My last name starts with an “D” please follow the instruction…..G. P., a 76-year-old white
male, seeks treatment for swelling and decreased range of motion in the right
knee. He tells you he retired at age 69 after 40 years of assembly-line
work. He reports that his physical activity has decreased and his weight
has increased over 20 pounds since retiring. His hobbies include
woodworking and playing cards and playing with his two grandchildren. He
denies tobacco use and alcohol use. Although he describes several years
of joint pain that gradually worsened, his activities were not limited until
approximately 6 months ago, when he noted an insidious onset of swelling in the
right knee. Over the years, he has sporadically taken acetaminophen,
aspirin, and ibuprofen to control the pain. He reports that none of the
drugs provided better relief than the others. His medical history is
remarkable for hypertension and three episodes of gout.
Diagnosis:
Osteoarthritis
If your last name begins with
A-L, please focus your initial post on Questions 5-9, and your classmate
replies on Questions 1-4. If your last name ends with M-Z, please focus
your initial post on Questions 1-4 and your classmate replies on Questions 5-9.
In this discussion forum:
1. List
specific goals of treatment for G. P.
2. What
drug therapy would you prescribe, and why?
3. What
are the parameters for monitoring the success of the therapy?
4. Discuss
specific patient education based on the prescribed therapy.
5. List
one or two adverse reactions for the selected agent that would cause you to
change therapy?
6. What
would be the choice for second-line therapy?
7. What
over-the-counter and/or alternative therapies would be appropriate for G. P.?
8. What
lifestyle changes should be recommended for G. P.?
9. Describe
one or two drug-food or drug-drug interactions for the selected agent(s).
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