Respond to the following scenario using the structured drug information approach. Be sure to do the background research so that you understand the true information need. The maximum length of the response is 500 words.
ML is a 57-year-old patient presenting for a 2 month follow up visit with with Dr.West. ML has a past medical history significant for obesity (BMI = 35), diabetes, hypertension and hypercholesterolemia He had a heart attack 2 months ago.ML’s father passed away after having a heart attack when he was 49 years old. ML does not smoke and has implemented life style modifications along with medications to improve his health due to his very high risk for another cardiovascular (CV) event such as a heart attack or stroke. His labs at his last visit 2 months ago were within expected range except for his LDL of 185mg/dl (goal < 70 mg/dl). High intensity atorvastation 80 mg once daily was started 2 months ago to lower his LDL and reduce his CV risk. Current medications include: metformin 850 mg twice daily, lisinopril 40 mg once daily, aspirin 81 mg once daily, carvedilol 6.25 mg twice daily, and atorvastatin 80 mg once daily. ML states he takes his medications as directed and rarely misses any doses. His BMI at today’s visit is 32 after modifying his diet and exercising more frequently. The patient had labs drawn 1 week before this visit (basic metabolic panel, complete blood count, lipid panel). The lipid panel was the only lab outside of normal limits with an LDL-C of 140 mg/dl. Although his LDL has improved with atorvastatin therapy, Dr. West is still concerned the patient’s LDL has not reached a goal of < 70 mg/dl. She calls you to ask if there is any evidence that adding non-statin therapy (i.e., niacin, ezetimibe, fenofibrate or evolocumab) to atorvastatin would be beneficial for this patient to reduce his risk of having another CV event (secondary prevention). Based on the evidence you find she would like to know what you recommend as next steps for this patient. It is okay to leave a message on her voicemail.
- For this scenario, since the non-statin therapy has 4 different drugs provided, make sure you pick specific one, and state in the essay why you rule out other 3 drugs and why do you think the one you pick is the best one for the patient
- Also, include the drug’s efficacy, route of Administration, cost that are benefit this patient.
- Follow the example format and use AMA style for reference.
Presentation Vital administration can be characterized as comprising of the examination, choices and activities an association embraces with the end goal to make and support upper hands. Key qualities of Strategic Management Coordinates the association toward in general objectives and targets. Incorporates various partners in basic leadership. Requirements to join present moment and long haul points of view. Perceives exchange offs among productivity and viability. Technique can be produced at numerous dimensions in a multi-layered association there might be: Corporate dimension system Business level system Utilitarian dimension technique Corporate dimension system portrays a company's general bearing as far as its general reasoning towards development and the administration of its different specialty units. Such techniques decide the sort of a business an organization needs to be in and what specialty units should obtained, changed and sold. This procedure tends to the inquiry what business would we say we are in? Concocting a procedure for a multidivisional organization like Sony includes something like four sorts of activities. Setting up speculation needs and controlling corporate assets into the most alluring specialty units. Starting activities to enhance the joined execution of those specialty units that the organization originally got into. Discovering approaches to enhance the cooperative energy among related specialty units with the end goal to build execution. Choices managing expansion. Business level system manages choices and activities relating to every specialty unit. The primary goal of a business level technique is to make the unit more aggressive in commercial center. This dimension technique tends to the inquiry how would we contend? In spite of the fact that business level system is guided by upstream corporate dimension technique specialty unit the executives must art a methodology that is proper for its own working circumstance. Miles and Snow(1984) recognized four methods of vital introduction: Defenders, Prospectors, Analysers and Reactors. These techniques can help clarify why organizations confronting comparative ecological dangers or openings carry on diversely and why they keep on doing as such over an extensive stretch of time. Thus the diverse focused or business systems impact the down stream utilitarian procedures. Practical dimension procedure relates to the major useful activities inside the specialty unit, including innovative work, showcasing, assembling, fund, and human asset profitability and addresses the inquiry how would we bolster the business level aggressive technique? The three dimensions of technique corporate, business and practical frame a chain of command of system inside in an expansive multidivisional enterprise. Diverse dimensions of methodology of Sony Sony Corporation was established by Masaru Ibuka and Akio Morita in 1946, now having head quarters at Minato, Tokyo, Japan. Sony is one of the greatest hardware on the planet with income 7.7 trillion yen. Sony are making items like Consumer and expert electronic types of gear, Communication &information-related supplies, Semiconductor, Electronic gadgets and parts, Battery, Chemicals, Sony Pictures Entertainment, Sony Music, PlayStation and Blu-Ray gadgets. Sony Corporation as a monster association has separated its association into five principle specialty units as Sony Pictures Entertainment, Sony Computer Entertainment, Sony Music Entertainment, Sony Ericsson, and Sony Financial. Sony Corporation has its own corporate technique, and the every one of its five specialty units having their own business system. Corporate Strategy Business level procedure Practical dimension technique In Sony Group Corporate Strategy Update FY2008 – FY2010 Sony has define out a few objectives and uncovered about its corporate procedure. Specifically, the organization will concentrate on fortifying center organizations, improving system activities and utilizing worldwide development chances to work for the future and drive further development and benefits. Principle contemplations in the procedure of Sony are, Further fortifying the center business System activities Exploit Growth in BRIC Countries and Other Emerging Markets Ecological Initiatives Money related Strategies for the Mid-Term A decent system dependably drives an association towards progress and enhancement, in the other way an awful or wasteful procedure dependably brings that association into misfortunes and terrible notoriety. As we realize that Japanese are great at the executives and a large portion of different nations are attempt to actualize Japanese administration systems. The term is a Japanese word embraced into English alluding to a reasoning or works on concentrating on constant enhancement in assembling exercises, business exercises all in all, and even life by and large, contingent upon translation and use. Sony Corporation was great at vital plans by applying these administration methodologies. As we talked about before a terrible or wasteful system drives the association into awful notoriety, on account of Sony they are neglected to execute a proficient technique which Sony's net benefit for the July-September quarter for 2006 falling 94% to 1.7 billion Yen, contrasted with 28.5 billion Yen for a similar period a year ago. From that point they are attempting to execute better systems and to recapture their notoriety and brand esteem and to recover their main position in hardware industry. Portfolio way to deal with procedure Portfolio approach was one of the early ways to deal with graph methodology and distribute assets in multi-business associations. As corporate strategists bounced on the broadening fleeting trend they before long found a test in dealing with the asset needs assorted organizations and their key missions, especially in the midst of constrained assets. Reacting to that test the Boston Consulting Group spearheaded a methodology considered portfolio systems that endeavored to enable supervisors to adjust the stream of money assets among their different organizations while likewise recognizing their essential vital reason inside the general portfolio. The best chiefs at bigger homesteads require a technique for spotting product offerings that merit greater speculation and additionally lines that aren't satisfying desires. So they lead a portfolio examination, in which they assess they assess their organization's items and divisions to figure out which are most grounded and which are weakest. Much as securities examiners survey their arrangement of stocks and bonds, choosing which to hold and which to dispose of. Key specialty unit (SBU) Key specialty units are the key specialty units inside expanded firms. Each SBU has its own chiefs, assets, goals, and contenders. A division, product offering or a solitary item may characterize the limits of a SBU. Each SBU seeks after its own particular mission and frequently builds up its own plans freely of different units in the association. BCG network To assess every one of their association's SBUs, advertisers require some sort of portfolio execution structure. A generally utilized system was produced by Boston Consulting Group. This piece of the overall industry/showcase development lattice places SBUs in a four quadrant diagram that plots piece of the overall industry against market development potential. The situation of a SBU along the level hub shows its piece of the pie with respect to those of rivals in the business. Its situation along the vertical pivot shows the yearly development rate of the market. In the wake of plotting the majority of an association's specialty units, organizers separate them as indicated by the framework's four quadrants as appeared in the figure. Stars speak to High piece of the overall industry and High development rate. These items or SBUs are high development showcase pioneers. Despite the fact that they create significant pay, they require inflows of considerably more money to fund further development. Money cows order High piece of the pie in Low development markets. Advertisers for such a SBU need to keep up this status for whatever length of time that conceivable. The business produces string money streams, yet as opposed to putting intensely in the unit's very own advancements and generation limit, the firm can utilize this money to back the development of different SBUs with higher development possibilities. Question marks accomplish Low piece of the overall industry in higher development markets. Advertisers must choose climate to keep supporting these items or SBUs, in light of the fact that question marks ordinarily require significantly more money than they produce. In the event that a question mark can't turn into a star, the firm should haul out of the market and target different markets with more prominent potential. Puppies oversee just Low piece of the overall industry in Low development markets. SBUs in this classification guarantee poor future prospects, and advertisers ought to pull back from these organizations or SBUs as fast as could be expected under the circumstances. Now and again these items can be sold to different firms where they are better fit.>GET ANSWER