Advanced Pharmacology

Case Study

80-year-old man with a medical history of high blood pressure, diabetes, chronic back pain and etoh abuse, presented to ER level one c/o right hip pain and right shoulder pain after having a MV Accident 24 hours after intoxication. He has experienced increasingly isolated behaviors after his wife dying from breast cancer 6 months ago. He states life has changed for him since the death of his spouse of 40 years. Denies any present tobacco or drug use but drinks a pint of whisky a day for the last 6 months. He also complained of insomnia and depression. After a complete workup in the ER, labs noted patient had an elevated etoh level of 0.10, X ray of the hip showed a right acetabulum fracture and a right clavicle fracture. He walked away from his car after hitting a tree because he did not want to get arrested.

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Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.

Advanced Pharmacology