Assignment 7.1: Weight Loss Case Study Due: Day 7 Value: 20 points A.P. is a 34-
ID: 246812 • Letter: A
Question
Assignment 7.1: Weight Loss Case Study Due: Day 7 Value: 20 points A.P. is a 34-year-old woman who comes into your clinic looking for a 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. 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.
Diagnosis: Obesity
Answer the following questions. 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.
Explanation / Answer
Tital page
Goal of treatment is stable reduce the weight of patient
Abstract
Take a close supervision on calories intake and physical activity. Provide the proper weight reducing drugs
Main body
In above question patient have obesity but non diabetic range of hbA1c
Weight reducing medication take according to prescription,drug phentermine stimulate the release of nore epinephine and to lesser extend serotonine and dopamine
Side effect of drugs is dizzeness,nervousness and dry mouth
As according question patient taking levothyroxine is a major cause of obesity ,most of people have this problem with levothyroxine
Main aim is reduce weight of on levothyroxine can
-optimize T3 and T4 conversion
-optimize adrenal function and cortisol level
-Exercise
If BMI of pt is reduce confirm the action of medication is successful