Case study: Patient TW is a 51-year-old white male. He runs a business, and is frequently rushing around, eating fatty and salty foods, and is under stress. He has been diagnosed with type 2 diabetes since he was 47 years old, and has had mild asthma since childhood. His current medications include metformin 500mg twice daily with meals, and ProAir 2 puffs every 4-6 hours as needed for shortness of air. TW is late for his scheduled checkup today, and rushes in the clinic at the last minute. The office staff proceeds to take his vital signs prior to seeing his primary care provider. His blood pressure is 163/101. He then sits back down to fill out insurance paper work. His blood pressure is measured again, and is 147/93.
Review \”Case Study: Patient T.W.\” from this unit\’s studies.
Write a 23 page paper, following APA guidelines for style and formatting
Cite a minimum of 3 resources, following APA guidelines for style and formatting.
Address the following in your paper:
1-Differentiate the pharmacokinetics and adverse effect profiles of major respiratory drugs.
2-Describe what could account for the drastic change in blood pressure in such a short period of time.
3-Determine the class of drugs you would use as the first line option to treat this patient\’s hypertension.
4-Describe the pharmacologic actions of first-line antihypertensives on a cellular level.
5-Explain which class(es) of blood pressure medications should be avoided in this patient based on the history of asthma.
6-Consider how you would adapt the patient\’s medication regimen if he confides that he is stressed due to financial difficulty.