Problem 1: Deep Vein Thrombosis: JD was recently found to have a left popliteal deep vein thrombosis.
a. What risk factors does JD have for DVT? Would you consider this DVT provoked or unprovoked and how would you mitigate these risk factors going forward?
b. What would you recommend to treat JD's DVT? How long would you need to treat her for? Please include your rationale, including patient specific factors in your answer.
c. What monitoring would you order for this pharmacotherapy (at least 3)? Please include subjective and objective measures, including frequency of monitoring.
d. What drug interactions do you anticipate and what would be the effects?
e. What counseling points would you provide regarding this medication (at least 3)?
Problem 2. Hypertension: You note that JD's BP is above goal.
a. What is JD's blood pressure goal? What factors could be contributing to her elevated blood pressure today?
b. You decide to start blood pressure lowering therapy for JD. Which medications is first line to treat hypertension? Based on her BP elevation today, what would you start?