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Mrs. Anderson is a 40-year-old female. She presents to your office with complaints of fatigue, urinary frequency, and epigastric discomfort. She states she takes Tums, with minimal relief. She states she has had a goiter for 10 years and has complaints.

Mrs. Anderson is a 40-year-old female. She presents to your office

with complaints of fatigue, urinary frequency, and epigastric discomfort. She states she takes Tums, with minimal relief. She states she has had a goiter for 10 years and has complaints. You notice a quarter size open sore on her left calf. She states she thinks it is a bug bite, but it has not healed yet. Labs results: HbA1c- 10, TSH-11, UA-positive for nitrites and glucose, wound culture- positive for staph aureus. Diagnoses – DM Type 2, Hypothyroidism, GERD, Staph infection.

What medications is safe for this patient? What are the drug classes, generic and trade names and starting dose ranges? Why would these medications be prescribed for the patient?

What are the potential side effects and drug interactions for this patient.

What are the non-pharmacological interventions?

What patient education is appropriate ?

 
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