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Armella

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Introduction

Intro Transcript

Medical History

  • History of back pain
  • History of diabetes type II, takes Metformin 1000 mg daily with meals, last A1C from a month ago 7.6
  • History of coronary artery disease
  • History of hypertension for 10 years
  • History of rheumatoid arthritis for 20 years, received Rituxan infusions every 4–6 months

Surgical History

  • Tonsillectomy at 5 years
  • TAH at 55 years
  • Cervical fusion 15 years ago
  • Cardiac stents placed 5 years ago for coronary artery disease

What further questions would you like to ask Armella?

Q: Do you work?

Work Transcript

Q: What medications do you take?

  • Diazepam 10 mg twice daily for anxiety, for the last two months, prescribed by primary care provider
  • Metformin 1000 mg daily with meals
  • Paroxetine 20 mg at night, for two months, prescribed by primary care provider
  • Propranolol 120 mg daily
  • Rituxan infusions every 4 to 6 months for rheumatoid arthritis
  • Tramadol 100 mg every 6 to 8 hours as needed for back pain
  • OTC multivitamins

Medication Transcript

Q: What are your worst symptoms?

Symptoms Transcript

What are at least three potential causes of Armella’s distressing physical symptoms?
What are at least three follow-up questions you ask Armella to help identify what the cause is of these distressing physical symptoms?

Would you recommend medication changes for Armella? If so, include the name of the drug (trade and generic), dose, route, and frequency. Explain the rationale for your medication decisions.

What education would you give Armella about the medication(s) you recommend?

What are at least three risks associated with all benzodiazepine medications?

What are at least two risks of using them specifically in a geriatric patient such as Armella?


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What are at least three potential causes of Armella’s distressing physical symptoms?


What are at least three follow-up questions you ask Armella to help identify what the cause is of these distressing physical symptoms?


Would you recommend medication changes for Armella? If so, include the name of the drug (trade and generic), dose, route, and frequency. Explain the rationale for your medication decisions.


What education would you give Armella about the medication(s) you recommend?


What are at least three risks associated with all benzodiazepine medications?

What are at least two risks of using them specifically in a geriatric patient such as Armella?


Activity is complete.