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Ms. Johnson, a 29-year-old female presents to your clinic today with complaints of left hip and left shoulder pain. She reports not feeling too well today. She reports that she has been in pain for the last 6 years. She denies trauma. There is no neurological involvement including bowel or bladder changes or dysfunction, radiation of pain to the lower extremities, numbness or tingling. The pain is constant, dull and boring. Recently, she started an exercise program to build her muscles. She reports her personal trainer is a body builder and suggested that she starts taking Creatinine to help build her muscles, and Coenzyme Q10, an antioxidant. The trainer suggested to start these 2 supplements at the same time when she begins working out. She also takes Kava Kava for anxiety and garlic to help lower her blood pressure. Past medication history includes: Type II diabetes since age 19, High blood pressure, Recurrent deep vein thrombosis. Current medications: Glyburide 3 mg daily with breakfast, Lisinopril 20 mg daily, Ibuprofen 400mg BID, and Warfarin 7mg daily. 1. After reviewing the patient’s medication list, state your findings and explain your concerns in detail. 2. What additional information would you obtain? Please discuss rationale. 3. Give your recommendations to manage this patient’s medications? 4. Provide patient education. 5. If your plan is to prescribe a medication/s, create a prescription and discuss, what are the important components necessary on the packaging or on the label?
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