[Solved]: Discussion Topic/Question 1: Case Study RS is a…

Discussion Topic/Question 1: Case Study RS is a 77-year-old man presenting with c/o “I can’t sleep”. His past medical history includes coronary artery disease and s/p CABG “about 2 years ago”, hyperlipidemia, hypertension, major depressive disorder, and benign prostatic hypertrophy. He is currently prescribed: Aspirin 81 mg daily, Lisinopril 20 mg daily, Metoprolol succinate 100 mg daily, Simvastatin 20 mg daily, fluoxetine 40 mg daily, and Terazosin 5mg QHS. He admits to drinking 1-2 alcoholic drinks/night and denies smoking. Discuss the differences in initial, middle, and terminal insomnia and pharmacologic treatment for each one of the stages based on the half-lives of each hypnotic.What pharmacological treatment plan do you recommend for RS? Describe your rationale.