NU641 Case Study Week 10 Major Depressive DisorderRequired ReadingWoo, T. M., & Robinson, M. V. (2020). Pharmacotherapeutics for advanced practice nurse prescribers (5th ed.). Philadelphia, PA: F.A. Davis Company.Chapter 12: Drugs Affecting the Central Nervous SystemChapter 30: Anxiety and DepressionChapter 31: Attention Deficit Hyperactivity Disorder Laurais a 55-year-old white female who presents to her family physicianâs office for a yearly routine physical. Her husband passed away five months ago after a two-year battle with lung cancer. She has three children, two of whom are still in college. Her daughter accompanies her to the doctorâs office and says she is concerned about her motherâs recent behavior. She explains that her mother has been âsleeping all the timeâ and has lost 25 lb in the past two months without being on a diet. Physical examinationWhen the doctor examines Laura, she explains that she has become increasingly fatigued and complains of a lack of energy. She no longer has any desire to participate in her lifelong hobbies of painting and photography because of frequent feelings of sadness. Lauraâs medical history is significant for hypothyroidism, hypercholesterolemia, and recently diagnosed hypertension. In the office today, Lauraâs blood pressure is 138/88 mm Hg. Medications she is taking:· levothyroxine 0.075 mg daily· simvastatin 20 mg daily· hydrochlorothiazide 25 mg daily· lisinopril 10 mg daily· multivitamins 1 tab daily· aspirin 81 mg daily Diagnosis: Major Depression 1. List specific goals for treatment for Laura.2. What drug therapy would you prescribe? Why?3. What are the parameters for monitoring success of the therapy?4. Discuss specific patient education based on the prescribed therapy.5. List one or two adverse reactions for the selected agent that would cause you to change therapy.6. What would be the choice for second-line therapy? Provide rationale for your answer.7. What over-the-counter and/or alternative medications would be appropriate for Laura? Why?8. What lifestyle changes would you recommend to Laura? Why?9. Describe one or two drugâdrug or drugâfood interaction for the selected agent.10. What labs would you order and why?11. When would you have the patient return to your office? this website
Mental Health Disorders
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