Mr. Henry Navarro, a 62-year-old Hispanic male patient, is coming in to establish care with you today
In this assessment, you will demonstrate your digital fluency skills to obtain information from databases. You will then combine that information with your knowledge of how pharmacokinetics works to assess a client and to prescribe an effective pharmacological treatment.
Assessment Prep
Watch “Use of Databases and Pharmacokinetics Knowledge for Client Assessment and Effective Treatment” to prepare you for this assessment.
View Transcript
Review the following resources to familiarize yourself with the two main evidence-based guidelines from the ADA and the AACE to help you manage the patient in the case study:
Standards of Care: Practice Guidelines Resources page from the ADA
About Diabetes page from the AACE
Read the following case study:
Mr. Henry Navarro, a 62-year-old Hispanic male patient, is coming in to establish care with you today. He states that he is feeling well, but he has noticed some tingling in his feet and rashes in his private area. In obtaining his medical history, he reveals that he had a cardiac stent placed about 6 months ago, and he was given medications from his previous primary care provider and cardiologist. He ran out of his medications and does not remember what they were. However, he does remember that he was taking a blood thinner and something for high blood sugar, blood pressure, and cholesterol. He also relates that he started feeling depressed since he does not have energy and has lost interest in his usual activities. He has also noticed some productive coughing and shortness of breath (SOB) after exertion. He states that he has smoked cigarettes since he was 16 years old, and he continues to smoke one pack per day.
After a thorough physical assessment and a review of documents, you have gathered information about his following conditions:
Type 2 Diabetes: His last A1C was 7.2, and he is on metformin (500mg two tabs BID).
HLP: He is not on any medication now, and his last LDL was 102, HDL 38, and Triglyceride 212.
HTN: He is not on any medication, and his blood pressure is running in 150s /100s.
Depression: He is not on any medications. He is feeling very depressed and wants medication to help him feel better. He denies any suicidal or homicidal ideation.
Coronary artery disease (CAD): He was told to take a low dose aspirin once a day, but he is not taking it. He wonders if he should.
S/P Cardiac Stent Placement x 1: He was last seen by his cardiologist over 6 months ago. He was on a blood thinner, but he does not remember the name.
COPD: He was not diagnosed until he was hospitalized. He has an albuterol inhaler, but he still feels SOB. He asks if you can give him something to help with his cough and SOB.
Peripheral Neuropathy due to Type 2 Diabetes: He would like medication to help with the tingling sensation and pain in his feet.
Note: You will use the same case study for the summative assessments in Weeks 2, 4, and 6. Limit your focus to the specific areas outlined in each assessment. Do not attempt to address all of the patient’s conditions in this assessment.
Assessment Deliverable
Write a 350- to 525-word report in which you create a pharmacologic plan to manage the patient’s uncontrolled diabetes. Note: Do not include the case scenario in your report.
Use guidelines from the ADA or AACE to help you manage the patient’s uncontrolled diabetes.
Answer the following prompts in your report:
Recommend a medication adjustment or addition. Justify your choice based on pathophysiology, pharmacokinetics, renal function, and guideline recommendations from the ADA and AACE.
Consider options beyond metformin (e.g., SGLT2i, GLP-1 RA), and evaluate each option’s cardiovascular and renal impact on the patient.
Outline a monitoring plan for efficacy and safety.
Address renal function, risk of hypoglycemia, and medication interactions.
Format your citations according to APA guidelines.
Submit your assessment.
Assessment Support
Review the grading rubric for guidance on deliverable expectations.
Review the following resources for writing guidelines and APA information:
Center for Writing Excellence
Reference and Citation Generator
Grammar Assistance
Use the following resources to research evidence-based care for any disease, disorder, or condition:
Medscape
UpToDate
American Diabetes Association (ADA)
American Association of Clinical Endocrinology (AACE)
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