to each question for a pharmacology case study, while using scholarly articles and the required text: Woo, T. M.

HISTORY Josiah is a 9-month-old who presents to clinic for a well child examination. He appears healthy with no parental concerns. His height is 28.5 inches (60th percentile), weight is 9.8 kg (70th percentile), and head circumference is 18 inches (60th percentile). His growth is consistent along the growth curve. The infant’s diet is as follows: breastfed, some solids, mostly family diet pureed for baby, and no meats yet. He does not like iron-fortified baby cereals, but likes crackers and teething biscuits. His mother gives him vitamin D drops daily and no other supplements. ASSESSMENT Josiah is alert, pulls to a stand, babbles, and is interactive. The anterior fontanelle is flat. His skin is pale and conjunctiva is slightly pale. His skin is pink and warm, with no bruising. The rest of the examination is within normal limits. Finger stick hemoglobin (Hgb) is 10.2. 1. What additional information (e.g., clinical findings, laboratory test results) will confirm the diagnosis? 2. What are your differential diagnoses for this patient? 3. What is your likely diagnosis? 4. What is(are) the desired treatment outcome(s)? 5. What non-pharmacological therapy would you recommend? 6. How would your pharmacotherapeutic plan differ, based on special population patients (such as obstetrics, geriatrics, etc)? 7. What pharmacotherapeutic plan (include prescription and non-prescription drugs) would you design for this patient? Rationale for pharmacotherapy to include mechanism(s) of action list drug(s), dose, route of administration, frequency, duration of treatment and one monitoring parameter. 8. What are the clinically significant adverse effects and drug interactions for the agents discussed? 9. How will you monitor the patient’s response to therapy? 10. How will you counsel your patient about the pharmacotherapeutic plan?

 

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