Olivia is a 16-year-old biracial female.
Q1. Assessment Description
Olivia is a 16-year-old biracial female. She reports feeling down and depressed nearly every day for the past 2 weeks. She has also withdrawn from drama club, an extracurricular activity that she previously enjoyed. She denies any recent losses or being bullied but feels that her ability to concentrate has decreased. Her mother shares that Olivia is spending more time sleeping or napping alone in her room, seems sullen and withdrawn and irritable when she does interact with family. Olivia’s mother notes that Olivia’s appetite has declined and that Olivia remarks that she is not hungry with most meals. Olivia’s mother tells the provider that Olivia does not seem interested in most of her usual activities or her phone. Olivia comments to the provider that she feels that her family and friends would be better off if she \”weren’t around.\” She denies thoughts or plans of hurting herself or others.
Select a first-line medication, based on tolerability and low side effect profile, for the treatment of her severe depression. Please include the available evidence and treatment guidelines. Share the mechanism of action of this medication and hints for monitoring, side effects, and drug interactions, including interactions with CAM. Identify an additional (possibly off-labeled) use of the medication not related to depression or psychosis. Discuss evidence and treatment guidelines to determine appropriate therapeutic options for this patient. Include the name of the medication in the subject line so that the medications can be followed. Include references using APA format.
Medication selected- Fluoxetine
Q2.Assessment Description
Joe is a 68-year-old Caucasian male who presents for assistance with tobacco cessation. He began smoking when he was 12 years old. He smoked 2 packs per day until last year when he began reducing the number of cigarettes he smokes per day. He is currently at 8 cigarettes per day. He smokes when he gets up in the morning, with coffee, after breakfast, midmorning, after lunch, midafternoon, after supper, and before bed. He states that the cigarettes help him focus. He describes that abrupt cessation creates increased craving, irritability, increased hunger, and anxiety.
Select a Nicotine replacement therapy or medication that is used for nicotine dependence. Please include the available evidence and treatment guidelines. Share the mechanism of action of this medication and hints for monitoring, side effects, and drug interactions, including interactions with CAM. Identify an additional (possibly off-labeled) use of the medication not related to depression or psychosis. Include the name of the medication in the subject line so that the medications can be followed. Include references using APA format.
Medication selected- Nicotine Patch
Q3.Assessment Description
Lorraine is a 64-year-old African American female who has been monitoring her blood pressure at home. She brings a log of home readings with the following ranges: 150-222/102-88. Her blood pressure in the office today is 160/92. She has her BP monitor with her and the reading on the monitor is similar to today\’s office reading. She states that she has swelling in both ankles at night, but the swelling usually resolves overnight. She wears compression hose at work as she is on her feet for most of her 10-hour shift. She has no comorbid conditions and no known allergies at present . Her mother and sister have hypertension and encouraged Lorraine to seek care.
Initial treatment of an African American patient will be lifestyle changes and a diuretic. Choose a diuretic and discuss the mechanism of action, monitoring, and side effects. In addition, share a time when the use of this medication resulted in a positive or negative outcome in a patient for whom you were caring. Discuss evidence and treatment guidelines to determine appropriate therapeutic options for this patient. Include the name of the medication in the subject line so that the medications can be followed. Include references using APA format.
Medication selected- Hydrochlorothiazide
Requirements: 250- word question
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