Respond to the following Four(4) posts
-Do you agree with your peers' assessment? -Take an opposing view to a peer and present a logical argument supporting an alternate opinion. -Share your thoughts on how you support their opinion and explain why. Present new references that support your opinions
Post 1 Shelita Banks pham As we all know, statins are used to treat to treat hyperlipidemia. A study of data from patients with diabetes identified using the National Hospital Ambulatory Medical Care Survey (NHAMCS) and the National Ambulatory Medical Care Survey (NAMCS), including inpatient and outpatient departments. This study reported several significant associations between sex, age, the presence of hyperlipidemia, and statin prescribing. They reported that men were 38% more likely to have been prescribed a statin than were women, and those diabetic patients with hyperlipidemia were >5-fold more likely to have been prescribed a statin than were those who did not have hyperlipidemia. Patients with diabetes between the ages of 1 and 24 years were 0.1-fold as likely to have been prescribed a statin as those in the 45- to 64-year age group; patients 25 to 44 years of age were 0.48-fold as likely to have been prescribed a statin as those 45 to 64 years of age; and those who were 65 to 74 years of age were 1.38-fold as likely to have been prescribed a statin as those 45 to 64 years of age. 21 The study did not report any significant differences in the prescribing of statins based on patients' race, ethnicity, region, or insurance type. Overall, <25% of visits included a statin prescription Pauff & Jiroutek. 2015). Statins are considered the most effective approaches to reduce ASCVD (atherosclerotic cardiovascular disease) risk, especially when used for secondary prevention. Statins remain underutilized in the older adult population. The evidence to support statin therapy in older adults is less robust than in their younger counterparts, especially in individuals aged 75 years and older (Dixon, Donohue, Ogbonna & Barden, 2015).
POST TWO Elizabeth Scurto PHARM When a patient presents with hyperlipidemia, it may be due to elevated cholesterol or elevated triglycerides. In order to lower a patient's cholesterol level, the goal is to decrease the LDL, decrease total triglycerides, or increase HDL (Krishna, 2018). Statins are anti-hyperlipidemias that are used to help lower a patient overall cholesterol level. Specifically, statins use the endogenous pathway to lower LDL by increasing the number of LDL receptors in the liver, thus regulating the patients cholesterol level and possibly raising HDL levels (Woo & Robinson, 2016).
In order to decide if a statin is needed, Woo and Robinson (2016), discuss the need based on the number of risk factors a patients presents with. For example, if a patient has none or one risk factor of coronary heart disease, a statin is not recommended until the patient has decreased their modifiable risk factors for three months and their LDL is still greater than 190. On the other hand, if a patient has more than two risk factors, a statin will be prescribed if the LDL is greater than 130 after three months. The most tolerated age group that statin is the first line drug treatment for is older adults and patient with diabetes mellitus and have an increased benefit in patients with chronic renal disease. On the other hand, statins should not be given to pregnant woman due to statin being Pregnancy Category X (Woo & Robinson, 2016). Overall, statins have been known to be relatively inexpensive and can be suitable for almost all populations.
POST THREE Gerald Baluti HEALTHASSESS A 35-year-old woman with a history of asthma is complaining of nasal itching, sneezing, and rhinorrhea. She states her symptoms are worse in the spring and fall. She does have difficulty sleeping due to congestion. She does not smoke but does have 2 cats in the home. She does appear tired but no respiratory distress. Her vital signs are T98.8, R18, P88 and BP 128/80. Nasal turbinates are swollen, boggy and pale, bluish gray. Thin watery secretions are seen. 1.Based on this information what is the subjective data?
Subjective information refers to information pertaining to personal opinion, a point of view, emotions, judgment of interpretation regarding a particular scenario. This will entail the data gathered from the patient from history taking or what the patients tells you (Bickley, 2017, p. 6). It includes nasal itching, sneezing, rhinorrhea, and difficulty in sleeping due to nasal congestion. She also says that the condition is more severe during the spring and fall season. The patient reports to be 35 years of age and to have two cats at home, and does not smoke. This information directs to signs and symptoms of allergic rhinitis, also known as hay fever. However, objective data is needed to affirm to this. 2.What information is the objective data?
Objective data is factual data. It is based on a fact that can be proven true. In clinical settings, this information is gathered by the clinician, using diagnostic measures, or by physical examination, with a reason to prove it.in other wards, it is what you observe (Bickley, 2017, p. 6). The patient above presented with malaise but with no respiratory distress, the temperature of 98.8, respiration of 18 beats per minute, Pulse rate of 88 beats per minute and blood pressure of 128/80 mmHg. On further examination, the patient has swollen nasal turbinate, and are boggy and pale, bluish gray. Objective information helps to prove the subjective data. For this patient, it aligns with subjective data, as a manifestation of Allergic rhinitis. 3.Give an example of 2 questions you may want to ask this patient.
Ventilation of the house especially during the night. During the spring and fall seasons, mold in the atmosphere is high and hence likely to make rhinitis more severe in these seasons (Gelardi, Peroni, & Incorvaia, 2014). Poor ventilation could be an aggravating factor. Rectifying ventilation allows free air circulation.
POST FOUR Jackie Robinson HEALTH A 35-year-old woman with a history of asthma is complaining of nasal itching, sneezing, and rhinorrhea. She states her symptoms are worse in the spring and fall. She does have difficulty sleeping due to congestion. She does not smoke but does have 2 cats in the home. She does appear tired but no respiratory distress. Her vital signs are T98.8, R18, P88 and BP 128/80. Nasal turbinates are swollen, boggy and pale, bluish gray. Thin watery secretions are seen.
• Based on this information what is the subjective data? • What information is the objective data? • Give an example of 2 questions you may want to ask this patient.
Subjective Data, what the patient tells you (Bickley, 2017).
• Complaining of nasal itching, sneezing, and rhinorrhea • Symptoms are worse in spring and fall • Difficulty sleeping due to congestion • Does not smoke • Has 2 cats in the home • History of asthma
Objective Data, what is found on the exam (Bickley, 2017).
• Appears tired • No respiratory distress • VS T98.8, R18, P88, BP 128/80 • Nasal Turbinate's swollen, boggy and pale bluish gray • Thin watery secretions
Additional questions to ask the patient
Sample Solution