Ashford University Pharmacology Discussion Post

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niqto0926

Health Medical

ashford university

Description

L.P., age 23, is a white woman who graduated from college last year. She began working as an accountant 1 month after graduating. Approximately 2 months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she see a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past 9 months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent. She reports that all her life she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” L.P. reports that she has a good relationship with her boyfriend, but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past 4 years without any adverse effects.

Diagnosis: Generalized Anxiety Disorder

Questions:

1. List specific treatment goals for L.P.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Describe specific patient monitoring 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?

7. What dietary and lifestyle changes should be recommended for this patient?

Provide 3 Postings (Initial Posting and Respond to 2 Peer Based on APA Guidelines). Respond in complete sentences, 2-3 paragraphs. Work must be supported by peer-reviewed article published within 5 years.

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Explanation & Answer

Attached. Please let me know if you have any questions or need revisions.

1

GAD

Questions
Student’s Name
Institution

GAD

2

1. List specific treatment goals for L.P.
The treatment goals are reducing the effects and apparently of the symptoms.
Generalized Anxiety Disorder has no specific treatment and can take shape in
psychotherapy and medication (WebMD, 2020). A combination of the two may help
bring the best outcome.
2. What drug therapy would you prescribe? Why?
The prescribed medication would be escitalopram (Lexapro). Escitalopram is an
antidepressant used as a first-line treatment. The medication is in the selective
serotonin reuptake inhibitor (SSRI). Additional antidepressants would be
venlafaxine(Effor XR) and duloxetine(Cymbalta) (Mayo clinic, 2020). Moreover,
Buspirone may also be used as an anti-anxiety medication; however, it may take few
weeks to achieve effectiveness.
3. What are the parameters for monitoring the success of the therapy?
The major parameter for the success of the therapy includes frequency of anxiety
periods, side effects of medication and overall reduction of anxiety.
4. Descri...


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