SOCI 3630 Chapter Notes - Chapter 1.4: Pcsk9, Atorvastatin, Statin
4 Jun 2020
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There are two solutions for jerry where items are different, they are in italics. Drug therapy problems: (listed in order of priority) Jerry is experiencing an adverse effect from one of his medications. Jerry is at increased risk of non-adherence to lipid lowering therapy (and hence recurrent cardiovascular events) due to concerns with adverse effects. Prevent myocardial infarction and cardiovascular death for next 5 years. Maintain ldl < 2 mmol/l for next year. List and justify your interventions to resolve the drug therapy problem (interventions can include initiation or modification of pharmacologic and non-pharmacologic therapy, do not include specific patient instructions or education) Change to rosuvastatin 20 40 mg nightly. Recommendation: 1) hold statin for 4 6 weeks to see if there is improvement in arm pain or 2) make no changes but continue to monitor. According to the ccs guidelines, jerry is considered to have a statin-indicated condition as he has clinical atherosclerosis (myocardial infarction 3 years ago).
