Taking the right medications not only helps with fast treatment but also prevent the patient from incurring health uncertainties. The paper will address the right medication for the patient that best fit type II diabetes. Also, before administering drugs, it crucial to conduct various tests to determine whether the medications will be beneficial or not.
Other Critical Information Needed
The additional essential information entails social history, family, surgical, and medical history. Also, Buttaro et al. (2017) suggest the consideration of aspects such as the General Practitioner Assessment of Cognition, Montreal Cognitive Assessment, Folstein Mini-Mental State Examination, six-item screen, eight-item Ascertain Dementia screen, Mini-Cog, and Memory Impairment Screen when analyzing the cognitive activities. While examining the memory loss, it is essential to use diagnostic testing, especially the magnetic resonance or computerized tomography since it is useful when knowing whether a person is losing memory or not.
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Further, laboratory tests such as hemoglobin AIC, Coumadin therapy, International normalized ratio, and prothrombin are significance to analyze the manner into which the type II diabetes is manageable (Fischbach & Dunning, 2015). B12 and folic acid are also essential in measuring the secondary reason that causes memory loss. A complete blood count is crucial when examining whether she has anemia, and the test comes before Coumadin therapy. Another suggestable test is the comprehensive metabolic panel useful for examining the electrolytes, liver functions, kidney functions linked to the usage of Cassia Cinnamon and her medicines.
Position on the Use of Alternative Supplements
Changing medication from prescribed to herbal medicines is not an easy decision since some of some are predicated on mere beliefs and are thus unproven scientifically. The federal drug administration does not recommend herbal drugs on the premise that the drugs do not have similar components and lack the established pharmaceutical standards (Woo & Robinson, 2016). Drugs.com (2018) discourages the simultaneous use of ginseng and Coumadin. Thus, the patient has the right to know that there is information regarding a moderate interaction of drug between the Coumadin and Ginseng which causes the reduction of efficacy of Coumadin and it also needs PT/INR monitoring more often.
On a contrary viewpoint, the addition of stimulations to the universal nervous system leads to a decrease in fast blood glucose. Therefore, since the patient was to take the PT/INR more frequently, and this draws in the regulations of Coumadin therapy, then it is within reason to argue that the ginseng consumption is beneficial. Thus, it could be recommendable for the patient to take herbal medicines since their safety is established. Lastly, in this regard, the patient should stop the consumption of Cassia Cinnamon since continuation may be toxic and cause kidney and liver damage (Woo, & Robinson, 2016).
Additional Tests and Assessments
When accessing memory loss, it is essential to use diagnostic testing, especially the magnetic resonance or computerized tomography since it is effective when determining whether an individual is losing memory or not. Further, the laboratory tests such as hemoglobin AIC, Coumadin therapy, International normalized ratio, and prothrombin are significant when analyzing how type II diabetes is manageable (Fischbach & Dunning, 2015). Also, b12 and folic acid are crucial for measuring the secondary reason that causes memory loss. A complete blood count is vital in examining whether she has anemia, and the test comes before Coumadin therapy. The last critical test is the comprehensive metabolic panel useful for examining the electrolytes, liver functions, kidney functions linked to the usage of Cassia Cinnamon and her medicines
Suggested Alternative Treatment Plan
The essence of getting rid of the cassia cinnamon is stress relief. Therefore, based on the recent AIC level, metformin is the first type of treatment that will be recommended for type II diabetes. The metformin is essential since it is a biguanide that is antihyperglycemic medicine which enhances the uptake of peripheral glucose and the insulin sensitivity which minimizes the intestinal absorptions of glucose and hepatic glucose production (Woo & Robinson, 2016).
Appropriate Health Maintenance and Preventive Measures
It is advisable for the patient to take the medications prescribed, and tablets should not be cut, crushed, or chewed. Also, double dosing is discouraged since it can cause additional risks (Woo & Robinson, 2016). Liver and Renal functions tests can be carried out before starting the therapy and reassessing the test every year to safeguard the lactic acidosis or renal impairment. After starting the metformin, a daily or weekly measurement therapy should commence to facilitate the monitoring of the postprandial and fasting blood glucose.
Additionally, it is vital to teach the patient the symptoms she is likely to experience, such as dehydration, diarrhea, and vomiting, which are associated with lactic acidosis. It is also the responsibility of the patient to let the healthcare provider know the plans they have put into place when they are yet to undergo a surgery, which usually demands to withhold of fluids.
Exercise and diet lifestyle changes are also recommendable for the patient since they help in the reduction of the demand that comes with other medications linked to type II diabetes. According to Mayo Clinic (2018), engaging in a diabetic support group and consulting a certified diabetic educator who is warranted to help in managing type II diabetes helps improve an individual’s condition significantly.
References
Buttaro, T. M., Trybulski, J., Polgar-Bailey, P., & Sandberg-Cook, J. (2017). Primary care: A collaborative practice . (5 th ed.). St. Louis, MO: Elsevier. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9780323355018/cfi/6/2!/4/2@0:7.25
Drugs.com. (2018). Drug interaction report . Retrieved from https://www.drugs.com/interactions-check.php?drug_list=927-494,2311-1529,2370-0,2606-0&types[]=major&types[]=minor&types[]=moderate&types[]=food&types[]=therapeutic_duplication&professional=1
Fischbach, F. T., & Dunning, M. B., III. (2015). A manual of laboratory and diagnostic tests . (9 th ed.). Philadelphia, PA: Wolters Kluwer Health. Retrieved from https://www.thecampuscommon.com/library/ezproxy/ticketdemocs.asp?sch=suo&turl=https://search-ebscohost-com.southuniversity.libproxy.edmc.edu/login.aspx?direct=true&db=cat06146a&AN=sou.507761&site=eds-live
Mayo Clinic. (2018). Type 2 diabetes . Retrieved from https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/symptoms-causes/syc-20351193
Woo, T. & Robinson, M. (2016 ). Pharmacotherapeutics for advanced practice nurse prescribers (4 th ed.). Philadelphia, PA: F.A. Davis Company. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9780803676374/cfi/6/6!/4/2/2/2/12@0:0
