A Middle aged Caucasian man with anxiety

Examine Case Study: A Middle-Aged Caucasian Man With Anxiety. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

Decision #1

Which decision did you select?

Of the three medications (Zoloft 50mg po daily, Imipramine 25 mg po BID and Buspirone 10 mg po DIB),  I chose to begin Zoloft 50 mg daily.

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

To start with, Imipramine would be undesirable because it causes daytime drowsiness which would interfere with the patient’s occupation. On the same note, the drug would be detrimental at this level as it is an antidepressant that is used to treat major depression. Buspirone 10 mg po BID, on the other hand, was…

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

First, it was expected that the drug would trigger reduction in panic attacks (Kirkham at al., 2016). On the same note, since the medication also increases the patient’s appetite, additional gain in weight …

Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?

There was no significant difference between the expected results and the achievement after four weeks of medication. The tightness of the chest and the shortness of breath declined remarkably. In addition, the patient also reported a relative period of declined worries about work…

Decision #2

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

Decision #3

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients.
Finally: 1. Complete the decision tree (keep track of what you selected. come up with a rational reason why you chose it. Come up with patient specific rational reason behind not choosing the other two options not chosen).