LM is an 86-year-old female admitted to the emergency department with delirium. Her spouse is with her and verifies that LM adheres to the medications she is currently prescribed. She does not self-monitor her BP or heart rate at home.PMH:• A Fib diagnosed 1 month ago• HTN x 10 years• CKD x 5 years• Osteoarthritis x 7 years• GERD x 20 yearsMedications:• Digoxin 0.25 mg QD• Metoprolol XL 25mg QD• Warfarin 3 mg QD• APAP 650 mg TID• Omeprazole 20mg QD• Multivitamin QDAllergies: NKDASocial History:• Married to husband for 57 years• No smoking, alcohol, limited daily exercise (short walks each morning)Family History:None reportedVitals: Labs:Wt 113 lbs Ht 5’4” Na+ 138 K+ 4.0BP 101/58, HR 52 Cl- 99 CO2 27BUN 33 Cr 1.2Gluc 109 INR 3.8Dig 2.4PE:Elderly female with altered level of consciousness, no signs of bruising, bleeding, or other injury.————————————————————————————————————————————————-Write a 2 to 3-page paper that addresses the following: (There will be a penalty for extra-long papers)Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.Describe how changes in the processes
