Rational Drug Selection Discussion

Rational Drug Selection Discussion Order Description • Include the question in" rel="nofollow">in your paper with your response below it. • Min" rel="nofollow">inimum of 3 references within" rel="nofollow">in the last 5 years • Drug reference books may be used. The Medical Letter & ALOSHA Foundation materials may be used. • Peer reviewed articles from www.emedicin" rel="nofollow">ine.com and www.uptodate.com may be used but they must be cited correctly o Discuss the rationale for your drug selection. Include: ? - The medication is - Escitalopram ? - The drug class it belongs to is - Selective Serotonin" rel="nofollow">in Reuptake Inhibitors (SSRI’s) ? - Why have you selected this medication in" rel="nofollow">in this situation? ? - Justify your selection over the alternatives. ? - Why did you chose this med and not others? ? - What is the pharmacodynamic action of the medication you choose versus the other options. Include either a research article or an evidence-based guidelin" rel="nofollow">ine that supports your decision - makin" rel="nofollow">ing and selection process. Give your rationale, and reference your in" rel="nofollow">information. o What monitorin" rel="nofollow">ing or follow-up is needed for your treatment plan? Include: ? - How is the efficacy of this medication monitored? ? - Are there lab tests or other follow-up needed for patients on this medication? ? - How do you know the medication is efficacious? o Talk about 3-5 in" rel="nofollow">instructional poin" rel="nofollow">ints you would in" rel="nofollow">include in" rel="nofollow">in educatin" rel="nofollow">ing the patient/caregivers about this medication? Make this meanin" rel="nofollow">ingful. o What is the cost of this medication? Include: ? - How does it compare with other options available for this patient? ? - What is the difference in" rel="nofollow">in cost between the generic form and Trade name drug? ? - Is the medication on the $4 lists available at area stores (Walmart, Target, etc.)? CASE DISCUSSION: Assessment: Anxiety Patient: Judy Age 50 Subjective CC: anxiety HPI: Patient presents to the office to anxiety. Has periods where she feels very jittery and nervous. Has a hard time concentratin" rel="nofollow">ing at work. Has been under a lot of stress at work for the last 2 months and mother has been ill and hospitalized in" rel="nofollow">in the last month. PMH- none Family history- DM2 in" rel="nofollow">in father Social history- Nonsmoker, nondrin" rel="nofollow">inker Allergies- NKA Medications- MVI daily LMP- 4 months ago – not sexually active ROS General: fatigued Skin" rel="nofollow">in: no rashes ENT: no ear pain" rel="nofollow">in, no sin" rel="nofollow">inus pressure, no sore throat Neck: no swollen glands or neck pain" rel="nofollow">in Resp: no cough or SOB CV: no CP or palpitations Neuro:no HA, no dizzin" rel="nofollow">iness MSK: no myalgias Psych: feels anxious and nervous Objective Physical exam General: WD/WN BP 120/70, pulse 80, respirations 18, temp 98.2 Skin" rel="nofollow">in: No visible rashes ENT: TM’s clear bilaterally, Nasal membranes pin" rel="nofollow">ink Neck: no palpable lymph nodes, full ROM Resp: Lungs clear B/L CV: Heart regular, pedal pulses +2/4 GI: Abdomen soft/ nontender, no organomegaly, normoactive bowel sounds in" rel="nofollow">in all quadrants Psych: Alert, oriented x3, has rapid nervous speech, decreased eye con