[Solved] Post 7

Assignment Prompt & Instructions

**files (1)**

– ## Document7.docx

**## Document7.docx**

**CC:** KL is a 79 yo man requesting assistance for "something to help with sleep".

**PMH:** Coronary artery disease and s/p CABG, hyperlipidemia, hypertension, major depressive disorder, and benign prostatic hypertrophy.

**Current medications:** Aspirin 81 mg daily, Lisinopril 20 mg daily, Metoprolol succinate 100 mg daily, Simvastatin 20 mg daily, fluoxetine 40 mg hs, and doxazosin 4 mg hs.

**Substance Hx:** He admits to drinking 2 alcoholic drinks/per night and denies smoking.

**Include in your discussion:**

· The differences in initial, middle, and terminal insomnia, and how would you best choose pharmacologic treatment for each one of these based on the half-lives of each hypnotic?

· Identify any secondary causes of insomnia.

· What treatment plan do you recommend for KL's insomnia? (Be specific with your recommendations-which medication and why)

**Discussion Rubric**

·
**Posts are a minimum of 250 words, scholarly written, APA formatted (with some exceptions due to limitations in the D2L editor), and a minimum of 2 references (which may include the course textbook).**

· The initial discussion post and discussion response should occur on two different calendar days of each electronic week.

**## Document7.docx**

**CC:** KL is a 79 yo man requesting assistance for "something to help with sleep".

**PMH:** Coronary artery disease and s/p CABG, hyperlipidemia, hypertension, major depressive disorder, and benign prostatic hypertrophy.

**Current medications:** Aspirin 81 mg daily, Lisinopril 20 mg daily, Metoprolol succinate 100 mg daily, Simvastatin 20 mg daily, fluoxetine 40 mg hs, and doxazosin 4 mg hs.

**Substance Hx:** He admits to drinking 2 alcoholic drinks/per night and denies smoking.

**Include in your discussion:**

· The differences in initial, middle, and terminal insomnia, and how would you best choose pharmacologic treatment for each one of these based on the half-lives of each hypnotic?

· Identify any secondary causes of insomnia.

· What treatment plan do you recommend for KL's insomnia? (Be specific with your recommendations-which medication and why)

**Discussion Rubric**

·
**Posts are a minimum of 250 words, scholarly written, APA formatted (with some exceptions due to limitations in the D2L editor), and a minimum of 2 references (which may include the course textbook).**

· The initial discussion post and discussion response should occur on two different calendar days of each electronic week.