13 May For this assessment, you will continue to manage Mr. Navarro from the Wk 2 Summative Assessment: Digital Fluency Report
For this assessment, you will continue to manage Mr. Navarro from the Wk 2 Summative Assessment: Digital Fluency Report. Use the most current evidence-based guidelines from the resources provided to you under Assessment Support to answer the questions within the case study.
Review the following case study:
Mr. Henry Navarro, a 62-year-old Hispanic male patient, is coming in to establish care with you today. He states that he is feeling well, but he has noticed some tingling in his feet and rashes in his private area. In obtaining his medical history, he reveals that he had a cardiac stent placed about 6 months ago, and he was given medications from his previous primary care provider and cardiologist. He ran out of his medications and does not remember what they were. However, he does remember that he was taking a blood thinner and something for high blood sugar, blood pressure, and cholesterol. He also started feeling depressed since he does not have energy and has lost interest in his usual activities. He has also noticed some productive coughing and shortness of breath (SOB) after exertion. He states that he has smoked cigarettes since he was 16 years old, and he continues to smoke one pack per day.
After a thorough physical assessment and a review of documents, you have gathered information about his following conditions:
Type 2 Diabetes: His last A1C was 7.2, and he is on metformin (500mg two tablets BID).
HLP: He is not on any medication now, and his last LDL was 102, HDL: 38, and Triglyceride: 212
HTN: He is not on any medication, and his blood pressure is running in 150s /100s.
Depression: He is not on any medications. He is feeling very depressed and wants medication to help him feel better. He denies any suicidal or homicidal ideation.
CAD: He was told to take a low dose aspirin once a day, but he is not taking it. He wonders if he should.
S/P Cardiac Stent Placement x 1: He was last seen by his cardiologist over 6 months ago. He was on a blood thinner, but he does not remember the name.
COPD: He was not diagnosed until he was hospitalized. He has an albuterol inhaler, but he is still feeling SOB. He asks if you can give him something to help with his cough and SOB.
Peripheral Neuropathy due to Type 2 Diabetes: He would like some medication to help with the tingling sensation and pain in his feet.
Review the clinical guidelines for HTN, HLP, and CAD.
Assessment Deliverable
Create a 5- to 6-slide Microsoft® PowerPoint® case study analysis presentation in which you develop a pharmacological plan, apply pharmacokinetics knowledge, and create a safety and monitoring plan. Include detailed speaker notes in your presentation. Note: The title and references slides do not count towards the overall slide count.
Based on the patient’s complex, multimorbid presentation, address the following in your presentation:
Develop a prioritized pharmacological plan.
Initiate appropriate treatments for HTN, HLP, and CAD.
Address medication safety and polypharmacy risk.
Apply pharmacokinetics knowledge.
Consider age, smoking status, hepatic metabolism, renal function (assume GFR 65 mL/min), and potential drug interactions.
Create a safety and monitoring plan.
Outline appropriate monitoring for newly initiated medication therapies.
Identify labs, follow-ups, and counseling the patient needs.
Use UpToDate located in the University Library to search for and locate the most current evidence-based guidelines to support your case study presentation.
Format your citations according to APA guidelines.
Submit your assessment.
Assessment Support
Review the grading rubric for guidance on deliverable expectations.
Review the following resources for writing guidelines and APA information:
Center for Writing Excellence
Reference and Citation Generator
Grammar Assistance
Use the following resources to research evidence-based care for any disease, disorder, or condition:
Medscape
UpToDate
American Association of Clinical Endocrinology (AACE)
American Diabetes Association (ADA)
American Heart Association (AHA)
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