Melina is a 36-year-old female with complaints of excessive fatigue, muscle aches, difficulty sleeping, weight gain, and hair loss in the past six months. She recently lost her job as a clerk and is under a lot of stress. She denies taking any medication and denies any medical history. She is crying at the clinic today and tells you that she does not feel right. Her labs demonstrate that her TSH is significantly elevated at 8. How will you approach and manage her complaints? What discussion will you have with the patient regarding her therapy going forward?
George is a 48-year-old man who presents to the clinic with a 2-day history of fever and a productive cough. History includes mild hypertension and a half-pack per day smoking habit. He is currently not taking medication for his high blood pressure because he did not like the adverse reactions. Vital signs today are 100.9°F oral, BP 135/82 mm Hg, and SaO2 96%. He has decreased breath sounds in the left lower lobe and CXR shows a left lower lobe consolidation. You suspect he has bacterial pneumonia. What is your medication management plan for this patient? Include patient education on medication administration, adherence, and side effects. Should you address his current smoking status, and if so, why?
Jackson is a 37-year-old male with a 10-year 1-PPD smoking history. He has no other health history and his last physical exam 6 months ago was normal. He is motived to quit and has been unsuccessful with OTC smoking cessation products. In the past 3 months, he has intermittently tried nicotine gum and lozenges. He is requesting a prescriptive option. What is your treatment recommendation for this patient? What important medication information regarding adherence, side effects, and follow-up should be included? What non-pharmacologic treatment education should Jackson receive?For more information on OTC smoking cessation OTC smoking cessation check on this:https://en.wikipedia.org/wiki/Smoking_cessation
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