Oseltamivir is an antiviral drug used in the treatment and prophylaxis of both influenza virus A and influenza virus B. It was approved for seasonal influenza by US Food and Drug Administration in 1999, and approval from Japanese agencies and European Medicines Agency (EMA) followed soon afterwards. A pharmaceutical company Roche launched oseltamivir in the global market with Tamiflu as its brand name. In 2007 alone this pharmaceutical company was producing 400 million doses of the drug with a market value of 2.2 billion US dollars, and benefitted by more than 18 billion US dollars since the launch of the drug.…
Her joint symptoms have continued to decline since then. Debra has progressive joint pain and swelling which is affecting her activities of daily living, she no longer able to dress herself or climb stairs without great difficulty. I say all this to express to you the urgency in this matter. Debra is declining at a rapid pace and is in need of aggressive treatment. I believe she would benefit from Remicade in order to halt the rapid progression of her Rheumatoid Arthritis...”…
The subject, Papa Bear, is an Asian-American that is a 5’4” 48-years old male that weighs approximately 240 pounds. He was diagnosed with high cholesterol in August of 2015 and is currently taking atorvastatin. Near end of August, Mr. Bear was in a minor car accident that caused him to have neck and back pain, and is now on metaxalone, cyclobenzaprine, and meloxicam. Not only does he currently have high cholesterol and feeling pains from his neck down to his lower back, for about 40 years Mr. Bear has been prescribed doxycycline monohydrate as well as triamcinolone acetonide for his eczema and skin rash on both of his upper arms, and rosacea on his cheeks. The liver makes lipoproteins to distribute cholesterol in the body as well as to bring…
Medication Scenario My client, John, is a single 59-year-old white male. John was recently diagnosed with Major Depressive Disorder and was prescribed Cymbalta. John earns approximately $22,000 per year and says he cannot afford to fill the medication. As John’s social worker, I have been asked to help him find a prescription assistance program.…
The patient and her family are very fair skinned and are prone to changing moles. The patient does not have a family history of psoriasis Physical Exam: The PA examined the patient again to note any changes in the rash. She noticed that it had spread to the back of her legs and to the upper portion of her thighs. The skin was a blotchy dark red and looked swollen. The patient had a large patch the front of her lower legs and smaller patches towards the back of her lower legs and on her lower back.…
Thirdly, you want to make a graphic representation of the current process and this is where you will derive the possible failure modes. (Cronrath et al., n.d.). By making a graphic representation of the steps in the current process, step by step, you can then branch off of each step and identify where potential failures could occur. In the scenario presented, there where opportunities for errors all along the way from the initial verbal order, to no verification of medication names or doses and down to the patient not being continuously monitored throughout the process and…
Alternative #3. Creating new capabilities may also be obtained through a spinout organization. Merck realizes that its resources and capabilities are insufficient to rapidly move into the pharmacy management area. Most of its resources are devoted to drug research and development. Christensen states that spinout organizations are appropriate when a separate organization is required when the mainstream organization's values are incapable of devoting resources on the new processes or innovation.…
Thomas is a 57-year-old male who suffers from pure hypercholesterolemia (E78.0), along with atherosclerosis of native artery of both lower extremities with intermittent claudication, peripheral artery disease, coronary artery disease, hypertension, vitamin D deficiency, and diabetes. Although his primary diagnosis is not foreseen as an approved diagnosis for this medication; he also suffers from other underlying heart conditions in which will deem him medically necessary to receive Repatha. Since starting Repatha, Thomas has tolerated the treatment well and has seen improvement in lipid levels. Thomas has been on Repatha since January of 2017. His most recent lab work reveals total cholesterol is 94, triglycerides 226, HDL 35 and LDL 14.…
Shingles is an acute inflammatory condition of the dorsal root ganglia, which causes the nerve cells on a spinal nerve to become inflamed (Nazarko, 2013). People develop chickenpox when they first exposure to herpes virus in childhood. When they recover from chickenpox, the virus remains in the spinal nerves in a dormant form. People with healthy immune systems keep the virus dormant with no symptoms of shingles. When people are in immune depressive status or when people are aging, they have increased risk to develop shingles due to reactive the herpes virus in the body.…
-Diagnosis: According to Sander (2018) the diagnosis of acanthosis nigricans (AN) is typically from the physical examination. However, if the provider is unsure, the provider can obtain a skin biopsy. The results of a skin biopsy indicative of acanthosis nigricans will have findings of hyperkeratosis, epidermal papillomatosis, and mild acanthosis. The dermis may have a small amount of lymphocytes, plasma cells, and neutrophils, but it should not have a large amount of these cells, for it is not an inflammatory process.…
Disease is something that everyone has heard about, that some fear, and even fewer endure. There are many kinds of diseases that range from easily curable to deadly and without remedy. Disease affects more than a single person in most cases. It can potentially cause more emotional harm to family and friends than to the victim themselves. This is the reason diseases are so feared and heard about.…
MCTD may be diagnosed upon a clinical evaluation of overlap disorders, a detailed patient history, identification of characteristic findings, and specialized tests in blood that reveal high levels of antibodies to the U1 small nuclear ribonucleoprotein (anti-RNP) and high amounts of the antibodies ANA. Those who have mixed connective tissue disease such as systemic lupus erythematosus and systemic sclerosis disease lack the antibodies dsDNA and Scl70, respectively. The treatment of MCTD is based upon the specific signs that are present in each case. Some patients with MCTD have been included and treated in previous trials of lupus, scleroderma, myositis, and rheumatoid arthritis. These observations and accumulated clinical practice by MCTD…
Although risperidone is widely accepted to treat behavioral and psychological disorders in children1, related serious adverse events should be of concern, especially in children2. Risperidone-induced priapism or abnormal erection is caused via the alpha-adrenergic antagonist mechanism3-5. Although it is a rare adverse event, there have been several reports in adults6 and a very limited number of reported cases in children7-9. Specifically, there is only one previous reported case, involving a patient under 12 years of age, where risperidone was linked with frequent penile erection7.…
Applying Sensemaking to the Amerithrax Case In September 2001, America experienced a biological attack on US soil that resulted with the death of 5 americans and 17 being infected from letters laced with anthrax. As a result of this national crisis, the FBI was given the task of investigating the anthrax attack. This was the very first time that the FBI handled a case like this. In order to solve the anthrax case, the FBI used sensemaking. Sensemaking is the process of how an organization interprets an ambiguous situation.…
Carter plans to recommend a simpler flow for South Two’s medication administration. He plans to achieve this by changing the following two activities. First, Carter suggested that only one nurse per shift be part of the TPS “learning unit.” The nurse-patient assignment would be changed to have the same nurse bear responsibility for patients across shifts, instead of having patients reassigned on each shift.…