hi I have a case study and I need help. I am not quite...

Question Answered step-by-step hi I have a case study and I need help. I am not quite… hi I have a case study and I need help. I am not quite understanding what exactly they want from this section: 2b. Create a list of the patient’s drug therapy problems and prioritize them. Include assessment of medication appropriateness, effectiveness, safety, and patient adherence. Clinical presentation:Chief Complaint”My wife says I need to get my lungs checked. Ever since we moved, I’m having a hard time breathing.”HPIDwayne Morrison is a 59-year-old man who is presenting to a new provider at the family medicine clinic today with complaints of increasing shortness of breath. He points out that he first noticed some difficulty catching his breath at his job 3 years ago. He had been able to carry heavy loads up and down a flight of stairs daily for the past 35 years without any problem. However, his shortness of breath began to make this very difficult. Coincidentally at that time, he accepted a managerial position at his company that significantly reduced his activity level. After taking this position, he no longer noticed any problems, but he admits that he avoids activities that cause him to physically exert himself. He noticed significant shortness of breath again after he moved to Colorado from a lower elevation 2 months ago to be closer to his grandchildren. His shortness of breath is worst when he is outside playing with his grandchildren. He maintained his same managerial position with the move and does not physically exert himself at work. His previous physician had placed him on budesonide/formoterol (Symbicort) two inhalations twice daily 2 years ago. He thinks his physician initiated the medication for the shortness of breath, but he is not entirely sure. He is hoping to get a good medication that will help relieve his shortness of breath because the gardening season is right around the corner, and he enjoys this hobby.PMHCoronary artery disease (CAD; MI 7 years ago, resulting in a drug-eluting stent [DES] placement at that time; additional DES placed 2 years ago; normal echocardiogram and stress test 3 months ago)Chronic bronchitis × 8 years (has had one exacerbation in the past 12 months; received oral antibiotic treatment but was not hospitalized)Cervical radiculopathyFHFather (alive) with COPD (smoked a pipe for 40 years). Mother (alive) with CAD and cerebrovascular disease.SHHe lives with his wife, who is a nurse. He has a 40 pack-year history of smoking. When he had an MI at age 52, he quit smoking temporarily. At present, he continues to smoke five to six cigarettes per day. He drinks two beers most nights of the workweek and two to three glasses of wine on the weekends.MedsAspirin 81 mg PO once dailyBupropion SR 150 mg PO twice dailyClopidogrel 75 mg PO once dailyBudesonide/formoterol 80 mcg/4.5 mcg, two inhalations twice dailyOTC naproxen 220 mg PO every 12 hours PRN neck painRosuvastatin 20 mg PO once dailyMetoprolol succinate 50 mg PO once dailySeasonal influenza vaccine (previous year) The book is pharmacotherapy Casebook: A Patient-Focused Approach, 11edition by Sarah L. Anderson; Joel C. Marrs, and it is on chapter 31: Chronic Obstructive Pulmonary Disease: Treading on Thin Air Level II Health Science Science Nursing NSG 5510 Share QuestionEmailCopy link Comments (0)