JOHN JONES
ALFONSO GIULIANI
HELEN SMITH
Question 1
Please explain the value and reason for doing your own work and not copying or taking answers
from another source and claiming them as your own.
Question 2
Use the John Jones case study to answer the following question.
Using diagnostic criteria for diabetes, what is Johnàdiabetic status? What treatment
plan should be introduced at this time?
Question 3
Use the John Jones case study to answer the following question.
Which of Johnàbehaviors should be addressed to encourage lifestyle changes and
decrease A1C levels?
Question 4
Use the John Jones case study to answer the following question.
Which behavior in Johnàsocial history poses a potential concern with first line
pharmacological treatment for diabetes and why?
Question 5
Use the John Jones case study to answer the following question.
Name the specific names of labs you would order and the intervals at which you would order
them to monitor the safety and efficacy of metformin.
Question 6
Use the Alfonso Giuliani case study to answer the following question.
Atherosclerotic cardiovascular disease (ASCVD) risk factors include age, gender, race,
blood pressure, cholesterol values, history of diabetes, tobacco use, treatment of
hypertension, statin therapy, and aspirin therapy.
Look at AlfonsonàASCVD risk factors. Should Alfonso be taking something for
hyperlipidemia? If so, what would you recommend?
Arnett, D. K., Blumenthal, R. S., Albert, M. A., Buroker, A. B., Goldberger, Z. D., Hahn,
E. J., … & Ziaeian, B. (2019). 2019 ACC/AHA guideline on the primary prevention of
cardiovascular disease: executive summary: a report of the American College of
Cardiology/American Heart Association Task Force on Clinical Practice
Guidelines. Journal of the American College of Cardiology, 74(10), 13761414. https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000677 Links to an
external site.
Question 7
Use the Alfonso Giuliani case study to answer the following question.
Which diabetic drug classes should be considered in addition to metformin to prescribe
for Alfonso and why?
Question 8
Use the Alfonso Giuliani case study to answer the following question.
There are two drug classes to consider for prescribing for Alfonso in addition to
metformin. What baseline data will you need to obtain for each of those drug classes? Provide
the name of the drug class and the baseline data needed for that drug class.
Question 9
Use the Alfonso Giuliani case study to answer the following question.
You decide to prescribe liraglutide (Victoza) in addition to metformin for Alfonso. What patient
teaching do you need to provide when prescribing medication from this drug class?
Question 10
Use the Helen Smith case study to answer the following question.
Why is caution indicated if metformin was prescribed for Helen?
Question 11
Use the Helen Smith case study to answer the following question.
If the standard starting dose of levothyroxine 1.6 mcg/kg/dose is prescribed for Helen,
what is the correct dose? Would this be the correct starting dose for Helen? Why or
why not?
Question 12
Use the Helen Smith case study to answer the following question.
Which of the Helenàlab values require consideration for possible treatment? Provide the lab
name and Helenàresult. Use these sources for lab reference values:
https://labtestsonline.org/ Links to an external site.
https://www.thyroid.org/wp-content/uploads/publications/lab-services/ata-poc-thyroidmanagement.pdf Links to an external site.

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