighs 245 lb and stands 5-foot-11. His fasting blood sugar is 213. His blood pressure is 134/80. His total cholesterol is 237 (LDL, 162; HDL, 35; triglycerides, 200).

1. Does Jeremy fall into any of the statin risk categories? If so, which one?

2. What drug therapy and dose would you prescribe, and why?

3. What are the parameters for monitoring the success of the therapy?

4. List one or two adverse reactions for the drug therapy that you prescribed for Jeremy that would cause you to change therapy. Provide rationale for your answer.

5. When rechecked, Jeremy’s total cholesterol is 174 (LDL, 100; HDL, 38), but he is complaining of muscle pain. How would you manage Jeremy’s treatment? Provide rationale for your answer.

6. When would you have patient follow up?

7. What labs would you order and why

Rubric

The writer demonstrates a well-articulated understanding of the case study subject matter in a clear, complex, and informative manner. The case study content and theories are well developed and linked to the course content, assignment requirements, and practical experience. The case study includes relevant material that fulfills all objectives of the assignment. 

Cites three or more references, using at least one new scholarly resource that was not provided in the course materials. all instruction requirements noted.

Through critical analysis, the submitted case study provides an accurate, clear, concise, and complete summary of the scenario. Information from scholarly resources is synthesized, providing new information or insight related to the context of the assignment by providing both supportive and alternative information or viewpoints. Includes all major and minor relevant risk factors based on standard preventative guidelines for age and gender and treatment/follow-up plans. all instruction requirements noted.

The summary of the case study provides validated information via scholarly resources that offer a multidisciplinary approach to the scenario provided.The student’s application in practice is accurate and plausible, and additional scholarly resources supporting the application are provided.all questions posed within the assignment are answered correctly in a well-developed manner, applying knowledge with citations for validation.Includes all relevant subjective and objective data; diagnostic testing; routine care to be provided; patient education; anticipatory guidance; review of previous diagnostics; and follow-up of acute concern and chronic health issues, etc.—based on assignment instructions.all instruction requirements noted.

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