Sonya is an 83-year-old female migrant from Greece. She is from a non-English speaking background and has limited unders
Posted: Thu Apr 28, 2022 8:07 am
Sonya is an 83-year-old female migrant from Greece. She is from
a non-English speaking background and has limited understanding of
English. She loves to cook and taste different foods and has a BMI
of 42.
Sonya has been having upper abdominal pains that wake her up at
night for the last 2 weeks. In addition to upper abdominal pains,
Sonya has been feeling nauseated, fatigued, and weak, and has a
feeling of being full quickly when eating, accompanied by
heartburn. She also has been using over- the-counter medications
for heartburn without relief of her complaints. After several
nights of losing sleep, her husband decides to take her to the
emergency department (ED).
In the ED, Sonya has blood drawn, gives a urine sample, has an
electrocardiogram done, and has an IV started. Her past medical
history includes osteoarthritis, hypertension, elevated
cholesterol, and hypothyroidism. Her vital signs in the ED are
blood pressure (BP) 118/60 mm Hg, heart rate (HR) 90 beats/min,
respiratory rate (RR) 22 breaths/min, and an oral temperature of
37OC.
After a few hours, her blood work shows a decreased hematocrit
and hemoglobin, and the ED physician decides to send Sonya to the
endoscopy unit for an esophagogastroduodenoscopy (EGD). Sonya
undergoes a successful EGD and is waking up from the procedure
without any difficulty. The physician informs her and her husband
that she has peptic ulcer disease and erosive gastritis. He
prescribes the following medications:
omeprazole 20 mg by mouth; take 30 minutes to 1 hour before
eating in the morning
ranitidine 300 mg by mouth after dinner
Additionally, her history also revealed She
takes levothyroxine 100 micrograms for her
thyroid
Need an answer about levothyroxine medication. but what will
interactions with the other 2 medications omeprazole and
ranitidine? what will happen if we take the other two medications
same time.
Levothyroxine: potential interactions, contraindications
and/or precautions, the timing of the administration of the drugs,
medication in conjunction with food and/or physical activity,
polypharmacy, lifespan, interactions with aspects of diet,
supplements, illicit drugs, issues of medication compliance,
management of adverse drug reactions, and anything else that you
and your group identify which is relevant to the patient in the
scenario.
a non-English speaking background and has limited understanding of
English. She loves to cook and taste different foods and has a BMI
of 42.
Sonya has been having upper abdominal pains that wake her up at
night for the last 2 weeks. In addition to upper abdominal pains,
Sonya has been feeling nauseated, fatigued, and weak, and has a
feeling of being full quickly when eating, accompanied by
heartburn. She also has been using over- the-counter medications
for heartburn without relief of her complaints. After several
nights of losing sleep, her husband decides to take her to the
emergency department (ED).
In the ED, Sonya has blood drawn, gives a urine sample, has an
electrocardiogram done, and has an IV started. Her past medical
history includes osteoarthritis, hypertension, elevated
cholesterol, and hypothyroidism. Her vital signs in the ED are
blood pressure (BP) 118/60 mm Hg, heart rate (HR) 90 beats/min,
respiratory rate (RR) 22 breaths/min, and an oral temperature of
37OC.
After a few hours, her blood work shows a decreased hematocrit
and hemoglobin, and the ED physician decides to send Sonya to the
endoscopy unit for an esophagogastroduodenoscopy (EGD). Sonya
undergoes a successful EGD and is waking up from the procedure
without any difficulty. The physician informs her and her husband
that she has peptic ulcer disease and erosive gastritis. He
prescribes the following medications:
omeprazole 20 mg by mouth; take 30 minutes to 1 hour before
eating in the morning
ranitidine 300 mg by mouth after dinner
Additionally, her history also revealed She
takes levothyroxine 100 micrograms for her
thyroid
Need an answer about levothyroxine medication. but what will
interactions with the other 2 medications omeprazole and
ranitidine? what will happen if we take the other two medications
same time.
Levothyroxine: potential interactions, contraindications
and/or precautions, the timing of the administration of the drugs,
medication in conjunction with food and/or physical activity,
polypharmacy, lifespan, interactions with aspects of diet,
supplements, illicit drugs, issues of medication compliance,
management of adverse drug reactions, and anything else that you
and your group identify which is relevant to the patient in the
scenario.