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Ms. Viera's office visit
- And Out in the hall:
- The caregiver confidentially notes he is exhausted
- money is running low for additional medications.
- How can Dr. Smith and the primary care team handle these issues?
Dr. Smith knows there are a number of guidelines that apply,
but that they might exclude Ms. Viera or guidelines conflict!
Her cognitive abilities may limit the complexity of medication regimens or cause safety concerns about potential side effects.
Priorities must be set.
For example, treatment with a diuretic such as chlorthalidone and a beta-blocker, while recommended for hypertension, may potentiate hyperglycemia from her diabetes.
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