Scenario: Rita is a moderately obese 48-year-old Hispanic female…

Scenario: Rita is a moderately obese 48-year-old Hispanic female… Scenario:Rita is a moderately obese 48-year-old Hispanic female client with a BMI of 28. She presents to your community health clinic for a new patient visit after obtaining health insurance a month ago. Rita states she has not seen a healthcare provider for “years” because she couldn’t afford it. The provider has ordered routine labs, including complete blood count (CBC), comprehensive metabolic panel (CMP), an A1c, and a lipid profile. Rita had the labs completed a couple of days before this appointment. These diagnostic tests were within normal limits except for an A1c at 9.2 and a fasting blood glucose at 156 mg/dL. Her vital signs were measured as follows: oral temperature of 37.0°C, BP of 138/68, pulse at 88, SaO2 at 98%, and respiratory rate of 22. She is seeing the nurse practitioner today for a complete physical exam with plans to follow up with the provider in one month. Expected Outcome: Explain how the individual in the scenario might benefit from medication management for their disease.Pharmacotherapeutic Options: Compare the three classes of diabetes medications, oral hypoglycemics, non-insulin injections, and insulin, for management of type 2 diabetes mellitus. Include the following in your response:Pharmacokinetics and pharmacodynamics of each medication classImpact on fasting and postprandial blood sugar levels for the individual in the scenarioRisks, including contraindications and adverse drug reactionsPharmacotherapeutic Recommendation: Evaluate the most likely class of diabetic medication the provider will prescribe for this client. Be sure to include a clinical practice guideline in your response. Consider the following in your response:What are some commonly used medications in this class?Why would this class be preferred over the others?How will this medication complement the management of this disease in the given scenario?Health Promotion: Recommend specific client education and health promotion opportunities for this scenario. Consider the following in your response:What are the expected outcomes of disease management in this scenario?Which health promotion recommendations would you prioritize considering weight management, diet, exercise, and blood glucose monitoring?What should the client know about the chosen medication and its administration? Health Science Science Nursing NURSING C361 Share QuestionEmailCopy link Comments (0)

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