RT Book, Section A1 Jobst, Erin E. A1 Panus, Peter C. A1 Kruidering-Hall, Marieke SR Print(0) ID 1192817016 T1 Growth, Thyroid, and Gonadal Pharmacology T2 Pharmacology for the Physical Therapist, 2e YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781259862229 LK accessphysiotherapy.mhmedical.com/content.aspx?aid=1192817016 RD 2024/04/16 AB CASE STUDYThe patient is a 56-year-old woman with a 10-year history of mild hypertension (stabilized with enalapril and hydrochlorothiazide/amiloride) and a 2-year history of bipolar disorder (stabilized with lithium). Three weeks ago, she was diagnosed with fibromyalgia and started working with a physical therapist to develop an exercise program to assist in pain relief. Weekly, she meets with the therapist to review and modify the exercise program and assess her fibromyalgia symptoms. Recent measurements of blood pressure and heart rate were 130/82 mm Hg and 80 beats per minute, respectively. Last week, the patient was diagnosed with functional hypothyroidism likely resulting from the lithium treatment. She was prescribed levothyroxine and started taking the drug that day. Today, she told the physical therapist that over the past week she has experienced increased muscle weakness and shortness of breath that has made her unable to comfortably exercise on the stationary bicycle. The therapist measured her blood pressure at 142/86 mm Hg and heart rate at 96 beats per minute and irregular.