Simvastatin

to correct his blood pressure with diet and exercise but has not been successful due to the effects of his heart disease, neuropathy and arthritis. He is currently taking lisinopril, HCTZ, atenolol, felodipine, glyburide and metformin. He is on simvastatin for cholesterol control however his HDL is low and his triglycerides are elevated at 260 mg/dL. He takes acetaminophen for his arthritis and gabapentin fro his neuropathy. He takes aspirin as a addition to his hypertension medications for his…

To buttress this point, a study conducted by Song et al. (2007) with the purpose: The use of maximum-dose simvastatin or atorvastatin in an ethnically diverse population,” reported that “the Hispanic and Asian populations, the predominant ethnic groups served by Santa Clara Valley Health and Hospital System (SCVHHS), were not well represented in clinical trials that used maximum-dose simvastatin and atorvastatin.” The consequence of this may be emerging of serious adverse effects, lack of…

that time. The patient is frustrated with his symptoms and feels he is very limited due to his pain. Previous treatment includes 8 sessions of physical therapy in December 2015, aspirin, and Motrin. Current medications include ibuprofen 200 mg, simvastatin 20 mg, Lisinopril 5 mg, Januvia 100 mg, aspirin 81 mg, metformin 500 mg, and glimperide 2 mg. Review of systems revealed night sweats, blurry vision, joint pain, muscle pain, muscle weakness, depression and anxiety. Physical examination…

Joan White of Maxcis Insurance Company referred this file for medical case management. Instructions were given to meet with Todd McClellan and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 11/28/16 I met Mr. McClellan, his step father, mother, wife and wife’s mother at the office of Dr. Nzoma. Mr. McClellan is developmental delay so Mr. Payson coordinates appointments. Mr. McClellan is pleasant, alert and…

Chapters 1 to 10 Overview A History of Genetics by A.H. Sturtevant provides a brief history of work prior to Mendel and the author’s firsthand account of the events and research that helped shape the field of genetics. Early on, various hypotheses were beginning to be formulated by scientists such as Aristotle, Hippocrates, and Darwin. These include pangenesis, hybridization, and human inheritance which provided Mendel with some ideas to develop his own understanding of heredity. Also, the…

Journal Review Pick a peer-reviewed article (see course materials) from a journal within the radiology profession (ASRT Scanner, Radiologic Technology, SIIM, etc.). The article should discuss a relevant topic to this course or a trend within the radiology profession. Topics can include new legislation, technology, market trends, governance, economics, insurance, or human resources. Analyze the article as to: (A) quality of the written article in terms of your understanding of the content,…

Reflection On Professional Organizations I have been conducting research on some professional organizations and I have determined that ASHP would be a good match for me. This is because ASHP is an organization that is heavily involved in advocating legislation to benefit pharmacists, patients, and the health care system. Some of the most important issues to me are getting the pharmacist more involved in a patient’s health care and to make health care in general more efficient. ASHP is…

Chief Complaint "TIA". History Patient is a 74-year-old right-handed white female who has had three stereotypical events one on 2012, and two this July. She describes it as "my brain goes into a cramp and I can not speak". She states that she knows what she wants to say, but can not find the words or pronounce the words properly. She calls it jumbled speech. Her first event, again was in 2012 and it lasted less than a minute. She had a second event on July 3rd, when she was on the phone…

equals to 7.5 should be started on statin therapy (Lambert, 2014). This patient had ASCVD risk of 21.3% and should have been started on moderate or high statin therapy. Atorvastatin 10mg is the moderate statin therapy. In addition, atorvastatin and simvastatin are the only statins that can reduce serum uric acid levels (Derosa, Maffioli, Reiner, Simental-Mendía & Sahebkar, 2016). I should have checked liver enzyme before the start of statin because statin can elevate the liver enzyme. Also, I…

Epidemiologic relationships include the nine determinants of health in a community which include personal health and practices, health services, biology and genetic endowment, healthy child development, education, physical environment, employment and working conditions, social support network and income and social status. Through the tour of this city and exposure to the life style habits, environmental agents and activities present in the city provide some answers to the health of the…