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Pharmacology: An Introduction 7th Edition by hinter and barbra CASE STUDY #1:
Gertrude Jenkins is a 74 year old female who has poor eyesight due to glaucoma, has hypertension, endstage renal disease, and the beginnings of vascular dementia. Ms. Jenkins is a widow of 14 years, lives
alone in a major urban city on the East coast, is unable to drive independently, does enjoy an active
social life when friends can pick her up, and enjoys once a month visits with her oldest daughter, who is
a custodian at an elementary school. Ms. Jenkins reports to taking beta-blockers for her hypertension
and glaucoma, seeing the ophthalmologist once a year, and is also on diuretics (water pills, she called
them) and other medication to aid her kidneys. She doesn’t recall her medications and/or the dosing
schedule and reports to forgetting doses and then doubling up when she remembers to take the
medication. She also reports to an unwillingness to follow through on her blood chemistry work due to
the inconvenience of arranging for transportation.
From a pharmacokinetic perspective, what questions arise as you consider this case? 5 pts
From a pharmacological perspective, what questions arise as you consider this case? 5 pts
What concerns, if any, do you have about the use of pharmacotherapeutics (or lack
thereof) as presented in this case? Why?
5 pts
What specific concerns, if any, do you have about patient follow through? Why? 5 pts
What recommendations would you suggest to the individual/s presented in this case?
Support those recommendations with clear rationale.
5 pts
_______Total points earned/25 points possible
Instructions: Submit a typed/double-spaced Word document addressing each of these five areas as
fully as possible.
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