ENDOCRINE CASE STUDY CD is a 54

ENDOCRINE CASE STUDY CD is a 54 yo female presenting with Type 2 Diabetes for management. She is 178 lbs, and blood pressure is 160/89. CD wants to lose weight as well. She is currently taking Metformin 500mg po twice daily, Lisinopril 10mg po daily, Pravastatin 20mg po daily, and Levothyroxine 50mcg po daily. Her HgbA1C measured today was 8%. What is the benefit of using metformin as an initial agent for Type II DM? Would CD need to be started on insulin today, and why? What category of blood pressure medication is lisinopril, is it a good choice for CD and why? Explain what levothyroxine is used for and how it is best taken. What lab work would you recommend for CD and why? Please, add references Case Study Rubric Criteria Excellent-20 Good-15 Fair-10 Poor-5 Grade: 1. Definition of the problem and its pathophysiology Clearly identifies critical elements of the pathophysiology in a clear and concise presentation Identifies most of the critical elements of the pathophysiology in a clear and concise presentation Identifies some of the critical elements of the pathophysiology in a clear and concise presentation Identifies a few of the critical elements of the pathophysiology and not in a clear and concise presentation 2. Classification of the drug, generic and trade name and how it works in the body Identifies the classification of the drug and describes in detail how it works in the body using correct terminology Identifies the classification of the drug although does not fully describe how it works in the body using correct terminology Identifies the classification of the drug and how it works in the body with minimal explanation and not always using correct terminology Identifies the classification of the drug and minimal explanation of how it works in the body not using correct terminology 3.Adverse effects, precautions, and dosing of the drug Discusses the ADR’s of the drug in detail and how it may affect other body systems Discusses most of the ADR’s of the drug in some detail and how it may affect other body systems Discusses a few of the ADR’s of the drug with in some detail but does include how it may affect other body systems Discusses very few of the ADR’s with minimal detail and does not include how it may affect other body systems 4. What educational information and precautions you need to teach the patient including when to call the provider Discuss in detail the educational information you will need to go over with the patient including precautions and when to call the provider. Discuss in some detail the educational information you will need to go over with the patient including some of the precautions of when to call the provider Discusses a few of the ADR’s in minimal detail and information you will need to go over with the patient including a few of the precautions of when to call the provider. Discuss in minimal detail the educational information you will need to go over with the patient, not including precautions of when to call the provider TOTAL SCORE: _____

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