What are the errors in the next prescriptions (5 total)?

SCENARIO 1

What are the errors in the next prescriptions (5 total)? Rewrite every prescription accurately. What’s every medication classification? What’s the mechanism of action (MOA)?

• fluticasone/salmeterol (Advair) 115/21 mcg 1 inhalation BID #1 Diskus 3 RF
• albuterol 4 mg po 15-30 min before state #30 2 RF
• budesonide/fluticasone (Symbicort) 160/4.5 mcg, 2 puffs inhaled BID and 1-2 puffs prn bronchial asthma symptoms (max 12 inhalations in 24 hours) #1 inhaler 2 RF
• tiatropium (Spiriva Respimat) 2.5 mcg/actuation inhaler; inhale 2 actuations po once daily for COPD #1 inhaler/60 actuations 1 RF
• lamotrigine (Keppra) 500 mg po BID #60 2 RF

SCENARIO 2

AB is a 34-three hundred and sixty five days-ancient female presenting to the hospital with ongoing migraine complications. “I’m light getting migraines once per week, even supposing I take Ubrelvy after they birth.” She experiences experiencing 3 to 4 migraine attacks per month, on the total linked with throbbing wretchedness on one aspect, light sensitivity, and nausea. Migraines can closing from 6-24 hours. AB has been taking Ubrelvy 50 mg po as wished at migraine onset for the past 3 months. She says it helps most steadily, but no longer constantly, and the wretchedness on the total returns in a few hours. PMH: migraine without charisma (recognized at age 27) Unique medications: Ubrelvy 50 mg po PRN at onset of migraine, ondansetron 4 mg ODT dissolve on tongue PRN nausea, could perchance well also repeat in 8 hours if wished. Vitals: BP 118/74, HR 78. What treatment conception would you enforce for AB? What medication modifications would you salvage? How would you show screen the effectiveness of this conception, and what patient education would you present? Is a patient with migraines extra more seemingly to begin on an acute or preventive agent? What are examples of every?

SCENARIO 3

RC is a 58-three hundred and sixty five days-ancient female that presents to the hospital this day with early-onset Alzheimer’s Illness. What would you prescribe? Have confidence her labs and present a drug therapy conception. Embody total medication orders. How would you show screen therapy? Labs: TSH 3.4 mU/L, nutrition D 22 ng/mL, B12 501 pg/mL, Hgb 12.8 g/dL, BG 96 mg/dL, A1C 5.9%, BP 115/72, HR 76. Medicines contain: Tresiba 15 devices SC once daily QHS, Novolog 5 devices SC before every meal TID (adjusting in step with carbohydrate intake and glucose monitoring), and lisinopril 10 mg po daily

SCENARIO 4

PL is a 63-three hundred and sixty five days-ancient male with poorly controlled kind 2 diabetes presenting for apply-up and treatment optimization. Unique medications contain dicyclomine 10 mg po QID prn abdominal wretchedness, pantoprazole 40 mg po daily half-hour before breakfast, losartan 50 mg po daily, and probiotics daily. His lab work this day entails: BG 196 mg/dL, A1C  8.6%, K⁺ 4.2,  Cr 1.8, eGRF 27, BP 127/74. What treatment conception would you enforce for PL (contain total medication give an explanation for)? What’s the classification and MOA of the drug you chose; why is it essentially the most productive treatment risk for PL? What education would you present and the way in which would you show screen the effectiveness of the treatment conception? What’s his aim A1C?