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W4AssgnArenasS.docx W4AssgnArenasS Walden University NURS6521-Advanced Pharmacology 15:04:34 GMT -05:00 W4AssgnArenasS Patient HLs medical history suggests that the patient has a chronic condition based on HL's medications. Levothyroxine (Synthroid) is a synthetic preparation of thyroxine and the drug of choice for most patients who require thyroid hormone replacement due to hypothyroidism (Rosenthal & Burchum, 2020). HL dosage of Synthroid is adequate. Testing for T3 and T4 level is needed if the dose needs to be adjusted. Nifedipine (Adalat, Procardia, Procardia XL) is a calcium channel blocker, antianginals that inhibits calcium ion influx into vascular smooth muscle and myocardium, resulting in vasodilation (). It is used to manage or treat hypertension and chest pain, or angina. The dosage for extended release is 30-60 mg once a day orally. Prednisone (Deltasone) is a glucocor

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2021/2022
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W4AssgnArenasS


Walden University

NURS6521-Advanced Pharmacology




15:04:34 GMT -05:00

, W4AssgnArenasS



Patient HL’s medical history suggests that the patient has a chronic condition based on

HL's medications. Levothyroxine (Synthroid) is a synthetic preparation of thyroxine and the drug

of choice for most patients who require thyroid hormone replacement due to hypothyroidism

(Rosenthal & Burchum, 2020). HL dosage of Synthroid is adequate. Testing for T3 and T4 level is

needed if the dose needs to be adjusted. Nifedipine (Adalat, Procardia, Procardia XL) is a

calcium channel blocker, antianginals that inhibits calcium ion influx into vascular smooth

muscle and myocardium, resulting in vasodilation (www.epocrates.com). It is used to manage or

treat hypertension and chest pain, or angina. The dosage for extended release is 30-60 mg once a

day orally. Prednisone (Deltasone) is a glucocorticoid that elicits mild mineralocorticoid activity

and moderate anti-inflammatory effects by controlling the rate of protein synthesis, suppressing

the migration of polymorphonuclear leukocytes (PMNs) and fibroblasts, reversing capillary

permeability (medscape.com). Long-term use of steroids can weaken your immune system

making a person susceptible to infection, may lead to bone loss, and affect growth in children

(Sinha, 2021).

A comprehensive history and physical is needed to evaluate the patient's presenting signs

and symptoms: nausea, vomiting, and diarrhea. Possible use of Prednisone for patient HL is for

Hepatitis C, an inflammation of the liver caused by damage or injury to the tissues. Hepatitis C

(HCV) can be acute or chronic. Acute is a short-term infection, and symptoms can last up to 6

months, and the virus goes away when your body can fight the infection. But for some, acute

infection can lead to chronic infection. Chronic hepatitis C is a long-lasting infection. If not

treated, it can last for a lifetime and cause serious health problems such as liver damage,




15:04:34 GMT -05:00

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