Examine Case Study: An Elderly Hispanic Man With Major Depressive Disorder. 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.
At each decision point stop to complete the following:
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Decision #1
Which decision did you select?
When the 32-year-old Hispanic American male was presented to me, my first decision involved a prescription of Effexor XR 37.5mg to be taken orally daily for four weeks. Venlafaxine hydrochloride – an antidepressant that belongs to a category of medications referred to as Serotinin-Noradrenaline Reuptake Inhibitors – is one of the key components that make up Effexor XR (Wyeth Pharmaceuticals Inc., 2004)….
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
Previous clinical studies on this drug reveal that Effexor XR has an active metabolite (O-desmethylvenlafaxine, ODV) effect, which facilitates the inhibition of norepinephrine and neuronal serotonin absorption. It also facilitates the reabsorption of weak inhibitors of dopamine. Venlafaxine component affects certain …
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
By prescribing Effexor XR 37.5 mg I hoped to achieve satisfactory results. First of all, since this drug has venlafaxine component, I expected the severity of depression to reduce by at least 4 points (Federal Drug Association, 2012). On the same note, It was anticipated that the symptoms would start to improve….
Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
To start with, by prescribing a lower dosage of Effexor XR (37.5mg), I expected the severity of depression to reduce by at least four points. The preclinical trials of the drug show that 136 mg daily is the optimum dosage of the medication. My decision to administer a lower dosage was informed by the fact that I was determined to reduce the possibility of triggering hypersensitive reactions (Federal Drug Association, 2012). Apparently, there was…
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.
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