Evidence-Based Practice
The following is the assessment of AB case, a first time visitor to the writer. The assessment will include checking the pharmacologic treatment, reactions to the drugs in the medicines consumed, advisory healthcare practices and exercises, and non-pharmacologic treatment. More information to be provided if need be.
Patient Background
AB, an overweight, 52--?year -- ?old, Hispanic, male comes for the first visit to your office for assessment of complaints about tiredness, nocturia x 2 -- ?3, and finding it difficult to do the required paperwork in the office (Masters, 2014). He informs that he is reportedly having diabetes type 2 for about six years when he first experienced same feelings of fatigue and nocturia x 2 -- ?3. The patient informs he has attended infrequent classes on diabetes that emphasized on importance of physical activity and weight loss (Masters, 2014). His was accompanied by his wife to these classes and he informs that she helped a lot in initializing changes in diet. He is now divorced, having had disagreements with his wife and mostly eats out since then, lunching out of food truck and his dinners are at restaurant (Masters, 2014). Metformin was suggested three 3 years ago, but on increasing the dose he developed nausea. He has hence almost stopped taking it and informs that he takes it infrequently as and so "when I remember." The last time he has taken, it was about one week ago (Masters, 2014). AB has forgotten his last A1C level or even when it last was checked.
Evaluation of Pharmacologic Therapy
Major Conditions are as follows: Hypertension, Type 2 Diabetes, Dyslipidemia, Osteoarthritis and Sleep Apnea (Masters, 2014).
According to James Beckerman (2013) these are amongst the various drugs for treating high blood pressure, including: Angiotensin-converting enzyme (ACE) inhibitors; Angiotensin II receptor blockers (ARBs); Diuretics; Beta-blockers; Calcium channel blockers; Alpha-blockers; Alpha-agonists; Renin inhibitors and Combination medications.
AB can normalize or at least control his sugar levels by regular exercising and diet at least it was possible six years ago as he has type 2 diabetes, while some cases of type 2 diabetes need diabetes medications or insulin therapy in addition to the diet control and physical exercises (Mayo Clinic, 2014). The other factors including the sugar level and other symptoms are considered before suggesting medications to a Type 2 Diabetes patient. There may even be a need of combination of drugs to control the situation at times (Mayo Clinic, 2014).
Different types of drugs used for type 2 diabetes include: Metformin, Sulfonylureas, Meglitinides and Thiazolidinediones (Mayo Clinic, 2014).
Insulin injection may also be necessary in certain cases of type 2 diabetes. Insulin therapy was not the first line of treatment earlier, and was usually the last resort. It has more benefits and hence is being administered even earlier than ever before these days, normal digestion interferes with insulin taken orally hence insulin is injected (Mayo Clinic, 2014). Depending on the condition and symptoms, the physician may prescribe a mixture of insulin types to use. The common dose is that of a longer acting injection taken at night by people with type 2 diabetes.
There are several types of insulin, and have different functions. The different options are: Insulin glulisine (Apidra), Insulin lispro (Humalog), Insulin aspart (Novolog), Insulin glargine (Lantus), Insulin...
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