1. Drug- or disease- related problem to presentation and current drug therapy for the problem are:
- Stopped taking hormone replacement therapy medications, hot flashes, high blood pressure, high cholesterol level, family history of breast cancer and heart disease. Current drug therapy for hot flashes according to the table 18.1 is Premphase, which is a conjugated estrogen medication. Ask the patient to get back to taking hormone replacement therapy medication if it was found there were no other alternatives. For treatment of high blood pressure and heart disease, there is hydrochlorothiazide and metoprolol tartrate. Lipitor is use to treat high cholesterol level.
2. Goals of pharmacotherapy for this patient are to cure and to manage the
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Other alternatives are diuretics, beta-blocker, and calcium channel inhibitors. Eating healthy diets, go on aerobic exercises and herbs such as garlic, hawthorn, and French lavender. Garlic can increase the risk of bleeding. Hawthorn should not be use in high dose, which lead to toxicity.
-High cholesterol level is currently being treated by Lipitor. Other alternatives are to go on exercises, use artichoke leaf extract, red yeast rice and guggulipid (gum resin of mukul myrrh tree). Artichoke should not be taken if you have bile condition. Red yeast rice should not be use if you have liver damage. Guggulipid should not be use if you experience allergic reaction and not exceeding over 6000mg/ a day.
-Heart disease is currently being treated by metoprolol tartrate. Other alternatives are to stop smoking if you are a smoker, change to a healthier life style with no added sugar in your diet, to do surgeries, or to take herbs like coenzyme Q10, omega-3-fatty acid, and green tea. Coenzyme q10 should not be taken if you have respiratory problem. Omega-3-fatty acid should not be taken if you have bleeding problem. Green tea should not be taken if you have sleeping
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8. Monitors that can be use on this patient around the pharmacy is the heart rate, and high blood pressure monitor machine. Pharmacist should recommend the blood pressure monitor, continuous glucose monitor to the patient to help check the signs regularly.
9. Nondrug therapies or lifestyle modifications might be useful in managing the patient’s problem is to start exercising more, eat with a better diet that is rich in variety of vegetables and
3. KH’s hypertension is not adequately controlled. What other intervention might be considered? The other interventions are if there is no well treatment of couple of things, I think there would be damage to the heart, arteries and that could be a heart attack, heart disease, stroke and more.
Statins are also another type of medication prescribed if you have a high blood cholesterol level, this lowers cholesterol. This medicine blocks the formation of cholesterol and increasing the number of LDL receptors in the liver, which helps remove the LDL cholesterol from your blood. This helps slow the progression of CHD, and will make having a heart attack less likely. However, not everyone is suitable for this medicine.
6. Based on the cell biology, what options do you have to treat the disorder?
any kind of self treatment. Do not administer any dose of mentioned drugs in this reference guide without
Well written paper on beta blockers in controlling hypertension. In my experience, I had seen more than 80% of patients are prescribed with antihypertensive drugs in their medical chart. A beta blocker is one of the most common drugs in a geriatric setting especially atenolol. Beta blockers are the standard of therapy for many cardiovascular conditions and it is the main line of treatment in decreasing risk of stroke. According to Ladage, Schwinger, and Brixius (2013) beta blocker was more effective in decreasing mortality and morbidity rate in acute coronary syndrome patients. Atenolol is a water soluble and had longer half-lives with non-metabolized actions and excreted via the kidneys (Ladage et al., 2013). The exercise capacity increases in patients who are on beta-blockers, like bisoprolol, nebivolol, carvedilol (Ladage et al., 2013). A recent meta-analysis study showed patients who are untreated with hypertension, they are at risk of developing chronic kidney diseases, cardiovascular complications, and cerebrovascular complications (Butt & Harvey, 2015). In one study, mainly geriatric population who are taking atenolol had shown greater mortality rate and increase arterial pressure (Testa et al., 2014).
It is very important to determine if medical intervention with medication is needed to control his blood pressure. The blood pressure should be monitored after discontinuing the pseudoephedrine and implementing nonpharmological methods. Some nonpharmological methods involve increasing their exercise, losing weight, and limiting their sodium intake. If the blood pressure is not able to be controlled an antihypertensive medication may need to be implemented. A first line medication should initially be started to help control his blood pressure. There are different types that can be used. Some of these comprise of a thiazide diuretic or an angiotensin converting enzyme (ACE) inhibitor. The patient should first be started on a low dosage of these
Lastly, there may be a cure that may be invented to help out the patients condition or
contribute to the cause of this disease such as family history or age.. Many treatment options are
The strain between Americanism and Jewish cultural identity is manifested throughout the Krichinsky family in the 1990 film Avalon. While the Krichinsky family is not portrayed as explicitly Jewish in the film, their cultural identity is reflected in their Jewish roots, and one of the strongest aspects of this is in community bonds. Judaism as a religion and as a culture focuses more strongly on family and personal relationships than on the individual. “A large part of Jewish law is about the relationship between man and his neighbors” (Rich). Conversely, the foundations of America were created on independence from Britain, and American identity puts a great deal of respect and importance on self-reliance. While in American culture this
In addition, progressive form resist drugs that are used to treat this form of a disease (6).
Atacand HCT (Candesartan celexetil-hydrochlorothiazide) was developed for patients who were unsuccessfully treated with single antihypertensive agents. The proposed benefit is elicited by the drugs action on angiotensin II receptor antagonists, the agent that causes vasoconstriction. Additionally the second ingredient hydrochlorothiazide a diuretic reduces blood pressure by improving the kidneys ability to eliminate salt and fluid from the body (www.centerwatch.com).
Mrs. L stated that she takes Baby Aspirin daily, two Vitoran pills for blood pressure, pills for high cholesterol, fish oil, and extra Vitamin B. She did not mention any adverse effects the medications had on her.
Influenza is a homeostatic imbalance of the respiratory system that is of a changing strain each season. This disease is common, easily infection many people each day. Influenza onset is sudden, and each case can be either severe or mild. Epidemics of influenza began in the 1500s and still occur to the present day. Influenza is likely to infect more parts of the body than the common cold, and it is a highly contagious disease. By studying influenza, one can find the history dating centuries in the past, the onset of the disease, how it is transmitted, its impact, the role of genetics, and treatment of the disease.
Fish oil provides omega-3 fatty acids which help reduce inflammation that can cause harmful clotting, reduce high triglycerides that can lead to fatty liver, reduce the risk of clogged arteries after angioplasty or bypass surgery, lower your risk for an irregular heartbeat, lower blood pressure and reduce your risk for stroke. You must take caution if you are pregnant or nursing, or taking medication, facing surgery, have bleeding problems, undergoing any other treatment which may affect the ability of blood to clot, consult your physician before taking this product. The routine recommended daily amount of fish oil is two1200mg soft gels daily with meals. Red Yeast rice reduces cholesterol levels. It contains HMG-CoA reductase inhibitors, the same active ingredient as statin drugs such as lovastatin, red yeast also contains sterols, is flavones and monounsaturated fatty acids, all ingredients that provide additional heart protection. Hundreds of research studies suggest that vitamin D can help prevent everything from osteoporosis to autoimmune disorders, cardiovascular disease, cancer, and much more. Vitamin D can boost your health and help to keep your heart health. The routine recommended daily intake of vitamin
The purpose of this assignment is to study the finance sources available to a company. Here according to the assignment requirement, we have to select a British public company to study the available sources of finance from where the firm collects its capital requirement. Following the guidelines we have to analyze various sources with their potentiality and then we make viable analysis of Cash and sales budget. Here some salient financial ratios are employed for the purpose of analyzing the financial statement of the company.