what medication recommended

Write the Assessment and plan part of this case ?(what medication recommended if any, which medication need to be discontinued if any? And why? What are problem listed ?
Chief Complaint: “I have been having hot flashes for the past few months, and I just can’t take it anymore.”
HP: EP is a 50-year-old woman who reports experiencing two to three hot flashes per day, occasionally associated with insomnia. She also states she is awakened from sleep about two to three times per week needing to change her bed clothes and linens. Her symptoms began about 3 months ago, and over that time they have worsened to the point where they have become very bothersome. She states that her mother was prescribed a pill for this, but she is hesitant to take the same thing custom essay writing service because she heard on the news and from friends that the medication may not be safe. She also does not want to “get her period back” if possible. Successfully treated for depression in the past, she is currently controlled on paroxetine therapy. She exercises three times a week and tries to follow a low-cholesterol diet.
• Depression
• Hypothyroidism
Mother died of stroke at age 67; father died of lung cancer at age 62. Patient has one brother, 52, and one sister, 48, who are alive and well, but both with HTN.
Married, mother of two healthy daughters, ages 21 and 25. She is an RN in a neighboring physician’s office. She walks on her treadmill three times a week and is trying to follow a dietitian-designed low-cholesterol diet. She does not smoke and occasionally drinks a glass of red wine with dinner.
• Hydrochlorothiazide 25 mg PO once daily
• Omeprazole 20 mg PO once daily
• Paroxetine 20 mg PO once daily
• Synthroid 0.075 mg PO once daily
(+) Hot flashes, occasional night sweats and insomnia, vaginal dryness. (–) weight gain, constipation. LMP 12 months ago.
Physical Examination (only pertinent noted)
Gen: WDWN female in NAD
VS:BP 128/86 mm Hg, P 78 bpm, RR 15, T 36.4°C; Wt 76.2 kg, Ht 5′6″
Genit/Rect: Pelvic exam normal except (+) mucosal atrophy; stool guaiac (–)
(–) CCE; pulses intact
Normal sensory and motor levels

Na 136 mEq/L Hgb 12.7 g/dL Ca 9.3 mg/dL Fasting lipid profile
K 3.9 mEq/L Hct 39.3% AST 32 IU/L   T. chol 190 mg/dL
Cl 104 mEq/L WBC 6.5 × 103/mm3 ALT 30 IU/L   LDL 132 mg/dL
CO2 25 mEq/L Plt 208 × 103/mm3 TSH 2.46 mIU/L   HDL 50 mg/dL
BUN 10 mg/dL FSH 87.8 mIU/mL   Trig 180 mg/dL
SCr 0.7 mg/dL UPT (–)
Random Glu 98 mg/dL
Pap smear and mammogram: Normal

The post Write the Assessment and plan part of this case ?(what medication recommended appeared first on EssayBishop.

Calculate your paper price
Pages (550 words)
Approximate price: -

High Quality Papers

We always make sure that writers follow all your instructions precisely. You can choose your academic level or professional level, and we will assign a writer who has a respective degree.


Experienced Writers

We have a team of professional writers with experience in academic and business writing. Many are native speakers and able to perform any task for which you need help.


Free Revisions

If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document.


Timely Delivery

All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension.A 100% refund is guaranteed.


100% Confidential

We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text.


24/7 Customer Services

Tutorpro support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.

Try it now!

Calculate the price of your order

Total price:

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Tutorpro Homework Help Services

At Tutorpro, we have top rated masters and PhD writers who will help you tacke that homework and score A+ grade. Tutorpro services covers all levels of education : high school, college, university undergraduate, masters and PhD academic level.


Essay Writing

No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.



Admission Essays

An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.



Essay Editing

Tutorpro academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.



Revision Support

If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. This is free because we want you to be completely satisfied with the service offered.