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MV 64 yo female lives alone - Coggle Diagram
MV
64 yo
female
lives alone
Labs
Neutrophils: 8.2 H
Trop I: 1728H @ 1914
2325H @ 0220
RBC: 5.28H
WBC: 10.1
Creatine Kinase: 6025
Drugs
Mirtazapine 30 mg HS
atypical antidepressant for bipolar type I
onset: 1-2wks, pearks: 6 wks
SE: drowsiness, constipation, weakness, dizziness,
watch for suicidal thoughts increase, serotonin syndrome
Olanzapine 20mg HS
schizoaffective disorder/bipolar type I
onset unknown, peaks 6 hrs
SE: seizures, suicidal thoughts, delirium, dizziness, headache, sedation, weakness,
watch for BP, mental status, ensure it's taken, constipation, EPS, tardive dyskinesia
Rosuvastatin 10mg
HELD
cholesterol management, reduces risk of stroke/MI
onset: unknown peaks: 2-4 wks
SE: amnesia, confusion,headache, dizziness, memory loss, weakness, constipation, diarrhea, rhabdomyolysis,
watch for CK levels >10x upper limit normal then D/C statin
monitor for S&S immune mediated necrotizing myopathy (prox muscle weakness)
metformin 1g BID
T2D
onset: unknown, peaks: unknown
SE: abdo bloating, diarrhea, vomiting
watch for S&S hypoglycemia: weakness, dizziness, headache, tachycardia,
Prednisone 15mg PO
Corticosteroid: suppression of inflammation
query of polymyalgia rheumatica/rhabdomyolysis
onset unknown, peaks 1-2hrs
SE: depression,euphoria,
personality changes, HTN, fragility, decreased wound healing,ecchymoses, osteoporosis
watch for cerebral edema (headaches & LOC), may increase lipids, hyperglycemia
Ca2+ 1250mg
PO
prevention hypocalcemia/
onset & peaks: unknown
SE: constipation, hypercalcemia, arrhythmia
watch for hypocalcemia (muscle twitching, paresthesia), BP, HR, ECG
Vit D 1000U
PO
onset: 2-6 hrs, peaks: 2-6 hrs
SE: dizziness, headache, weakness, muscle pain
watch for bone pain & weakness, S&S hypocalcemia (muscle twitching, Paresthesia)