[Expert Solution]: Alcohol Abuse HPI: A 41-year-old female comes…

Alcohol Abuse HPI: A 41-year-old female comes to the clinic and states she is concerned about her health. States that a friend of hers recently died of liver disease. The patient states that she is cutting back on drinking. Currently, she is drinking a bit more than a pint a day, typically vodka. She currently has no specific physical complaints. She is taking medication for her depression, and she states she has no SI. Medication: Sertraline 50mg once a day (Zoloft) PRN acetaminophen for headache. Objective: • BP – 110/64, Pulse –68, Respirations – 16, Temp: 98.2 • Height: 5 ft. 5 in • Weight 115 lbs. • Neck – No swelling, Thyroid is non-tender and non-enlarged. • Cardiovascular – S1S2, RRR • Lungs – Clear to auscultation, no use of accessory muscles. • No hepatomegaly, some generalized abdominal discomfort with deep palpation • Extremities – No edema, cyanosis or clubbing Lab and x-ray results • Negative HCG • Macrocytic anemia • Normal LFTs Assessment: • Alcohol abuse/dependence Address the following: 1.Select Drug and Dosage (as written on prescription e.g. bid) MSN.E1. P1.L 2. Analyzes Biochemical Process MSN.E8.P1.H 3. Evaluates Cost and evaluate ethical /cultural Implications MSN.E1. P4.L MSN.E1. P3.L 4. Evaluate any adverse drug reactions or interactions MSN.E1.P4. MSN.E1.P4.L Please Include references.