Psychopharmacologic Approaches To Treatment Of Psychopathology 2025

Case #29: The depressed man who thought he was out of options The Case: The depressed man who thought he was out of options The Question: Are some episodes of depression untreatable? The Dilemma: What do you do when even ECT and MAOIs do not work? The Case: 55-year-old with depression not responsive to serotonergic treatment The Question: (Pharmacogenetics, Part 2): How might psychopharmacology be delivered in the future? The Dilemma: Can genotyping help predict successful treatment selection · Provide the case number in the subject line of the Discussion thread. · List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions. · Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why. · Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used. · List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why. · List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other. · For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on the client’s ethnicity. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals of other ethnicities? · If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided. · Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations

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Patho DQ 10 Peer Reply Maydeli Capo 2025

Below is the DQ post from another student to wish i have to reply. please APA, references and less than 20 % similarity. A 4-year-old girl presents with her parents to the emergency room you work at. Her parents explain that the flu is going around her daycare and that their daughter began to feel sick 4 days ago. She has been unable to eat since then, with prolonged vomiting for 3 days. She is admitted to the hospital for rehydration and correction of her acid–base disturbance. Her parents are highly concerned about how she could have developed an acid–base disturbance from the flu. How do you respond to this concern by the parents? The reason this 4-year-old girl developed an acid-base imbalance as a result of the flu is because she had uncontrolled vomiting for 3 days. The excess loss of hydrogen ions also known as fixed acids that occur with prolonged vomiting caused her to develop metabolic alkalosis (Grossman & Porth, 2014). Her parents tell you they tried to give their daughter a pediatric hydrating drink they found at the store, but she was unable to keep it down. They ask you in the future if this would have helped their daughter from developing an acid–base disturbance. How do you respond to this question by the parents? Children require different amounts of fluids to replenish the electrolytes lost from vomiting. In deciding what kind of fluid and what amount, body weight, surface and calorie expenditure must be considered (Meyers, 2009). The amount necessary to correct deficits may vary from one child to another. Commercial drinks although able to replenish lost electrolytes during vomiting may also contain large amounts of sugars which can worsen or cause diarrhea in the already weakened child. This can potentially cause other problems and severe dehydration may require intravenous hydration rather than oral which may not be tolerated as in the case of the patient (Meyers, 2009). The use of Pedialyte which is a well-known pediatric hydrating drink for example, has shown some efficacy in cases of mild dehydration (Rao, Summers, Rao & Ramana, 2006). Ultimately the effectiveness of the store bought drink may be correlated with the degree of dehydration experienced by the child. Reference Grossman, S. C., & Porth, C. (2014). Porth’s pathophysiology: concepts of altered health states. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. Meyers R. S. (2009). Pediatric fluid and electrolyte therapy. The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG , 14 (4), 204–211. https://doi.org/10.5863/1551-6776-14.4.204 Rao, S. S. C., Summers, R. W., Rao, G. R. S., Ramana, S., & al, e. (2006). Oral rehydration for viral gastroenteritis in adults: A randomized, controlled trial of 3 solutions. JPEN, Journal of Parenteral and Enteral Nutrition, 30 (5), 433-9. Retrieved from https://search.proquest.com/docview/230235102?accountid=158399

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