Assignment Task:
Hi, Can you help me with the following case study please?
Chara Gutierrez, a 58-year-old female client (DOB: 6/12/1966), presents with complaints of fatigue, pain, swelling, and stiffness in her hands, fingers, toes, and feet for the past month. The pain is worse after periods of immobility. The physical exam is normal outside of joint pain and swelling. Lab tests and imaging are ordered to help confirm a diagnosis. Chara returns for a follow-up appointment and is diagnosed with RA based on imaging results. In addition to non-pharmacologic interventions and NSAIDs, the NP considers what pharmacotherapy to prescribe for RA.
Past Medical History: Hypertension, Type 2 Diabetes
Allergies: None
Medications: captopril (Capoten) 25mg PO q12hr, metformin (Glucophage) 500mg PO BID
Social History: She quit smoking cigarettes 15 years ago and drinks alcohol on the weekends.
Physical Exam:
Height: 5 ft 5 inches
Weight: 220 lbs
Body Mass Index (BMI): 36.6
Blood Pressure (BP): 129/76
Heart Rate (HR): 94
Respiratory Rate (RR): 19
Oxygen Saturation (O2 Sat): 97% on RA
Temperature (TEMP): 99.3 oral
Describe your assigned client's situation. Why are they presenting to the clinic? What medications are they currently taking?
Assess the applicable clinical practice guideline (CPG) for your assigned client. What treatment is recommended by the CPG for your client's situation? Want Assignment Help?
Discuss your personal and professional assessment of the client's situation provided in the scenario. What pharmacological treatment is necessary and why?
Reflect on additional questions you have about your assigned client that may influence treatment. What else do you need to know? What follow-up assessments, labs, or conversations are required to ensure optimal health outcomes?