Discussion Question 1
For these questions, amuse apprehend the afterward case abstraction and again acknowledge to the questions acclaimed below.
Ms. BD is a 33-year-old G2P1 African-American changeable who presents to your dispensary today accusatory of abnormal fatigue, nausea, and airsickness for the aftermost bristles days. She has a medical history of abiding hypertension (HTN) that was diagnosed anon afterwards her aboriginal abundance two years ago and GERD. MS. BD's claret burden is controlled on Lisinopril-Hydrochlorothiazide 20/12.5mg by aperture alert a day, and GERD controlled on Bismuth Subsalicylate 262mg by aperture every 6 hours as needed. During the interview, you apprentice that she is single, sexually active, has one accomplice and that her menses is ten canicule late. She performed a home abundance the three canicule afterwards missing her menstrual cycle, and the after-effects were inconclusive. She states she feels abhorrent and needs relief. She has no alternative medical problems, symptoms, or concerns.
Assessment: Physical assay is unremarkable. BP128/68, HR is 74, Urine animal chorionic gonadotropin (HCG) positive, beta HCG sent, potassium 4.2, blood
urea nitrogen (BUN) 14, creatinine is 0.6, Alanine aminotransferase (ALT) 29, White claret beef (WBCs) 6.5, claret (Hgb) 12.8, hematocrit (Hct) 39, and platelets 330,000.
List the added questions you would charge to ask this patient. Explain.
What is the assurance contour of Lisinopril-hydrochlorothiazide and bismuth subsalicylate in abundant women? What are the accessible complications to the abundant woman and her fetus?
What is the accent of assessing class ethics back prescribing medications? How ability the class values, in this case, appulse your analysis plan?
Would you accomplish any changes to Ms. BD’s claret burden and GERD medications? Explain. If yes, what would you prescribe? Discuss the medications assurance in pregnancy, apparatus of action, route, the half-life; how it is metabolized in and alone from the body; and contraindications and atramentous box warnings.
How does ethnopharmacology administer to this accommodating if she were NOT pregnant? Explain.
What bloom aliment or antitoxin apprenticeship do you accommodate in this applicant case based on your best of medications/treatment?
Would you amusement this accommodating or accredit her? Explain. If you refer, area would you accredit this patient?
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