Pharm w9 assignment

Pharm W9 Assignment Student’s Name Professor’s Name Institutional Affiliations Course Name and Number Due Date Pharm W9 Assignment Jamie’s Scenario Treating a homeless person with acute psychotic episodes like Jamie requires a plan that considers his health and social dynamics. As a result, the focus would be integrating life-supporting interventions and behavioral approaches that would boost his medication compliance. Such an approach should also assess whether minimizing his medications is feasible through alternative options that he can be taken from hospital premises due to storage. Although the two medications for Jamie have an impact on his bipolar management, a thorough review raises the need for making slight adjustments. For instance, discontinuing amitriptyline (Elavil) might be fundamental due to the associated risks, which become more likely considering Jamie’s homelessness dynamics. According to Davis (2020), this medication can trigger mania episodes in a patient such as Jamie. Moreover, it has antimuscarinic side effects, and its overdose outcomes are often lethal. Such aspects make it recommendable for patients with other caregivers to monitor changes. However, Jamie should continue taking Lithium due to its proven status for managing mood disorders and its cost-effectiveness (Hidalgo-Mazzei et al., 2023). Such considerations will improve Jamie’s stability. Dynamics arising from Jamie’s case favor introducing Long-Acting Injectable Antipsychotics (LAIAs). In this context, a 37.5 mg risperidone administered intramuscularly would be appropriate (Özgüven & Kir, 2021). Such a medication would limit Jamie’s daily medications and boost his mood stabilization. Rheumatoid Arthritis Scenario The patient’s current treatment plan requires adjustments to address Chron’s disease-related exacerbations and improve pain remission due to progressing rheumatoid arthritis. The appropriate therapy for addressing the primary issue raised by the patient is introducing another Disease-Modifying Antirheumatic Drug (DMARD) such as Methotrexate. García-González and Baker (2022) recommend it as a gold-standard drug applicable for mild to severe arthritis and its ease of use alongside other medication. The patient should start with a dose of 15mg qw and increase it gradually by 2.5mg every 2 weeks to a maximum of 25mg as needed (García-González & Baker, 2022). Methotrexate will also double as a treatment for Crohn’s disease complications, as Gade et al. (2020) highlight. Thus, such an approach will avert Polypharmacy for a 68-year-old patient. Researchers agree that despite the effectiveness of Methotrexate, the medication has serious side effects that require regular monitoring of the patient. For instance, Gade et al. (2020) underline leukopenia and hepatoxicity, while García-González and Baker (2022) flag cytopenia. As a result, the patient requires regular laboratory assessments after 2 to 3 months to rule out complications. Valerio et al. (2020) list these tests as liver biochemistry, total blood cell analysis, and creatine levels. The findings inform continuation or reduction in dosage of the regimen. Sheila’s Scenario The presenting symptoms hint that Sheila has an affected cerebellum. Although she had experienced a head injury, Dilantin or Phenytoin toxicity emerges as the leading suspect due to the classic symptoms consistent with such an issue. Acc...