Discussion Board pharm

Description

MP is a 55-year-old woman who presents with complaint of inability to hold urine. She describes incidents where laughing or coughing results in a small to moderate release of urine. She has started wearing Peri Pads to avoid embarrassment.

Past Medical History

Six vaginal deliveries, all to full term

Osteoarthritis

Postmenopausal
Medications
Boniva, 150 mg once a month

Calcium, 500 mg daily

Vitamin D3, one daily
Family History
Mother, alive and well; hypertension, type 2 diabetes

Father, deceased; cardiovascular disease, myocardial infarction at age 77

Social History
No alcohol intake

Previous smoker

Walks 2 miles/day
Physical Examination
Vital signs normal

Palpation of uterus suggests enlargement

Labs
Liver function: Normal

Discussion Questions

1. What factors in MP’s history would help support a diagnosis of overactive bladder?

2. The clinician prescribes oxybutynin 10 mg (extended-release). What does MP need to know about this drug?

3. If oxybutynin is ineffective, the clinician could use mirabegron, a beta-3 agonist. What does MP need to know about this new drug?

Explanation & Answer:

250 words

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