S.H., age 47, reports difficulty falling asleep and staying asleep. These problems have been ongoing for many years, but she has never mentioned them to her health care provider. She has generally “lived with it” and self treated the problem with OTC Tylenol PM. Currently, she is also experiencing perimenopausal symptoms of night sweats and mood swings. Current medical problems include hypertension controlled with medications. Past medical history includes childhood illnesses of measles, chickenpox, and mumps. Family history is positive for diabetes on the maternal side and hypertension on the paternal side. Her only medication is an angiotensin converting enzyme inhibitor and diuretic combination for hypertension control. She generally does not like taking medication and does not take any other OTC products.
- List specific goals of therapy for S.H.
- What drug therapy would you prescribe? Why?
- What are the parameters for monitoring the success of the therapy?
- Discuss specific patient education based on the prescribed therapy
- List one or two adverse reactions for the selected agent that would cause you to change therapy.
- What would be the choice for second-line therapy?
- What OTC and/or alternative medicines might be appropriate for this patient?
- What dietary and lifestyle changes might you recommend?
- Describe one or two drug–drug or drug–food interactions for the selected agent.
iPhone 5s Versus iPhone 6 GuidesorSubmit my paper for investigation iphone comparisonThe publicity around Apple items appears endless. The organization's declaration of another item gathers a large number of perspectives; individuals stand lines before Apple stores to get another contraption—just to come at a similar spot a year later, yearning for another item. Among the organization's ongoing oddities is the iPhone 6—a more up to date and further developed form of the most famous telephone on the planet. Be that as it may, the past model—iPhone 5s—appeared to have been fulfilling individuals' needs fine too. All in all, what is the distinction? Is the iPhone 6 worth spending additional cash on it? The most evident distinction is that the new iPhone has a greater and more extensive presentation—it is currently 4.7 crawls in inclining, contrasted with the 4 inches that its forerunner had. The new model has a bigger goals, which is 1334 x 750. The innovation utilized in the screen is designated "Retina HD," and is known to be truly outstanding (if not the best) screen advancements, permitting to move profound, immersed, and reasonable hues. iPhone 5s had in no way like that in its weapons store. The two telephones have reinforced glass covering the presentation, yet the sixth model likewise has an improved polarizer. Your paper is practically all set? Let a specialist have a last perused your paper before giving it in. The Sure Way to Getting a Higher Grade. SEE YOUR GRADE BEFORE Delivering YOUR PAPER. FREE EXPERT HELP The general structure has not changed a lot, setting aside the way that the iPhone 6 is greater. It is more slender (6.8mm thick, contrasted with the 7.9mm of the past model), and somewhat lighter; the distinctions are so unobtrusive, notwithstanding, that they are not worth referencing. The two models are made of aluminum, and have the unmistakable round catch at the base. As of now, several tech spectators twist around themselves attempting to demonstrate that iPhone 6 is substantially more agreeable to utilize, that it fits a hand of a normal individual splendidly, etc. Be that as it may, every one of these onlookers are presumably male. iPhone 5s, in spite of the fact that having a littler screen, fits hands of ladies and adolescents, while the new model helps to remember a scoop, or of a normal Samsung telephone: alright to utilize in the event that you are a man with an enormous hand, however not happy for ladies. The equipment contrasts between iPhone 5s and iPhone 6 are likewise not evident to an ordinary client (given that this client isn't a tech geek). iPhone 6 uses a 64-piece Apple A8 double center, while the more seasoned model has the A7 one. The two models have 1GB RAM ready. iPhone 6 additionally has a M8 co-processor (M7 co-processor in the iPhone 5s). The two models work fine with iOS 8. The two cameras are customarily ideal for semi-proficient use. iPhone 6 works around 10 hours in talk mode, and this outcome is somewhat superior to anything the past model with 8 hours of battery life on talk mode. The two telephones are top notch items, ready to fulfill the requirements of any individual who utilizes them. On the off chance that you are not a nerd who thinks about processor frequencies, or a creator who has the eye to separate all the CMYK shading range, there is no requirement for you to refresh from your iPhone 5s. school exposition, conversation paper, innovation ess>GET ANSWER