CASE ANALYSIS Case: An 81 year old female brought in by her son for a medication evaluation. Her medical history includes the following: HTP DM 2 HEADACHE URINARY INCONTINENCE GERD OA (OSTEOARTHRITIS) OP (OSTEOPOROSIS) DEMENTIA, NEUROPATHIC PAIN Recently diagnosed with Dementia. She has been taking Ditropan (oxybutynin) for 6 months. She is supposed to take ASA for prohylaxis, but she decided to take it for pain. She has been taking Alendronate for the pas 6 years. No fractures Today her main complaints include increased agitation, urination, loose stools, nausea and muscle pain especially in the legs which she attributes to old age. ALLERGIES: Metformin her medication list: Docusate 100mg bid Amitryptyline 10mg qhs Losartan 25mg qday Oxybutin 5mg tid Gabapentin 300mg qhs Donepezil 10mg qday Pravastin 40mg qhs Tramadol 50mg TID prn pain Pantoprazole 40mg qhs Alendronate 70mg week Lantus 25 Units qhs Vitamin D 2000IU qday Novolog per sliding scale ASA 325mg 2-4tabs qday for pain B complex 1 qday Januvia (Sitagliptin) 100mg qday Compazine (Prochlorperazine) 10mg 1 tab prn nausea Selected Vitals/Labs Vitals BP 150/80; HR 56 ht 5'6; WT 15lbs Labs Cr 1.0 mg/dl K 4.0 Glu 150 B12 250 A1C 7.0 Lipid panel: Chol: 140; TG 190; HDL 90 Please perform drug interaction and analyze Identify potential for a drug interaction VS actual occurence

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6th Edition

ISBN:9781337660549

Author:GREEN

Publisher:GREEN

Chapter18: Cpt Medicine

Section: Chapter Questions

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CASE ANALYSIS

Case:

An 81 year old female brought in by her son for a medication evaluation. Her medical history includes the following:

HTP
DM 2
HEADACHE
URINARY INCONTINENCE
GERD
OA (OSTEOARTHRITIS)
OP (OSTEOPOROSIS)
DEMENTIA, NEUROPATHIC PAIN

Recently diagnosed with Dementia. She has been taking Ditropan (oxybutynin) for 6 months. She is supposed to take ASA for prohylaxis, but she decided to take it for pain. She has been taking Alendronate for the pas 6 years. No fractures

Today her main complaints include increased agitation, urination, loose stools, nausea and muscle pain especially in the legs which she attributes to old age.

ALLERGIES: Metformin

her medication list:

Docusate 100mg bid
Amitryptyline 10mg qhs
Losartan 25mg qday
Oxybutin 5mg tid
Gabapentin 300mg qhs
Donepezil 10mg qday
Pravastin 40mg qhs
Tramadol 50mg TID prn pain
Pantoprazole 40mg qhs
Alendronate 70mg week
Lantus 25 Units qhs
Vitamin D 2000IU qday
Novolog per sliding scale
ASA 325mg 2-4tabs qday for pain
B complex 1 qday
Januvia (Sitagliptin) 100mg qday
Compazine (Prochlorperazine) 10mg 1 tab prn nausea

Selected Vitals/Labs

Vitals

BP 150/80; HR 56

ht 5'6; WT 15lbs

Labs

Cr 1.0 mg/dl

K 4.0

Glu 150

B12 250

A1C 7.0

Lipid panel: Chol: 140; TG 190; HDL 90

Please perform drug interaction and analyze

Identify potential for a drug interaction VS actual occurence

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