Exam 4 — High-Stakes Clinical Judgment (Pharmacology)

75M with Parkinson's Disease, CAD. Clinic visit, 3 years on therapy. Vitals: BP 135/85, HR 80, Temp 98.4°F, RR 16. Labs: Na 140, K 4.1, Trop Neg. Subjective: 1. "I can't stop my head from bobbing." 2. "My shoulders keep jerking." Objective: Patient exhibits continuous, choreiform (writhing) movements of the neck and upper extremities.. Medications: Carbidopa-Levodopa 25/250mg QID. Change: Dose was maximized 1 month ago. Select the 3 priority actions.