Module 11/12
- Due No Due Date
- Points 100
- Submitting a file upload
Read the assigned chapters in your text. Complete the case study below and submit via this assignment tool. Your final write up should be submitted as single document, submitted as a “Word” or “PDF” document. The submission is limited to 6 pages (title page, no more than 4 pages body of paper, and a reference page). Remember brevity is the key…Clear & Concise. The grading rubric for this assignment is attached to this assignment. It should be noted that use of APA style is expected. If you are not familiar with APA style, refer to a reference (APA manual or web-based source such as Purdue OWL Links to an external site.). Remember that according to APA style every source cited in text must appear on the reference list and vice versa; so, no more listing in one place but not the other. There is a specific APA title page and reference list… use them to ensure that these points are not lost.
Generally speaking use of headings is a really good idea. If I may suggest the following for a template when completing case study assignments in this course: INTRODUCTION: this section will include the analysis of the case presented to you (remember you’ve been given the diagnosis, you just have to figure out what’s likely going on at this point of contact and layout a reasonable plan—supported by evidence of course); next use the rubric for a guide to minor headings: Pharmacokinetics/Pharmacodynamics…. Dosing/Cost/Other Economic Considerations… Follow up/Evaluation Plan. This is just a suggestion based on how my brain works but hopefully you get the idea. Using a process similar to this helps ensure content coverage and aids in clear and concise presentation of thought.
Assignment Instructions
Case Study: Joe Clark is a 56 year old male who presents with a complaint of feeling tired, hungry and increased urination for the past month. He smokes one PPD and has a history of hypertension that is well controlled.
Patient is in a fasting state. He takes Accupril 40mg po daily and an occasional baby aspirin. He denies dizziness, chest pain, or shortness of breath. He has been under increased stress at work.
He denies a family history of diabetes.
Assessment Data: Physical examination Vital signs: BP 128/80; HR 82 regular; T 98.6 Weight: 225lbs; Ht 5'10", BMI 33 General-alert, cooperative HEENT: normal finding, thyroid is not tender and non-enlarged Chest: S1 S2; no murmurs. Lungs clear. Abdomen: soft and non-tender, no organomegaly Extremities: no swelling |
Laboratory Data CBC within normal limits FBS 254 Hemoglobin AIC 9.5 BUN and Creatinine wnl Urine 3+ glucose, negative ketones Total cholesterol 220, HDL 42, LDL 140, triglycerides 210 TSH: elevated at 9.45 Diagnosis Uncontrolled Type II Diabetes, Hyperlipidemia, and hypothyroidism |
may use a child with type 1 diabetes and thyroid disorder; do not need to address lipids
Using this information respond to the following:
What pharmacological agent(s) will you prescribe for this patient?
Be specific if outlining your prescription. Don’t select a class of medication and provide a laundry list of possible selections but rather pick a medication. Provide the rational for the chosen agents.
Discuss the pharmacokinetics & pharmacodynamics of this/these drug(s)
Discuss absorption, distribution, metabolism and excretion of the drug (Include detail regarding the half-life and binding sites)
What is the correct dosage and frequency for this patient?
Discuss dosing, cost and other economic issues
Discuss non-pharmacological therapies will you include in your plan of treatment?
Discuss how you will follow-up with this patient?
Rubric
The grading rubric for this assignment is attached.
- Content Coverage is worth 80% and includes pharmacodynamics (selected agents clearly identified, appropriate, EB rational provided) and pharmakinetics (absorption, distribution, metabolism, excretion); dosing, cost & other economic issues identified; non-pharmacological therapies discussed; follow-up/evaluation plan discussed.
- Scholarliness is worth 20% and includes APA style; spelling & grammar.