A 49-year-old woman, Mrs. L., comes to you for her annual exam. She states she has had slightly irregular menses in the previous 10 months and thinks she is going through menopause. She states she is not having any problems, although she has experienced some hot flashes, occurring mostly at night that frequently awakening her. She reports her hot flashes interfere with her daily activities and impari her quality of life. States she has tried behavioral/lifestyle modifications over the past three months with no improvement. She is interested in hormone replacement therapy mainly because of the evidence attributing HRT. The patient has never had cancer. She has two grown children, and her BP is 126/72 today. She takes no medications. Lipid profile is unremarkable. You discuss and review hormone replacement therapy with her.1. List at least 2 additional questions you have for Mrs. L. 2. What recommendations would you make for Mrs. L to help manage her care/symptoms at this time? (include references).3. What education would you provide to Mrs. L before she leaves the clinic today? 4. What alternatives would you offer to Mrs. L to help manage her symptoms? Eventually, Mrs. L. is determined to have some fibroids and a uterine hysterectomy (partial hysterectomy) is performed.5. If you had previously prescribed HRT how will you adjust her hormone therapy after the surgery? (include a reference to support this recommendation). Please post your answer using the case evaluation template as a guide and/or questions specific to the case as appropriate. Include a prescription in your post. Are there any drug-related problems in the case? Consider each of the following and provide a brief explanation of each applicable possibility:Drug indicated; no drug usedDose too high, dose to lowWrong DrugDrug InteractionAdverse Drug Reaction(s)Drug used without indicationTo solve the problem, how would you change or initiate drug therapy? State below specifically what you would recommend (e.g., continue, discontinue, start, change, hold, change one medication to another medication, dose increase/decrease).List the action to be taken and the drug therapy best suited to correct or solve the problem(s) identified above and provide a brief rationale.List all the drug therapy the patient will be receiving when he leaves the office today.Complete the following:What lab test or monitoring parameters would you monitor to assess the therapeutic and adverse effects of the drug therapy of this patient, and how often would you monitor (when would you have this patient return for labs)?When would the patient be advised to return to the clinic?List the symptoms you would expect to be affected by your plan of treatment for this patient. Note what the change would be and when would you expect change.List non-pharmacological treatment, patient instructions, and frequency of treatments you would also recommend for this patient.Identify two common important adverse drug reactions from this patient's drug therapy and state specifically how you would have the patient monitor for each of them.Provide a rationale for what you have prescribed and include instruction regarding how to take this medication.Write an acurate prescription for the drugs prescribed.