ASSIGNMENT HELP | A.P. is a 34-year-old woman who comes into your clinic looking for medication to help her lose weight.

A.P. is a 34-year-old woman who comes into your clinic looking for medication to help her lose weight. She states that she has tried several times to lose weight but seems to gain it back within months after stopping her dieting.

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Your workup reveals a normal, young, well-developed woman in no acute distress. She is 66 inches tall and weighs 200 lb. Pertinent labs include A1c 5.9%. Her blood pressure is 128/88 and heart rate is 80. She has a history of monthly migraine headaches for which she takes sumatriptan 50 mg PO PRN headache and may repeat dose in 2 hours if there is no relief; she also has hypothyroidism for which she takes levothyroxine 112 mcg PO daily. She does not smoke or drink alcohol. She works as a secretary in an office. She has a BMI of 32.3 kg/m2.

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Diagnosis: Obesity

Instructions

Answer the following questions in a Word document. Include two references, cited in APA style.

List specific goals for treatment for A.P.
What drug therapy would you prescribe? Why?
The patient was prescribed phentermine ER/topiramate. What are the parameters for monitoring success of the therapy?
Discuss specific patient education based on the prescribed therapy.
Describe one or two adverse reactions for the selected agent that would cause you to change therapy.
What would be the alternative therapy?
What over-the-counter and/or alternative medications would be appropriate for A.P.?
What lifestyle changes would you recommend to A.P.?
Describe one or two drug–drug or drug–food interactions for the selected agent.
Each question is worth up to two points. Additionally, you will receive up to two points for using correct grammar and spelling and providing references cited in APA style.

MODEL ANSWER

Weight Loss Case Study

Treatment Goals

A.P was diagnosed with obesity and the following treatment goals will help alleviate her situation: The treatment is to attain a | PLACE YOUR ORDER NOW AT writtask.com | to alter her lifestyle to a healthier one and finally, to relieve the patient of migraines permanently.

Drug therapy

To help A.P achieve the above-mentioned treatment goals, the patient should consider prescribed | PLACE YOUR ORDER NOW AT writtask.com | suppressants and feed on a diet that | PLACE YOUR ORDER NOW AT writtask.com | not depict quick bodyweight regaining | PLACE YOUR ORDER NOW AT writtask.com | after she terminates her dieting | PLACE YOUR ORDER NOW AT writtask.com | is not the candidate to face surgery since her BMI is 32.3kg/m2 which falls | PLACE YOUR ORDER NOW AT writtask.com | suppressants are therefore the most appropriate option for her. Suitable appetite suppressants include Lorcasein and | PLACE YOUR ORDER NOW AT writtask.com | needs to be relieved from migraines and in this case, sumatriptan is the appropriate choice (Arcangelo et al., 2016).

Parameters to monitor the success

The phentermine ER/topiramate is an extended-release active ingredient that is useful suppressing the appetite and hence useful for the therapy aimed at the | PLACE YOUR ORDER NOW AT writtask.com | useful parameters to monitor the success of this particular therapy are reduced appetite for the patient and nonrecurring or permanent | PLACE YOUR ORDER NOW AT writtask.com | needs to exhibit improved metabolism and attain adequate energy (Arcangelo et al., 2016).

Patient education

The above-prescribed therapy demands some form of patient | PLACE YOUR ORDER NOW AT writtask.com | be given education on how to consume nutritious food to substitute those foods with | PLACE YOUR ORDER NOW AT writtask.com | patient should be aware of the methodology for establishing the number of calories present in the food she consumes and for planning the food intake following the caloric | PLACE YOUR ORDER NOW AT writtask.com | needs to be enlightened about the need and importance of exercising since it is a vital aspect to establish the | PLACE YOUR ORDER NOW AT writtask.com | needs to be informed about the need for continuous change in her diet after she terminates the therapy as a preventive measure for the rapid regaining of more weight.

Adverse reactions

Phentermine ER/topiramate has various adverse reactions that might cause the patient to change | PLACE YOUR ORDER NOW AT writtask.com | include constipation, irregular heart rate, and difficulty in sleeping, restlessness, and dizziness (Arcangelo et al., 2016).

Alternative therapy

If the above reactions cause the patient to change the therapy, the alternative therapy will comprise the | PLACE YOUR ORDER NOW AT writtask.com | is the pseudoephedrine and ephedrine’s stimulant that depresses the patient’s appetite. Mustard seed and red pepper decrease the weight | PLACE YOUR ORDER NOW AT writtask.com | can serve as an alternative therapy because this product causes fullness of the stomach.

OTC medication for drug therapy

For A.P, the most appropriate OTC drug includes appetite suppressors that comprise anorexic substances | PLACE YOUR ORDER NOW AT writtask.com | is an appropriate drug for weight reduction (Reinhold, 2016).

Recommended lifestyle changes The most appropriate lifestyle changes should include engaging in the relaxation program, increasing physical activity through regular exercises…