Case study 2 sammy, age 3 years, ate his dinner and then said his tummy hurt. his mother suggested he lie down in the adjacent room while his parents finished dinner. a few minutes later, they heard sammy vomiting. his mother rushed in to lift sammy up. when vomiting ceased, they noticed sammy continued to cough and seemed to be choking. he was struggling to breathe and a wheezing sound was obvious. it appeared that he had aspirated some vomitus. his parents drove him to a nearby hospital for examination. discussion questions 1. discuss the specific effects of aspirating vomitus on sammy, including the probable effects on his bronchi and lungs. why might one lung be affected more than the other? 2. discuss the pathophysiologic changes causing the signs and symptoms and any tests required to clarify the effects on sammy. 3. suggest some reasons for sammy's difficulty breathing and wheezing. 4. discuss the potential complications of aspiration of vomitus.

Cj is a 53 year old african american female presenting to pharmacy for first-time certification and cmr so that she may start getting her medications at no cost. cj states that her main concern about her health is her diabetes. pmh: t2dm, htn, hyperlipidemia sh: denies tobacco and illicit drug use, occasional alcohol use (1-2 drinks/month) fh: unknown allergies: penicillin (unknown reaction; had reaction when young). medications: lisinopril 5 mg daily aspirin 81 mg daily simvastatin 20 mg daily wt 231 lbs (105 kg), ht 5’6”, bmi 37.3 (obese), ibw 59.3 kg, bp 145/80, hr 98, random blood glucose 395, a1c 11.2%, estimated 10-year ascvd risk 9.5% drug-related problems: 1. uncontrolled t2dm 2. uncontrolled htn 3. suboptimal statin intensity 1) identify two pieces of objective data included in this case: 2) what kind of monitoring needs performed for the new prescription for this patient? 3) based on your case how would you counsel the patient on the new prescription medication? provide examples of specific aspects you would include in your patient education. 4) review your patient case. identify any medications that do not have a corresponding disease state. 5) review your patient case. identify any disease states are not treated by current medications. 6) what otc (over the counter) product would you recommend for this patient (based on the patient request for an otc product? include dose, frequency of administration, route of administration, and critical counseling points.