Pharmacology – Type II DM –

Gami is a 48-year-old who you discover when completing a health history is taking cinnamon to treat Type II Diabetes. She is specifically using cassia Cinnamon. You also discover that she is taking Ginseng to assist with memory. Her prescribed medications are Aricept and Coumadin.

Ms. GM is a 48-year-old who presents to your clinic to establish care. During the health history, you learn that she has a history of Type II Diabetes. When asked about prescription and non-traditional medications, she reports being prescribed Aricept, Coumadin, Cassia cinnamon for Type II Diabetes and Ginseng for memory.

  1. Is there any additional subjective or objective information you need for this client? Explain.
  2. What would be your position on the Ms. GMs use of alternative supplements for her diabetes and memory? Explain and include contraindications, if any.
  3. Are there any additional test/assessments you would complete for this patient given this list of medications? Explain.
  4. How might your treatment plan, in terms of medications, differ for this patient? Include the class of the medication, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; contraindications and black box warnings.
  5. What health maintenance or preventive education is important for this client based on your choice medication/treatment?

Expert Solution Preview

Introduction: This case presents a patient who has Type II diabetes and is taking prescription medications along with alternative supplements to manage her condition. As a medical professional, it is essential to evaluate the patient’s current health status and determine the best course of treatment for optimal health outcomes.

1. Is there any additional subjective or objective information you need for this client? Explain.

Yes, additional information is needed to properly evaluate the patient’s health status and determine the effectiveness of her current treatment plan. Objective information such as blood glucose levels, HbA1c levels, and current medication dosages would be useful. Subjectively, questions regarding the frequency and duration of the use of alternative supplements and any side effects experienced must be asked.

2. What would be your position on Ms. GM’s use of alternative supplements for her diabetes and memory? Explain and include contraindications, if any.

While alternative supplements may have potential benefits in disease management, their effectiveness and safety have not been scientifically proven. Therefore, it is essential to caution patients regarding their use and consult with a healthcare provider before starting any new supplement(s). In this case, cassia cinnamon has been shown to have potential blood-thinning effects, which can be problematic when combined with Coumadin. Ginseng may also have potential blood sugar-lowering effects, which can be hazardous when combined with diabetes medications. Therefore, Ms. GM’s use of alternative supplements must be closely monitored and adjusted accordingly.

3. Are there any additional test/assessments you would complete for this patient given this list of medications? Explain.

Yes, additional tests and assessments would be necessary to manage Ms. GM’s conditions. Blood tests to monitor glucose levels and coagulation levels must be performed regularly alongside annual eye and foot examinations for diabetic patients. Additionally, monitoring and managing potential side effects of Aricept and Coumadin, such as gastrointestinal bleeding, dementia, and cognitive impairment, is critical.

4. How might your treatment plan, in terms of medications, differ for this patient? Include the class of the medication, mechanism of action, route, half-life; how it is metabolized in and eliminated from the body; contraindications, and black box warnings.

The treatment plan for Ms. GM would be tailored to her specific conditions and needs. Insulin therapy and oral hypoglycemics may be necessary to control blood glucose levels. Coumadin may also need to be adjusted or substituted with an alternative anticoagulant that doesn’t interact with cinnamon. Alternatives to Aricept may be necessary if the patient experiences adverse side effects. The route of administration and dosage of chosen medications will be based on the patient’s age, weight, and renal and hepatic function. Contraindications and black box warnings must also be considered to avoid adverse drug reactions.

5. What health maintenance or preventive education is important for this client based on your choice medication/treatment?

Patient education on proper medication administration, avoiding potential drug interactions, and the importance of regular medical checkups and blood glucose monitoring is critical for optimal health outcomes. Additionally, Ms. GM must be educated on lifestyle modifications such as diet, exercise, and smoking cessation that can improve her diabetes management and overall health.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Describe and critique a current article that relates to Nursing Assignment Help

Describe and critique a current article that relates to hospital financing and competitive practices in healthcare. (Article should be from a scholarly, peer-reviewed journal published within the last 3-5 years). Submit 1,000-1,500-word paper with a KU title page and reference page in a scholarly format. You are a medical professor

GCU Patient Preferences in Care Discussion Reply Nursing Assignment Help

please respond to the following discussion as a peer making a comment. Hello everyone, Integrating patient preferences and values with clinician expertise is essential when making evidence-based decisions. This approach leads to patient-centered care, improves treatment adherence, and enhances health outcomes. Patients’ unique values, beliefs, priorities, and circumstances can significantly

UM Administrator in Training Rotation Experience Report Nursing Assignment Help

Complete and Submit the Three Sections of the Report for the Assignment: AIT Experience: LTC Settings and Services Report Template (ATTACHED) APA: Include APA 7th Edition Formatted Reference Page. ALL RESPONSES IN PARAGRAPH FORM. Complete Section 1 of the Report Select the Long Term Care (LTC) Settings and Services: ALREADY

NYU Autoimmune Disease of Myelin Abstract Nursing Assignment Help

`The disease is called MS You should read Wikipedia “Immune System”, “Antibody”,  “Antigen”, “T  cell”, “B cell”, “Macrophage”, “Dendritic cell”  for writing your abstract. It would also be good to read the Wikipedia article on MS.  The purpose of writing an abstract is to condense the material you have read

Within the Professions of Psychology Paper Nursing Assignment Help

PSY 540 Final Project Guidelines and Rubric Overview Within the professions of psychology, it can be typical for you to work on proposals for programs, studies, or new initiatives. For example, you may work for a university that regularly partners with foundations and corporations to identify grant opportunities for projects

Professional Ethics Instructions Baccalaureate education Nursing Assignment Help

Professional Ethics Instructions Baccalaureate education includes the development of professional values and value-based behavior (AACN, 2008). Ethics define professional ethics and their importance in the healthcare environment. The American Nurses Association has approved 13 standardized languages that support nursing care.  The benefits of standardized language include: better communication among nurses

Select one of the following populations: Aging Nursing Assignment Help

Select one of the following populations: Aging Population Homelessness Migrant Workers LGBTQIA+ Other Identified Vulnerable Populations from Your Reading Then complete the following steps for your discussion post: Identify which vulnerable population you have chosen to use for this post and describe what this vulnerable population looks like in your

WGU Population Health Data Analysis Paper Nursing Assignment Help

In this course, you learned that Informatics for Transforming Nursing Care integrates nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice. This provides knowledge and skills to apply informatics concepts, communications, and data critical to facilitating interprofessional

Professional EthicsInstructions Baccalaureate education Nursing Assignment Help

Professional EthicsInstructions Baccalaureate education includes the development of professional values and value-based behavior (AACN, 2008). Ethics define professional ethics and their importance in the healthcare environment. The American Nurses Association has approved 13 standardized languages that support nursing care.  The benefits of standardized language include: better communication among nurses and

HSA 599 SU Public Health Emergencies Discussion Nursing Assignment Help

I’m working on a health & medical discussion question and need the explanation and answer to help me learn. Discuss a life-threatening event or a natural disaster in your community, such as a severe weather event, terrorist attack, or other type of public health emergency. Examine an overall strategy that

Develop a literature map or a visual representation of the Nursing Assignment Help

Develop a literature map or a visual representation of the Public Health Informatics literature.  Also include a powerpoint presentation explaining the literature map with the slides Constructing a literature map helps you: develop an understanding of the key issues and research findings in the literature organize ideas see how different research studies