NURS 6521, Week 7 Assignment With Template Provided
COPY AND PASTE THE ENTIRE DOCUMENT BELOW INCLUDING THE QUESTIONS AND GIVE ANSWERS WHERE IT SAYS ‘YOUR ANSWER.’ BE VERY BRIEF. PRIMARY FOCUS: ADVANCED PHARMACOLOGY!
General Directions: For each of the scenarios below, answer A, B C, D & E using clinical practice guidelines where applicable. If any parts of the rubric (A, B C, D & E) do not have an answer, as an example, no prescriptions can be written, please leave the answer blank. List the drugs (not just the drug class) in discussion (B) Explain the problem and explain how you would address the problem (Rationale, C). If prescribing a new drug, write out a complete medication order (D). List the references (E) Written Expression and Formatting, Proper English writing standards, Correct grammar, mechanics, and proper punctuation are required.
Question 1. Mary is a 35-year-old woman who has been diagnosed with hypothyroidism. Her labs today show a TSH of 20, MCV 78, MCHD 26, Ferritin 9, and TIBC 418. She has a history of iron deficiency anemia for 2 months. Current medications include Kelp (Sea Weed) tablets daily, ibuprofen 400 mg daily as needed, and ethinyl estradiol/norgestrel one tablet daily.
What medication would you start this patient on for her hypothyroidism? How would you monitor this patient’s response to the medication? What education would you provide regarding her medications and their interactions?
A. Patient history considered in making the medication selection: YOUR ANSWER B. Medication prescribed or changed (Spell out the names of drugs): YOUR ANSWER C. Rationale provided to include ‘WHY’ the decision using Clinical Guidelines: YOUR ANSWER D. Written medication orders with all 5 aspects required for a valid order (your prescription order): YOUR ANSWER E. At least 3 References for the scenario scholarly, peer-reviewed, the past 5 years to include the appropriate clinical practice guidelines if applicable: YOUR ANSWER
Question 2. Joe is a 48-year-old male diagnosed with Type II Diabetes Mellitus for a year ago. He has controlled his blood glucose through dietary changes. He has hypertension and is currently on Lisinopril 20 mg PO daily. He has no known allergies. His lab work includes these results: fasting BG is 225 mg/dL; HgA1C = 7.5%. The Basic Metabolic Profile (BMP) is normal except for a Cr of 2.0 and eGRF of 28.
What treatment plan would you implement for Joe? What medications would you prescribe and how would you monitor them? What education would you provide regarding his treatment plan?
A. Patient history considered in making the medication selection: YOUR ANSWER B. Medication prescribed or changed: YOUR ANSWER C. Rationale provided to include Current literature to support the rationale with Clinical Guidelines: YOUR ANSWER D. Written medication orders with all 5 aspects required for a valid order. YOUR ANSWER E. References for the scenario scholarly, peer-reviewed, the past 5 years to include the appropriate clinical practice guidelines if applicable. Use at least 3 sources for each scenario and cite sources using APA format: YOUR ANSWER
Question 3. Jose is a 55-year-old truck driver being evaluated for his commercial driver’s license. He has a known history of diabetes mellitus type II. Current medications include Metformin 1000 mg Bid, Glipizide 20 mg PO daily. Diltiazem 120 mg PO BID. He is allergic to sulfonamides. Lab results show a fasting blood glucose of 325 mg/dL, HgA1C = 10.6%. Basic metabolic Profile is normal.
What treatment plan would you implement for Jose? What medications would you prescribe and how would you monitor them? What education would you provide regarding his treatment plan?
A. Patient history considered in making the medication selection: YOUR ANSWER B. Medication prescribed or changed: YOUR ANSWER C. Rationale provided to include Current literature to support the rationale with Clinical Guidelines: YOUR ANSWER D. Written medication orders with all 5 aspects required for a valid order. YOUR ANSWER E. References for the scenario scholarly, peer-reviewed, the past 5 years to include the appropriate clinical practice guidelines if applicable. Use at least 3 sources for each scenario and cite sources using APA format: YOUR ANSWER
Question 4. Jenny is a 63-year-old woman with complaints of heartburn 4 to 5 times a week over the past 3 months. Her symptoms are worse at night after going to bed. Her heartburn is worse, and she coughs a lot at night. She has tried OTC Prevacid 24 hour once daily for the past 2 weeks. This has helped the symptoms some, but she is still bothered by them. Current medications include Diltiazem CD 120 mg PO once daily, Hydrochlorothiazide 25 mg PO once daily, Metformin 500 mg PO twice daily, Aspirin 81 mg PO daily, Fluticasone/salmeterol DPI 100 mcg/50 mcg one inhalation twice daily. Your working diagnosis for this patient is GERD.
What treatment plan would you implement for Jenny? What medications would you prescribe and how would you monitor them? What education would you provide regarding her treatment plan?
A. Patient history considered in making the medication selection: YOUR ANSWER B. Medication prescribed or changed: YOUR ANSWER C. Rationale provided to include Current literature to support the rationale with Clinical Guidelines: YOUR ANSWER D. Written medication orders with all 5 aspects required for a valid order. YOUR ANSWER E. References for the scenario scholarly, peer-reviewed, the past 5 years to include the appropriate clinical practice guidelines if applicable. Use at least 3 sources for each scenario and cite sources using APA format: YOUR ANSWER
This announcement is closed for comments
It seems like you need help with answering the scenarios provided in your assignment for NURS 6521. Here are brief responses based on each scenario:
**Question 1: Hypothyroidism**
A. Patient history considered in making the medication selection: Diagnosis of hypothyroidism, iron deficiency anemia, current medications including ethinyl estradiol/norgestrel.
B. Medication prescribed or changed: Levothyroxine (Synthroid) starting dose 25 mcg PO daily.
C. Rationale provided: Levothyroxine is the treatment of choice for hypothyroidism, targeting TSH normalization (Clinical Guidelines: AACE/ATA).
D. Written medication orders: Levothyroxine (Synthroid) 25 mcg PO daily x 1 month, then reassess labs (TSH, T4).
E. References:
1. American Association of Clinical Endocrinologists (AACE). (2022). AACE/ATA guidelines for hypothyroidism management.
**Question 2: Type II Diabetes Mellitus**
A. Patient history: Type II diabetes, hypertension, controlled blood glucose through diet.
B. Medication prescribed: Metformin 500 mg PO BID.
C. Rationale: Metformin is first-line for diabetes management due to efficacy, safety, and cardiovascular benefits (Current literature: ADA guidelines).
D. Written medication orders: Metformin 500 mg PO BID, monitor BG, A1C in 3 months.
E. References:
1. American Diabetes Association (ADA). (2023). Standards of medical care in diabetes.
**Question 3: Diabetes Mellitus Type II (Commercial Driver)**
A. Patient history: Type II diabetes, current medications (Metformin, Glipizide, Diltiazem), allergy to sulfonamides.
B. Medication prescribed: Insulin glargine (Lantus) 10 units subcutaneously daily at bedtime.
C. Rationale: Initiate insulin due to uncontrolled diabetes (HgA1C 10.6%), avoiding sulfonylureas (Clinical Guidelines: ADA).
D. Written medication orders: Insulin glargine (Lantus) 10 units subcutaneously daily at bedtime, monitor BG, adjust dose per protocol.
E. References:
1. American Diabetes Association (ADA). (2023). Standards of medical care in diabetes.
**Question 4: GERD**
A. Patient history: Heartburn symptoms, worsens at night, partial response to OTC Prevacid, current medications.
B. Medication prescribed: Esomeprazole (Nexium) 40 mg PO daily.
C. Rationale: Esomeprazole is a proton pump inhibitor indicated for GERD management, providing symptom relief and healing esophagitis (Current literature: ACG guidelines).
D. Written medication orders: Esomeprazole (Nexium) 40 mg PO daily x 4-8 weeks, then reassess symptoms.
E. References:
1. American College of Gastroenterology (ACG). (2022). ACG clinical guidelines on GERD management.
These responses outline the medications selected, rationale based on guidelines, and initial monitoring plans. Make sure to include proper APA references when completing your assignment.
"Place your order now for a similar assignment and have exceptional work written by our team of experts, guaranteeing you "A" results."
