Answered step by step
Verified Expert Solution
Question
1 Approved Answer
Instructions: Individually identify all the DRPs in the case and develop an assessment and plan for each DRP. See PowerPoint for instructions on how to
Instructions: Individually identify all the DRPs in the case and develop an assessment and plan for each DRP. See PowerPoint for instructions on how to write up a DRP, assessment, and plan. Include appropriate instructions on any new meds including potential side effects, timing of therapy, etc. Chief Complaint: Im taking terazosin for my prostate, but my urine flow is still too slow, I have urinary frequency day and night. I feel like I cant empty my bladder. Sometimes I cant get to the bathroom on time, and I leak on myself. History of present illness: George Gold is a 73 yo male with long-standing lower urinary tract symptoms (LUTS) who is referred to the urology service after failing initial medication therapy for BPH. He has been taking terazosin 20 mg 1 po qd for 6 months. His current complaints include urgency with urge incontinence, nocturia 2-3 times a night, a weak urinary stream, and small-volume voids. He denies haematuria, dysuria, suprapubic or flank pain. He denies haematuria, dysuria, suprapubic or flank pain. He has no fever, chills, nausea, or vomiting. Past Medical History: Essential hypertension x 10 yrs Hyperlipidemia x 10 yrs Obesity BMI 35 kg/m2 History of a bleeding ulcer secondary to aspirin overuse Tobacco/Alcohol/Substance Abuse: Negative for all Allergies / Intolerances/Adverse Drug Events: Sulphonamides develop hives and SOB when exposed cant use Bactrim or Septran (trimethoprim/sulfamethoxazole) Medications (Current) Docusate 100mg po daily Furosemide 40 mg po daily Lisinopril 20 mg po daily Metoprolol 50 mg po BID Nifedipine ER 60 mg 2 tabs po daily. Review of Systems Medications for HTN can make him dizzy, particularly when he kneels or suddenly changes his body position. He is most bothered by urinary incontinence. He has had to curb some social activities because of it. Physical Examination General: Well-developed, well-nourished male in no apparent distress. Vital Signs: BP 148/88 (5/30/23), 152/90 (5/15/23), and 142/86 (4/22/23) Weight 222 lb Height 66.5 in Laboratory Tests Na 143 mEq/L, K 4.6 mEq/L, Cl 107 mEq/L, CO2 27.1 mEq/L, Calcium 8.7 mg/dL Total Chol 123 mg/dL, LDL 63 mg/dL, HDL 32 mg/dL Gluc (fasting) 95 mg/dL, BUN 30 mg/dL, SCr 1.6 mg/dL.
Step by Step Solution
There are 3 Steps involved in it
Step: 1
Get Instant Access to Expert-Tailored Solutions
See step-by-step solutions with expert insights and AI powered tools for academic success
Step: 2
Step: 3
Ace Your Homework with AI
Get the answers you need in no time with our AI-driven, step-by-step assistance
Get Started