Week 10 Discussion

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Select two sets of the discussion questions listed below. 

Discussion Question Initial Response:

Post your initial writing to the discussion questions in the appropriate thread in the Discussion Area no later than Day 3 of the week.*

*You will not be able to see the postings from your peers until you have made your initial post.

Participation Responses:

Peer Response #1. Due no later than Day 5 of the week.Peer Response #2: Due no later than Day 7 of the week.Faculty Response: Respond to any questions left by your faculty no later than end of day on Day 7 of the week.

*Failure to follow the above instructions may lead to loss of points per the rubric.

Guidelines: Be sure to respond to the question using the lessons and vocabulary found in the reading. Justify your answers using examples and reasoning. Support your answers with examples and research and cite your research using APA format.

Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion.

Note: Review South University’s Substantive Participation Policy Criteria, Helpful Tips, ad Late Policy available by clicking on the South University Policy and Guidelines navigation tab. The late policy applies to late discussion question responses.

Howard is a 24 year-old male who presents to the clinic with his wife for what he states is severe lower back pain. He states the pain is so bad that he rates it as a “50 out of 10.” He also tells you that due to a past medical history of an ulcer, he cannot take any medications “like Motrin.” He states that the pain is from a car accident in 2012, and that it flairs up and he needs pain medications. He also tells you that he has a high pain tolerance, and that when he gets pain meds he requires the higher doses.

Discussion 1

1. What would you do first prior to prescribing any medication?
2. What are the various schedules of medications for controlled substances?
3. Would you prescribe a long or short acting narcotic? Why or why not?

Discussion 2

1. What other non narcotic medication options can you offer to this patient?
2. What patient education is needed with them?
3. What would you do if the patient and his wife tell you that none of them work for him?

Discussion 3

You are concerned that this patient may have a substance abuse problem.

1. What screening testing is available for you to use that is reliable and valid?
2. What strategies would you suggest for this patient if he was found to have a problem?
3. What type of referrals would you make?

Discussion 4

After some investigating, you find that Howard actually is seeing a pain specialist who has given him epidural injections, and prescribes medication for him.

1. How does that impact any intervention that you may consider?
2. What other pharmacological options could you offer him?
3. What nonpharmacological options could you suggest?

Discussion 5

After seeing Howard and performing the appropriate screening tools, and a urine drug screen, he admits to you that he does have a problem with opioids due to his back injury. He states he has been admitted to an inpatient detox and twenty-eight day rehabilitation unit previously and was able to quit using for 3 months, but relapsed due to his pain. He states for the last 6 months he has been unable to get opioids from physicians since there is a record of him being prescribed a large amount over a short period of time. Due to this, he has started buying heroin from an acquaintance who he went to high school with. His wife is very tearful and states she is concerned that eventually Howard will end up killing himself.

1. What type of substance abuse programs would be most appropriate for him?
2. What requirements are there for a nurse practitioner to prescribe a medication to treat opioid addiction?
3. What are the requirements for a patient who is enrolled in a medication assisted opioid treatment program?

• Week 9 DiscussionDiscussion Topic
  

  Discussion:

Angela is a 54-year-old married woman with three adult children. She has been the officemanager of a small law firm for 20 years and has enjoyed her work until this past year. She hasrheumatoid arthritis with minimal impairment that has been managed well with NSAIDs. She hasbeen taking conjugated estrogens for 8 years and decided to stop taking them because of herconcern of their risks without sufficient medical benefit. She has tolerated the discontinuationwithout difficulty.

Assessment:

At her annual medical checkup appointment, she told her primary care provider that she seemedto be tired all the time, and she was gaining weight because she had no interest in her usualexercise activities and had been overeating, not from appetite but out of boredom. She deniedthat she and her husband have had marital difficulties beyond the ordinary and she was pleasedwith the achievements of her children. She noticed that she has difficulty falling asleep at nightand awakens around 4 a.m. most mornings without her alarm and cannot go back to sleep eventhough she still feels tired. She finds little joy in her life but cannot pinpoint any particularconcern. Although she denies suicidal feelings, she does not feel that there is meaning to her life:“My husband and kids would go on fine if I died and probably wouldn’t miss me that much.”The primary care provider asks Angela to fill out a Beck’s Depression Scale, whichindicated she has moderate depression.

1. What medication would you first prescribe to this patient?2. She comes back in 2 weeks and states she has not noticed and change in her mood since starting on the medication. What would be your response?3. What are the possible problems with the medication you prescribed?4. How long should you continue the treatment regimen?

Week 8 Discussion – Due

Jun 17, 2021 11:59 PM

NSG6005-Advanced Pharmacology CP01

Discussion Question Initial Response:

Post your initial writing to the discussion questions in the appropriate thread in the Discussion Area no later than Day 3 of the week.*

*You will not be able to see the postings from your peers until you have made your initial post.

Participation Responses:

Peer Response #1. Due no later than Day 5 of the week.Peer Response #2: Due no later than Day 7 of the week.Faculty Response: Respond to any questions left by your faculty no later than end of day on Day 7 of the week.

*Failure to follow the above instructions may lead to loss of points per the rubric.

Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course reading and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.

In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples; demonstrates a clear connection to the readings

In your participation responses to your peers, comments must demonstrate thorough analysis of postings and extend meaningful discussion by building on previous postings.

Note: Review South University’s Substantive Participation Policy Criteria, Helpful Tips, ad Late Policy available by clicking on the South University Policy and Guidelines navigation tab. The late policy applies to late discussion question responses.

Discussion 1:

Margaret is a 40-year-old white female in for her annual examination. She states she has been under increased stress in her life for the past few months. She and her husband are currently separated and considering divorce. Her teenaged sons are acting out and she is working extra hours to make ends meet. Secondary to the increased stress she has started smoking again, “about a pack per day” and states “I know that I am not eating right.”Margaret has been on the “pill” for almost 20 years and has always liked the method. She states the she has heard that smoking and taking the pill are not good, and she is worried about that. “I really do not need birth control since I am separated but just in case I probably need something.” She states that she has been in a mutually monogamous relationship (as far as she knows) since her marriage 18 years ago. She denies a new partner since her separation. Menarche was at 11 years, her cycles when on the pill are regular and very light. Her menstrual period should start tomorrow as she just finished her active pills. She denies a personal history of abnormal Pap smears, gynecological issues, hypertension (HTN), or diabetes. She is G2P2002, and her pregnancies were full term and uncomplicated at ages 24 and 26. Family history is significant for both parents with HTN and mom has type 2 diabetes. Her paternal grandfather died at age 64 years from type 2 diabetes, HTN, and coronary artery disease. Her other grandparents died in their late 70s early 80s and she is unaware of any medical issues.

Assessment:

Margaret’s examination finds her height 5’5″, weight 172 lb (up 10 lb. from last year), current body mass index (BMI 28.6), and blood pressure (BP) 148/88. Head, eyes, ears, nose, and throat (HEENT) are grossly within normal limits (WNL). No thyromegaly or lymphadenopathy. Heart rate is regular and rhythm is without murmurs, thrills, or rubs. Lungs are clear to auscultation in all lobes. Breasts are without masses, nipple discharge, asymmetry, or lymphadenopathy; self breast examination techniques and frequency reviewed during examination. Abdomen is soft, nontender, with no masses or hepatosplenomegaly; bowel sounds present in all four quadrants. Pelvic examination reveals normal vulva and negative Bartholin’s and Skene’s glands; vagina is pink, rugated, with minimal white nonodorous discharge; cervix is pink, multiparous os. Pap smear collected during speculum examination was normal. Bimanual examination reveals a retoverted, firm, mobile, nonenlarged, nontender uterus with negative cervical motion tenderness; adnexa nontender; and ovaries palpable bilaterally, mobile, without masses. Lower extremities were without edema or varicosities.

1. What options are appropriate for this patient?2. What contraceptive options are contraindicated?3. What type of patient education is indicated?4. Given that she has a normal pelvic exam, does that change would that influence your decision?

Week 8 Discussion

Discussion Topic

Due June 17 at 11:59 PM

This is week 6 project. Topic attached Week 6 Project

Assignment

Due June 7 at 11:59 PM

This will be done weekly and according to what we will be studying for that week, and will begin Week 2, and end Week 9.

Each student will be responsible for preparing one presentation on pharmacological management of the disease or pharmacological applications of a drug or group of drugs.

1. Each student will clearly write a title for this topic. Examples are ‘Pharmacological Management of Deep Vein Thrombosis and/or Pulmonary Embolisms Using Anticoagulants/Thrombolytics and Nursing Implications’ or ‘Pharmacological Effects of Anti-hypertensive Medications in the Management of Hypertension and Nursing Implications’.
   • Nursing Implications are the nursing related consequences and what you as the nurse should be looking for in the treatment and care of your patient.
2. Students must get their title approved by the professor before the deadline shown in your schedule. Unapproved titles will not be accepted
3. The presentation must identify the Pharmacodynamic properties and actual/potential effects on the patient.
4. This is worth 20 points.

Submission Details:

• Submit your assignment to the Submissions Area by the due date assigned

Week 6 Discussion – Due

Jun 3, 2021 11:59 PM

NSG6005-Advanced Pharmacology CP01

Discussion Question Initial Response:

Post your initial writing to the discussion questions in the appropriate thread in the Discussion Area no later than Day 3 of the week.*

*You will not be able to see the postings from your peers until you have made your initial post.

Participation Responses:

Peer Response #1. Due no later than Day 5 of the week.Peer Response #2: Due no later than Day 7 of the week.Faculty Response: Respond to any questions left by your faculty no later than end of day on Day 7 of the week.

*Failure to follow the above instructions may lead to loss of points per the rubric.

Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course reading and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.

In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples; demonstrates a clear connection to the readings

In your participation responses to your peers, comments must demonstrate thorough analysis of postings and extend meaningful discussion by building on previous postings.

Note: Review South University’s Substantive Participation Policy Criteria, Helpful Tips, ad Late Policy available by clicking on the South University Policy and Guidelines navigation tab. The late policy applies to late discussion question responses.

Discussion Question 1

Mike is a 46-year-old who presents with a complaint of “heartburn” for 3 months. He describes the pain as burning and it is located in the epigastric area. The pain improves after he takes an antacid or drinks milk. He has been taking either over-the-counter (OTC) famotidine or ranitidine off and on for the past 2 months and he still has recurring epigastric pain. He has lost 6 lb since his last visit.

Assessment

His examination is unremarkable. His blood pressure (BP) is 118/72. Laboratory values are normal complete blood count (CBC) and a positive serum Helicobacter pylori test.

1. What would you prescribe initially?
2. How long would you prescribe these medications?
3. What other possible meds could you prescribe to assist with the side effects from the medications prescribed?
4. How would the treatment vary if the patient has GERD instead?

Discussion Question 2

List differential diagnosis that would help confirm GERD while ruling out other diagnosis. Which medication is the best medication for treatment of GERD and why? What labs or other diagnostic tests that are used to confirm GERD? Your response should be at least 350 words.

Week 6 Discussion

Discussion Topic

Due June 3 at 11:59 PM

Choice topic from the list attached below in week 4

Week 4 Project – Due

May 24, 2021 11:59 PM

NSG6005-Advanced Pharmacology CP01

This will be done weekly and according to what we will be studying for that week, and will begin Week 2, and end Week 9.

Each student will be responsible for preparing one presentation on pharmacological management of the disease or pharmacological applications of a drug or group of drugs.

1. Each student will clearly write a title for this topic. Examples are \’Pharmacological Management of Deep Vein Thrombosis and/or Pulmonary Embolisms Using Anticoagulants/Thrombolytics and Nursing Implications\’ or \’Pharmacological Effects of Anti-hypertensive Medications in the Management of Hypertension and Nursing Implications\’.
   • Nursing Implications are the nursing related consequences and what you as the nurse should be looking for in the treatment and care of your patient.
2. Students must get their title approved by the professor before the deadline shown in your schedule. Unapproved titles will not be accepted
3. The presentation must identify the Pharmacodynamic properties and actual/potential effects on the patient.
4. This is worth 20 points.

Submission Details:

• Submit your assignment to the Submissions Area by the due date assigned.

Week 4 Project

Due May 24 at 11:59 PM

Week 4 Discussion – Due

May 20, 2021 11:59 PM

NSG6005-Advanced Pharmacology CP01

Discussion Question Initial Response:

Post your initial writing to the discussion questions in the appropriate thread in the Discussion Area no later than Day 3 of the week.*

*You will not be able to see the postings from your peers until you have made your initial post.

Participation Responses:

Peer Response #1. Due no later than Day 5 of the week.Peer Response #2: Due no later than Day 7 of the week.Faculty Response: Respond to any questions left by your faculty no later than end of day on Day 7 of the week.

*Failure to follow the above instructions may lead to loss of points per the rubric.

Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course reading and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.

In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples; demonstrates a clear connection to the readings

In your participation responses to your peers, comments must demonstrate thorough analysis of postings and extend meaningful discussion by building on previous postings.

Note: Review South University’s Substantive Participation Policy Criteria, Helpful Tips, ad Late Policy available by clicking on the South University Policy and Guidelines navigation tab. The late policy applies to late discussion question responses.

Respiratory Case Study

For this question, please read the following case study and then respond to the questions noted below

Johnathan, age 7, presents to the office with symptoms of worsening cough and wheezing for the past 24 hours. He is accompanied by his mother, who is a good historian. She reports that her son started having symptoms of a viral upper respiratory infection 2 to 3 days ago, beginning with a runny nose, low-grade fever of 101.0 degrees F orally, and loose cough. Wheezing started on the day before the visit, so Johnathan ‘s mother started administering albuterol metered-dose inhaler (MDI) two puffs before bed and then two puffs at around 2 AM. The cough and wheezing appear worse today, according to the mother. He had difficulty taking deep-enough breaths to inhale this morning’s dose of albuterol, even using the spacer.

Johnathan has been a patient at the clinic since birth and is up to date on his immunizations. His growth and development have been normal, and he is generally healthy except for mild intermittent asthma. This is his first asthma exacerbation of the school year, and his mother expresses a concern about sending him to school with an inhaler.

Johnathan is afebrile with a respiratory rate of 36 and a tight cough every 1 or 2 minutes. He weighs 45 pounds (20.5 kgs.). The examination is all within normal limits except for his breath sounds. He has diffused expiratory wheezes and mild retractions. Pulse oximetry readings have been 93% of oxygen saturation.

1. What are the appropriate pharmacological therapies to be prescribed for Johnathan?
2. What information is necessary to provide to Johnathan and his mother regarding asthma exacerbation?
3. What is an appropriate clinical assessment tool to be use with Johnathan?
4. What are the classification of asthma?
5. How would you as the NP address his mother’s concern regarding providing an inhaler at school?
6. What is an appropriate plan of care for Johnathan?

Week 4 Discussion

Discussion Topic

Due May 20 at 11:59 PM

Week 2 Discussion – Due

May 6, 2021 11:59 PM

NSG6005-Advanced Pharmacology CP01

WEEK 2

Discussion Question Initial Response:

Post your initial writing to the discussion questions in the appropriate thread in the Discussion Area no later than Day 3 of the week.*

*You will not be able to see the postings from your peers until you have made your initial post.

Participation Responses:

Peer Response #1. Due no later than Day 5 of the week.Peer Response #2: Due no later than Day 7 of the week.Faculty Response: Respond to any questions left by your faculty no later than end of day on Day 7 of the week.

*Failure to follow the above instructions may lead to loss of points per the rubric.

Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course reading and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples; demonstrates a clear connection to the readingsIn your participation responses to your peers, comments must demonstrate thorough analysis of postings and extend meaningful discussion by building on previous postings.

Note: Review South University’s Substantive Participation Policy Criteria, Helpful Tips, ad Late Policy available by clicking on the South University Policy and Guidelines navigation tab. The late policy applies to late discussion question responses.

Gami is a 48-year-old who you discover when completing a health history is taking cinnamon to treat Type II Diabetes. She is specifically using cassia Cinnamon. You also discover that she is taking Ginseng to assist with memory. Her prescribed medications are Aricept and Coumadin.

Ms. GM is a 48-year-old who presents to your clinic to establish care. During the health history, you learn that she has a history of Type II Diabetes. When asked about prescription and non-traditional medications, she reports being prescribed Aricept, Coumadin, Cassia cinnamon for Type II Diabetes and Ginseng for memory.

1. Is there any additional subjective or objective information you need for this client? Explain.
2. What would be your position on the Ms. GMs use of alternative supplements for her diabetes and memory? Explain and include contraindications, if any.
3. Are there any additional test/assessments you would complete for this patient given this list of medications? Explain.
4. How might your treatment plan, in terms of medications, differ for this patient? Include the class of the medication, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; contraindications and black box warnings.
5. What health maintenance or preventive education is important for this client based on your choice medication/treatment?

Week 2 Discussion

Discussion Topic

Due May 6 at 11:59 PM