RESOURCES
§ Folstein, M. F., Folstein, S. E., & McHugh, P. R. (2002). Mini-Mental State Examination (MMSE). Lutz, FL: Psychological Assessment Resources.
Op
Options for Decisions below: Tips. Pick one that be a better option and answer all questions above. Need 3 x references
1. Begin Exalon 1.5 mg po bid with an increase to 3 mg po bid in two weeks( pt not feeling better).
2. Increase Exelon to 4.5mg orally bid( pt not feeling better)
3. Increase Exelon to 6mg po bid. ( Pt improved, dose could be maintained and checked in 4 wks, Namenda could also be added).
OR
1. Begin Aricept 5mg po bedtime ( pt no feeling better)
2. Increase Aricept to 10mg po ( Pt still not feeling Better NB Aricept at 5mg can be effective)
3. Continue Aricept 10 mg ( pt not any better) or ( 5mg with Namenda can be effective).
OR
1. Begin Razadyne 4 mg ( pt not feeling better)
2. Increase Razadyne to 24 mg extended release( Pt has seizures/SE)
3. Retart Razadyne ( pt has more s/e). Respidal not apprappriate.
Resource for references
Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.
· Chapter 10, “Basic Principles of Neuropharmacology” (pp. 73–77)
· Chapter 11, “Physiology of the Peripheral Nervous System” (pp. 79–90)
· Chapter 12, “Muscarinic Agonists and Antagonists” (pp. 91–107)
· Chapter 13, “Adrenergic Agonists” (pp. 109–119)
· Chapter 14, “Adrenergic Antagonists” (pp. 121–132)
· Chapter 15, “Indirect-Acting Antiadrenergic Agents” (pp. 133–137)
· Chapter 16, “Introduction to Nervous System Pharmacology” (pp. 139–141)
· Chapter 17, “Drugs for Parkinson Disease” (pp. 143–158)
· Chapter 18, “Drugs for Alzheimer Disease” (pp. 159–166)
· Chapter 19, “Drugs for Epilepsy” (pp. 167–189)
· Chapter 20, “Drugs for Muscle Spasm and Spasticity” (pp. 191–201)
· Chapter 57, “Drug Therapy of Rheumatoid Arthritis” (pp. 629–641)
· Chapter 58, “Drug Therapy of Gout” (pp. 643–651)
· Chapter 59, “Drugs Affecting Calcium Levels and Bone Mineralization” (pp. 653–672)
American Academy of Family Physicians. (2019). Dementia. Retrieved from http://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=5
This website provides information relating to the diagnosis, treatment, and patient education of dementia. It also presents information on complications and special cases of dementia.
Learning Resources
Required Media (click to expand/reduce)
Laureate Education (Producer). (2019b). Alzheimer’s disease [Interactive media file]. Baltimore, MD: Author.
In this interactive media piece, you will engage in a set of decisions for prescribing and recommending pharmacotherapeutics to treat Alzheimer’s disease.
