The Assignment Examine Case Study: An Elderly Hispanic Man With Major Depressive Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. At each decision point stop to complete the following: Decision #1 Which decision did you select? Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? Decision #2 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? Decision #3 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? Also include how ethical considerations might impact your treatment plan and communication with clients. Instruction: When you provide me 6 pages of discussion on diagnosis and only 1 page on your decisions during the decision tree, you will probably fail the assignment. Remember this is a Pharmacology class that incorporates Pharmacotherapy and not a class on diagnosing disease. I want you to tell me why you selected an option (why is it the best option- using clinically relevant and patient specific data) and why you did not choose the other options (I want you to defend your decision as if you were in open court- with clinically relevant and patient specific data). I would like 7 references cited with every assignment. I deduct 1 point per reference missing. Credible reference material only will be accepted. Sites such as WebMD and drugs.com (among others) will not be counted. Caution: DO NOT USE THE START OVER BUTTON AND DO THIS ASSIGMMENT MULTIPLE TIMES. That is not the point nor is it the assignment. If you do use the START OVER button, I do not want your paper to reflect this. I have had students do it multiple times and address each time in their paper. You will receive a ZERO on the assignment if you do this- no exceptions.] |
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When the 32-year-old Hispanic American male was presented to me, my first decision involved a prescription of Effexor XR 37.5mg to be taken orally daily for four weeks. Venlafaxine hydrochloride – an antidepressant that belongs to a category of medications referred to as Serotinin-Noradrenaline Reuptake Inhibitors – is one of the key components that make up Effexor XR (Wyeth Pharmaceuticals Inc., 2004). Previous clinical studies on this drug reveal that Effexor XR has an active metabolite (O-desmethylvenlafaxine, ODV) effect, which facilitates the inhibition of norepinephrine and neuronal serotonin absorption. It also facilitates the reabsorption of weak inhibitors of dopamine. Venlafaxine component affects certain chemicals in the human brain that tend to be unbalanced in patients suffering from depression. As such Effexor XR is prescribed to patients with severe depressive disorder, panic disorder and anxiety. Moreover, the antidepressant effects of this drug last for three days after ingestion. This means that the chances of depression relapse are minimal.
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By prescribing Effexor XR 37.5 mg I hoped to achieve satisfactory results. First of all, since this drug has venlafaxine component, I expected the severity of depression to reduce by at least 4 points (Federal Drug Association, 2012). On the same note, It was anticipated that the symptoms would start to improve within 14 days. The full beneficial implications of Effexor ought to have been felt by the end of…
