This patient presents to your primary care office today with a…
Question This patient presents to your primary care office today with a… This patient presents to your primary care office today with a chief complaint of insomnia. The patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and orientedx3. The patient sees her PCP once or twice a year. The patient denies any suicidal ideations. The patient currently takes these medications: Metformin 500mg BID; Januvia 100mg daily; Losartan 100mg daily; HCTZ 25mg daily: and Sertraline 100mg daily. Her weight is 88kg; HT:64 inches; B/P 132/86; — – What three questions would you ask this patient if she were in your office and rationale for asking? What diagnostic test would you do on this patient? What two or three pharmacologic agents and their dose would you use for antidepressant therapy and which one would be the primary drug choice? What two different diagnoses would be for this patient and which is the best diagnosis? Are there any ethical considerations on the drug that you would uses? Any checkpoints in weeks 4,8,12 meaning any therapeutic changes that should be made? What the possible outcomes? Health Science Science Nursing NURS MISC Share QuestionEmailCopy link Comments (0)


