Ginni Rose is a 57-year-old Native American who has come to the neighborhood clinic today complaining of being dizzy this past week. She also states that she fell and bruised her right arm. Ginni Rose is overweight with a BMI of 25 and a medical history which includes hypertension and type 2 diabetes. Her blood pressure during the clinic visit was 85/55. Recent lab work showed cholesterol level of 200 and glucose of 89. Her current medications include nifedipine (Procardia), atorvastatin (Lipitor), and metformin (Glucophage). When Ginni Rose was asked what she was doing immediately prior to falling, she stated that, “I was having my lunch.” After further questioning she revealed she had started drinking grapefruit juice with some of her meals. She stated, “Sometimes I feel dizzy after eating and feel like I’m going to fall down.”
Respond to the following questions based on the case study. This is not a scholarly paper. Please use the bullet points as headers when writing your case study. Patient characteristics Identify the patient characteristics — physiological, psychological and other [sociocultural, spiritual, economic, and lifestyle] — that should be considered relevant to this case. Patient diagnosis Describe your diagnosis for this patient.
Pharmacokinetics & Pharmacodynamics
Discuss principles of pharmacokinetics and pharmacodynamics should be considered relevant to this case. Include relevant drug interactions Appropriateness of pharmacological agent (use table format) Determine the appropriateness of each pharmacological agent being taken or prescribed given your diagnosis and the patient’s characteristics. For each pharmacological agent prescribed / being taken by the patient, identify its class with respect to mechanism of action and / or clinical use. Nursing care plan (table format is acceptable) Provide an appropriate care plan for the patient, considering the whole patient as described in the case study.
This is a case study write-up which does not require an abstract or introduction. It is permissible to create a chart or table to facilitate the presentation of your case study.
