Iron What age group can this drug be prescribed to? What is the purpose of the drug? What are the risks and benefits? What concerns may you have in prescribing this medication to a child? What education does the child’s parents need?
You are the primary care provider for a 24-year-old male who has recently been in a car accident. Your patient has been addicted to prescription drugs since a college football injury at the age of 20, when he was prescribed narcotics. He has suffered a neck injury in the car accident and was given narcotic pain medication upon discharge from the hospital. What are your short term and long term goals for the treatment of this patient? How will you safely meet these treatment goals?
A 40-year-old female is seen in the dermatologist’s office, upon the recommendation of her internist, for a workup for suspected MM on her left forearm. The suspicious lesion was a blackish skin growth approximately 1 cm in diameter. The dermatologist examined the patient and a tissue biopsy was performed. The biopsy confirmed that the growth was MM. Surgery was performed to remove the tumor. In addition, a 5 cm by 5 cm square of skin immediately surrounding the tumor was also moved. Because the removed skin included all three layers of skin, a skin graft was necessary to cover the […]
You are the primary care provider for Mrs. Z, a 70-year-old female patient who has suffered from chronic back pain for a number of years. You are well acquainted with this patient, and due to recent changes in prescription regulations you now see her once a month to renew her narcotic prescription. Three months ago Mrs. Z’s 17-year-old granddaughter moved in with her, after a fight with her mother. Z’s granddaughter was a straight-A student prior to a car accident at the age of 15. She dropped out of high school last year and spent two weeks in rehab for […]
You are a primary care nurse in a heart failure clinic. Mr. G presents in the clinic with a three-pound weight gain in the past two days. Upon assessment, he has +2 pitting edema in bilateral lower extremities. When you ask him about his regular Lasix regimen, he shows you a plastic bag full of pills and states that he has so many pills prescribed, he just takes what he thinks he needs when he feels like he needs it. Included in the bag are Cardizem, Toprol XL, glipizide, gabapentin, Lasix, multiple vitamins, ginseng supplements, fish oil supplements, and cinnamon […]
Mr. Thomas is a 62-year-old man who has been diagnosed with an acute myocardial infarction with the following symptoms and history. His chief complaint is a persistent, crushing chest pain that radiates to his left arm, jaw, neck, and shoulder blade. He describes the pain, which he has had for the past 12 hours, as a squeezing sensation around his heart. He also reports nausea and dyspnea. He has a low-grade temperature, and his blood pressure is within a normal range at 130/82. He states that he smokes two packs of cigarettes a day, is overweight by 50 pounds, and […]
Mary Pearl, age 60, has come into the physician’s office complaining of swelling, stiffness, and arthralgia, especially in her elbows, wrists, and hands. A bone scan revealed acute inflammation in multiple joints with damaged articular cartilage, and an erythrocyte sedimentation rate blood test indicated a significant level of acute inflammation in the body. A diagnosis of acute episode of rheumatoid arthritis was made. The physician ordered nonstemrodial anti-flammatory medication and physical therapy. The therapists initiated a treatment program of hydrotherapy and therapeutic excersices. 1. What pathological condition does this patient have? describe 2. What type of long term damage may […]
What are the hazards and opportunities associated with shifting healthcare expenditure to government? What are the hazards and opportunities associated with shifting healthcare expenditure away from government to private insurance companies and individuals?