NR565 Week 5 Endocrine Case Study November 2021

Question 1 Please explain the value and reason for doing your own work and not copying or taking answers from another source and claiming them as your own. 

Question 2 Use the John Jones case study to answer the following question.

Using diagnostic criteria for diabetes, what is John’s diabetic status?  What treatment plan should be introduced at this time?

Question 3 Use the John Jones case study to answer the following question.

Which of John’s behaviors should be addressed to encourage lifestyle changes and decrease A1C levels?

Question 4 Use the John Jones case study to answer the following question.

Which behavior in John’s social history poses a potential concern with first line pharmacological treatment for diabetes and why?

Question 5 Use the John Jones case study to answer the following question.

Name the specific names of labs you would order and the intervals at which you would order them to monitor the safety and efficacy of metformin.

Question 6 Use the Alfonso Giuliani case study to answer the following question.

Atherosclerotic cardiovascular disease (ASCVD) risk factors include age, gender, race, blood pressure, cholesterol values, history of diabetes, tobacco use, treatment of hypertension, statin therapy, and aspirin therapy.

Look at Alfonson’s ASCVD risk factors.  Should Alfonso be taking something for hyperlipidemia?  If so, what would you recommend? 

Question 7 Use the Alfonso Giuliani case study to answer the following question.

Which diabetic drug classes should be considered in addition to metformin to prescribe for Alfonso and why?

Question 8 Use the Alfonso Giuliani case study to answer the following question.

There are two drug classes to consider for prescribing for Alfonso in addition to metformin.  What baseline data will you need to obtain for each of those drug classes?  Provide the name of the drug class and the baseline data needed for that drug class. 

Question 9 Use the Alfonso Giuliani case study to answer the following question.

You decide to prescribe liraglutide (Victoza) in addition to metformin for Alfonso.  What patient teaching do you need to provide when prescribing medication from this drug class?

 Question 10 Use the Helen Smith case study to answer the following question.

Why is caution indicated if metformin was prescribed for Helen?

Question 11Use the Helen Smith case study to answer the following question.

If the standard starting dose of levothyroxine 1.6 mcg/kg/dose is prescribed for Helen, what is the correct dose? Would this be the correct starting dose for Helen?  Why or why not?

Question 12 Use the Helen Smith case study to answer the following question.

Which of the Helen’s lab values require consideration for possible treatment? Provide the lab name and Helen’s result. Use these sources for lab reference values:

https://labtestsonline.org/ (Links toan external site.)

https://www.thyroid.org/wp-content/uploads/publications/lab-services/ata-poc-thyroid-management.pdf (Links to an external site.)

Question 13 Use the Helen Smith case study to answer the following question.

Which DM drug class is contraindicated in patients with heart failure and why?

The why portion of this question will require some independent web or article searching to understand why this contraindication exists.  Be sure to cite your sources.