Symptoms And Treatment Of Samuel

The author read Mrs. X’s medical notes prior to their initial consultation to afford herself the knowledge she required should she need to prescribe for her when fully qualified. It was evident from reading her medical notes that there were a few considerations to take note of before commencing any treatment, such as her medical history, drug history and allergies. Her past medical history consisted of Type 2 diabetes mellitus, which was diet controlled, hypertension, hypercholesterolaemia, neuropathy, rheumatoid arthritis and raynauds syndrome.

| 1. Fluticasone/salmeterol(Advair) diskus 1 puff every12 hours2. Albuterol (Ventolin) MDI2 puffs every 4 hours prn3. Lisinopril (Prinivil) 10 mg po daily4. Gemfribrozil (Lopid) 600mg po bid5. Diazepam (Valium) 2.5 mg po every 6 hours asneeded6. Triamterene-HCTZ (Dyazide) 1 tab daily

The pharmacist must offer to discuss the unique drug therapy regimen of each Medicaid recipient when filling prescriptions for them. Each patient must be made an offer to be counseled by the pharmacist. The items to be addressed include, the name of the drug, intended use of expected action, common side effects and their avoidance, techniques for self-monitoring, proper storage, potential drug-drug or drug-food contraindications, refill

NH hospitalization record reveals a medical history of a non-injurious stroke, numerous episodes of sickle cell crisis, acute chest syndrome and chronic asthma. NH is prescribed a daily regimen of medications including a daily dose of 15,00 mg hydroxyurea, 1 mg folic acid for his SCD and 44 mcg of inhaled fluticasone for his asthma. Currently, while suffering from sickle cell crisis, NH is prescribed oxycodone 5mg, Toradol 21 mg IV solution, acetaminophen, and morphine as well as a continuous IV drip of D5 ½ NS, KCL. Due to the opioids and level of pain NH has endured the last 4 days (since beginning of crisis) he is exhausted and considered a fall risk due to his fatigue and reports that he naps off and on throughout the day and only gets out of bed to use the

Sarah Jennings is a 45 years old female, 5 feet 6inches tall, 130lbs. Today she came in to see Dr. Wallace for 3-month appointment. She has been diagnosed with hypertension, diabetes, and cholesterol. Due her cholesterol medication she was asked to come in to get her liver function checked. During her visit today she mentioned to the doctor she has had knee pain for the past few days. It started after she tripped while hiking last week. Sarah also suffers with bipolar disorder, but she has been doing well with the anti-depressant she is on. She is a very sweet, tiny, determined lady who is trying her best to keep up with all her health issues. She has changed her diet and has been good with exercising daily.

D-The patient reports she is stable on her current dose and haven't experienced any withdrawals and/or cravings. The patient further mentioned that work is going okay, but still exploring other job opportunities. This writer provided positive feedback towards the patient's recovery process. In addition, the patient reports she has to do a pneumonia test as it was suggested by her PCP today. This writer requested for the patient to detailed if she's experiencing any symptoms and would like to consult with the clinic medical doctor. Based on the patient, she reports she was experiencing some backaches, but now, feels okay. During the remainder of the session, the patient discussed her plans for the Easter holiday and also shared with this writer that today is her son birthday.

Citalopram HBR 20mg (1x daily), Clonazipam 2mg (1x daily), albuterol (as needed), Ventolin (as needed), ondonsetronorally disintegrating tablet 8mg (as needed), ibuprofen 800mg ( as needed), Benadryl 25mg ( as needed) fluticasone propronate 50mg 1 daily.

She reported feeling sleepy, abdominal pain, and muscle weakness. It was noted that she was seen by an MS doctor and was told that her current symptoms were not an MS flare up. She had hyperthyroxinemia symptoms that include palpitations, anxiety, fatigue, weight loss, and abdominal pain. Her blood pressure was 196/118. Thyroid testing dated 08/04/2017 showed elevated levels of total T3 at 295, thyroxine at 18.7, and T4 free at 2.64 with a low TSH at <0.005. She was diagnosed with Graves disease, hyperthyroidism, abnormal TSH, and abnormal thyroid test and thyroid uptake. Methimazole was

Patient A.S. is 87-year-old female with a diagnosis of Acute onset chronic systolic heart failure, Afib, CHF, and hypothyroidism. She has a past medical history of Hypertension, diabetes mellitus, CAD (Stent 2001). The patient was admitted to Lutheran Augustana Center on January 4, 2016 and was evaluated for therapy on January 5, 2016. Her current medications include Albuterol and Ipratropium via nebulizer to address shortness of breath. A combination of drugs to treat the symptoms of congestive heart failure and other comorbid diagnosis include: Eliquis, Furosemide, hydralazine, and metoprolol. Other medications include Synthroid to treat hypothyroidism, Tradjenta for hyperglycemia, and Zocor for hyperlipidemia. The patient also presented with skin problems. She has bilateral ecchymosis in her lower extremities and abdomen. Lotrisone lotion was prescribed for atopic dermatitis. Edema was also present in her lower extremities.

We talked about the importance of maintaining his medication regimen. I have encouraged him in the future, if he is having any problems with the pharmacy to contact us immediately to assist him and I did write him a refill of his atorvastatin to restart that at 20 mg daily #30 with no refills. At that point, he will be with his new physician and can have his blood work done with them for the lipids and the liver function testing. He does have a lab slip given to me at his last visit for a recheck so that if he does have his visit with her changed in early August, he could do labs for me and I can notify him about any changes that need to be made. He is to continue with his Coumadin. We had a very long discussion about the fact that he has not had his INR drawn as recommended. I reviewed the risks associated with INR value that is too low, as well as an INR value that is too high. He assured me that he would do the INR either today or tomorrow and he knows to contact me within 24 hours of doing the testing if he has not already heard about the result in the meantime. I emphasized the absolute importance of this. He will continue to monitor for any worsening neurologic deficits. Any concerns, he will call 911 and be seen immediately at the

The offender returns to clinic today for a number of issues. 1. Diabetes mellitus type 2: This has been well controlled on oral metformin and the patient reports that she has no concerns in this regard. Last hemoglobin A1c was 5.9 about a month ago and all other labs within normal limits except for a quite high LDL at 171. She has not been on cholesterol-lowering therapy in the past. In addition, her TSH was very slightly elevated at 4.740 which can be considered the upper limit of normal. She has not noticed any significant constipation, excessive fatigue, or cold intolerance but she has had continued trouble with weight gain and thinks she may benefit from some low-dose thyroid replacement. 2. Chronic low back pain: At

The patient is upset that his dose was decrease and at first, struggled with the

Medications: Amantadine 50mg BID, Trazadone HS,Intuniv ER 3mg. 1tab PO. Hs, Remeron 15mg 1 tab P.o Hs, Risperdal 0.1 tab BID, Vyvanse 40mg 1 cap, Po QAM, Loratadine 10mg tab,Flovent Inhaler, DDVAP 01mg QOD and Pediasure 006g.

The review and assessment determined that medications were appropriate and consistent with his current health conditions.

The chair creaked as Mr. M. leaned back with his hands to his chin, his face betraying his surprise at finding out this new information. Two months prior, he was told that he was statin intolerant. This diagnosis was supported by his reports of muscle cramps and an elevated CK level on routine labs. In accordance with the research protocol, for which I was the lead coordinator, his statin therapy was discontinued, yet curiously his symptoms remained. I was not convinced that statin intolerance was the culprit behind Mr. M’s woes. Bits and pieces of information surfaced during his visits eventually prompting my decision to request a thyroid panel on his behalf. In one visit he revealed in jest his struggles with constipation. In yet another follow-up visit he reminisced on his past as a bodybuilder and maintained that his recent 20 lbs. weight gain was to be blamed on his wife’s wonderful cooking. It came as no surprise that Mr. M’s Thyroid panel revealed an elevated TSH and an almost non-existent T3 and T4 levels, a formal diagnosis of Hypothyroidism was later determined by an endocrinologist. I had gotten to know Mr. M over a matter of months, eventually finding the root of Mr. M’s problems still remains a powerful source of gratification. Though Mr. M constantly dismissed and underplayed his symptoms, the true state of his health was eventually gleaned from casual conversation. I often ponder as to how long Mr. M would go untreated where it not for an intimate and