What are the recommended medications to start this specific patient on? Please provide the drug class, generic & trade name, and the initial starting dose.
Post your answers to the 5 questions corresponding to this week’s content on primary care medication management. Provide your responses and rationales. Support your rationales with high-level evidence. (See Post Expectations)
Eric Johnson is a 21-year-old Caucasian male in his senior year of college. The patient has a history of seasonal allergies. He does not remember what his allergist told him to take for his allergies in the past. He wants to know what he can take. He presents to the clinic today with complaints of a stuffy nose, shortness of breath, a fever TMAX 102 at home, and a productive cough. He also notes that over the past few months, he has also noticed a watery discharge and burning when he urinates. He does admit to having unprotected intercourse last month. He undergoes rapid testing and a chest x-ray while in the clinic. His diagnoses are pneumonia, chlamydia, and seasonal allergies.
Clinic Vital Signs: BP 125/75, HR 116, Temp 102.5, O2 94%. He has no known drug allergies.
Q1. What are the recommended medications to start this specific patient on? Please provide the drug class, generic & trade name, and the initial starting dose.
Q2. Please discuss the mechanism of action of each of the drugs you listed.
Q3. Please discuss the side effect profile of each medication you listed.
Q4. Are there any interactions between any of the medications you prescribed?
Q5. What other non-pharmacological interventions would be suggested?
Length: A minimum of 280 words, not including references
Citations: At least one high-level scholarly reference in APA from within the last 5 years
How does Epigenetics work and why do we care?Links to an external site.
View these two Ted Talk On the topic of Epigenetics.
Prepare a video or write a letter explaining to a friend what Epigenetics is, how it works and why you want to pay attention to this.
The information you should include : how does the turning off or turning on of genes work? What are Methyl-donors and what are the three ways we can increase them in our bodies.
Misconceptions about Natural Selection Read this before you attempt this assignmentLinks to an external site.
Dogs are bred by humans so not a good choice for thinking about natural selection and Peacocks are a better choice for sexual selection than natural selection and you are not thinking about a sexual selection right now.
THE STEPS OF NATURAL SELECTION
start with variation in a trait in a population which is the result of a random mutation that has occurred during the process of meiosis. ( ex. the species is a spider and the spider has tentacles that they breath through so they can bury themselves in sand and still breath. a little spider is born and its tentacle can also function in water but no one knows this yet because it hasn’t needed to work that way yet.
Then there is some change in the environment. – ex. SO if it was a dry desert but now it has rained for a century in that area and now it is a lake thats a change in the environment
There are members of the population now with a variety of that specific trait which will help them survive TO REPRODUCE at a greater rate than the members of the population without that variation. ex. So now all the little spiders who have the weird tentacle that also can breath in water survive TO REPRODUCE and the others have a harder time surviving AND REPRODUCING.
CONCLUSION – Ex. Overtime the water breathing spiders survive and therefore reproduce at a greater rate than the other spiders and so the species seems to have evolved from sand breathers to water breathers.
Remember Natural Selection is a process, the steps in this process Natural selection effects one trait in one species. this is the way it works .
Useful format for understanding the steps in the process of NATURAL SELECTION.
Species = Spiders
Variation = non tentacled vs tentacled – a variation that emerged from a random mutation prior to any change in the environment
Change in the environment = desert area is flooded and is now a lake
Effect on species gene pool = Spiders with tentacles survive at a greater rate and thus produce more offspring than the non-tentacled variety.
Outcome= over time it appears that the species has evolved from a non-tentacled species to a tentacled species.
Thinking of this scenario ,which illustrates the process of natural selection and its role as a force of evolution, you need to explain why variation in a species is so important for the survival of that species.
Fitness is defined in science as those variations of the species that are able to leave behind a greater number of offspring that are viable and fertile than other variations in the species are able to. Give an example that you can think of that helps you understand this genetic fitness.
FOr ex. my father was not very fit, in fact, he died relatively young but he had 12 offspring and they had a total of 26 offspring who are having more offspring as well…. so in fact according to the scientific (genetics related) notion of fitness he was very fit because lots of his genes are surviving in the gene pool, even though he himself did not survive. When we understand that the genes is the unit that matters in evolution we can see how our popular notion of fitness is very different that the genetic (scientific, notion of fitness. This is what Survival of the fittest actually means in science..
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