Sheila is a 26-year-old with a history of head injury and tonic-clonic seizures

Sheila is a 26-year-old with a history of head injury and tonic-clonic seizures. She is seen today with complaints of “funny” eye movements, feeling uncoordinated, blurred vision and feeling lethargic. Her current medications include Ritalin 10 mg po BID, Dilantin 300 mg po BID, Paxil 20 mg po daily, Lasix 20 po daily. Lab Values from today Dilantin level of 11microG/mL, Albumin 2g/dL, WBC 9.9×109/L, Plt 177×109/L, Na+ 141mEq/L, K+ 4.2mEq/L, Hgb 13.2g/dL. What do you think is causing the patient’s symptoms? What lab values and calculated corrected medication level support your diagnosis? What is your treatment plan for this patient?

A. Patient history considered in making the medication selection: YOUR ANSWER B. Medication prescribed or changed: YOUR ANSWER C. Rationale provided to include Current literature to support the rationale with Clinical Guidelines: YOUR ANSWER D. Written medication orders with all 5 aspects required for a valid order. YOUR ANSWER E. References for the scenario scholarly, peer-reviewed, the past 5 years to include the appropriate clinical practice guidelines if applicable. Use at least 3 sources for each scenario and cite sources using APA format: YOUR ANSWER

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