Ivy, age 23, is a white woman who graduated from college last year.
NU641 Advanced Clinical Pharmacology
Week 10 Assignment
Interactive Anxiety Case Study
Instructions
In this assignment, you will review the interactive Mental Health Anxiety Case Study patient scenario and analyze the data to determine the health status of the patient. You will need a minimum of two evidence-based practice articles to include clinical practice guidelines, as well as the course textbook.
Use the NU641 Mental Health Anxiety Case Study Questions (Word) document to complete the case study assignment.
Follow the requirements posted in the rubric.
This case study should be three to five pages, excluding title and references pages.
All papers must conform to the most recent APA standards.
Please refer to the Grading Rubric for details on how this activity will be graded.
NU641 Case Study Week 10 – Anxiety Disorders
Ivy, age 23, is a white woman who graduated from college last year. She began working as an accountant one month after graduating. Approximately two months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she sees a doctor to find out if she has anemiaor “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past nine months. She becomes easily fatigued and irritable and has difficultyconcentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent.
She reports that all herlife she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” Ivyreports that she has a good relationship with her boyfriend, but they do not get to see each other very often because he is attending graduateschool 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past four years without any adverse effects.
Diagnosis: Generalized Anxiety Disorder
1. List specific treatment goals for Ivy.
2. What drug therapy would you prescribe? Why?
3. What are the parameters for monitoring the success ofthe therapy?
4. Describe specific patient monitoring based on the prescribedtherapy.
5. List one or two adverse reactions for the selected agentthat would cause you to change therapy.
6. What would be the choice for second-line therapy?
7. What dietary and lifestyle changes should be recommendedfor this patient?
8. Describe one or two drug–drug or drug–food interactionsfor the selected agent.
NU641 Advanced Clinical Pharmacology
Week 14 Assignment
Interactive Thyroid Case Study
Instructions In this assignment, you will review the interactive Endocrine Thyroid Case Study patient scenario and analyze the data to determine the health status of the patient. You will need a minimum of two evidence-based practice articles to include clinical practice guidelines, as well as the course textbook.
Use the NU641 Endocrine Thyroid Case Study Questions (Word) document to complete the case study assignment.
Follow the requirements posted in the rubric.
This case study should be three to five pages, excluding title and references pages.
All papers must conform to the most recent APA standards.
Please refer to the Grading Rubric for details on how this activity will be graded.
NU641 Case Study Week 14 – Thyroid Disorders
Mariais a 29-year-old woman with a seven-month history of heavy, irregular menses, a 5-lb weight gain, constipation, and decreased energy. Her past history is unremarkable. She takes no prescription medications but uses iron and calcium supplements. She has a family history of thyroid disease. On examination, her weight is 152 lbs, her heart rate is 64 bpm, and her blood pressure is 138/86. Her thyroid gland is mildly enlarged, without nodularity. She has trace edema in her lower extremities, and her reflexes are slow.
Laboratory studies are as follows:
TSH is 15.3 mIU/mL (elevated), free T4is 0.3 mIU/mL (decreased), and total cholesterol is 276 mg/mL.
Diagnosis: Primary Hypothyroidism
1. List specific goals of treatment for Maria.
2. What drug therapy would you prescribe? Why?
3. What are the parameters for monitoring the success ofthe therapy?
4. Discuss specific patient education based on the prescribedtherapy.
5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
6. What would be the choice for second-line therapy?
7. What over-the-counter and/or alternative medications would be appropriate for Maria?
8. What lifestyle changes would you recommend to Maria?
9. Describe one or two drug–drug or drug–food interactionsfor the selected agent.
