N521-Module Four: Pharmacotherapy of Respiratory & Cardiovascular Disorders

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N521-Module Four: Pharmacotherapy of Respiratory & Cardiovascular Disorders

Module 4 Overview

Introduction

This week we will focus on the pharmacotherapeutics of respiratory and cardiovascular disorders, including commonly occurring conditions and their commonly prescribed medications.

Learning Objectives

After completing this module, you will be able to:

  • Utilize advanced nursing and pharmacological interventions in treatment of respiratory and cardiovascular disorders to resolve complex and biological, psychological, physiological and pathophysiologic conditions.
  • Discuss evidence-based informatics resources for the prescriber
  • Teach patients, family members, and others from diverse populations regarding safe and effective use of drugs and natural products in respiratory and cardiovascular disorders.

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Reading & Resources

  • Read Chapters 19-23 & 25-26 in Arcangelo, V. P., & Peterson, A. M. (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins
  • Online, open access readings
  • Hypertension guideline retrieved from http://www.nmhs.net/documents/27JNC8HTNGuidelinesBookBooklet.pdf
  • PulmCCM (2018). New 2017 guidelines for COPD released.  Retrieved from https://pulmccm.org/copd-review/new-2017-gold-guidelines-copd-released/
  • Qaseem, A., Wilt, T. J., Rich, R., Humphrey, L. L., Frost, J., & Forciea, M. A. (2017). Pharmacologic treatment of hypertension in adults aged 60 years or older to higher versus lower blood pressure targets: A clinical practice guideline from the American College of Physicians and the American Academy of Family Physicians. Annals of Internal Medicine, 166(6), 430. doi:10.7326/m16-1785
  • White, J., Paton, J. Y., Niven, R., & Pinnock, H. (2018). Guidelines for the diagnosis and management of asthma: a look at the key differences between BTS/SIGN and NICE. Thorax, 73(3), 293–297. doi:10.1136/thoraxjnl-2017-211189
  • Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E., Colvin, M. M., … Westlake, C. (2017). 2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure. Journal of Cardiac Failure, 23(8), 628–651. doi:10.1016/j.cardfail.2017.04.014 . N521-Module Four: Pharmacotherapy of Respiratory & Cardiovascular Disorders

Learning Activities

  • Discussion: Participate in Discussion 4.
  • Assignment: Complete & Submit Assignment 2. Click on the Assignment 2 link for more details.

Discussion 4

R. S., a 65-year-old African-American man, was referred to the CNP in the hypertension clinic for evaluation of high BP noted on an initial screening. He reports having headaches and nocturia. He states that he has gained 8 pounds over the last year. Past medical history: Appendectomy 30 years ago, Peptic ulcer disease 10 years ago, Type 2 diabetes mellitus for 10 years; Family history: Father had hypertension; died of myocardial infarction at age 55, Mother had diabetes mellitus and hypertension; died of cerebrovascular accident at age 60; Physical examination: Height 69 in, weight 108 kg; BP: 140/89 mm Hg (left arm), 138/82 mm Hg (right arm); Pulse: 84 beats/min, regular; Funduscopic examination: mild arterial narrowing, sharp discs, no exudates or hemorrhages; Laboratory findings: Blood urea nitrogen: 24 mg/dL, Serum creatinine: 1.5 mg/dL, Glucose: 95 mg/dL, Potassium: 4.0 mEq/L, Total cholesterol: 201 mg/dL, High-density lipoprotein cholesterol: 30 mg/dL, Triglycerides: 167 mg/dL, Urinalysis: 1+ proteinuria; Electrocardiogram and chest radiograph: mild left ventricular hypertrophy; Social history: Tobacco: 35 pack years, Alcohol: pint of vodka/week, Coffee: 2 cups/day

Diagnosis: Stage 1 Hypertension

In this discussion forum:

  1. Discuss specific goals for pharmacotherapy for treating R. S.’s hypertension and cholesterol
  2. Discuss what you would consider to be first-line pharmacotherapy for R. S., and why.
  3. Discuss the parameters for monitoring the success of the therapy.
  4. Discuss health promotion recommendations you would consider for R. S.
  5. Does the presence of Diabetes Mellitus impact your treatment selection?

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria. N521-Module Four: Pharmacotherapy of Respiratory & Cardiovascular Disorders

N521-Stage 1 Hypertension Discussion Essay – 65-year-old African-American man

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N521-Stage 1 Hypertension Discussion Essay – 65-year-old African-American man

R. S., a 65-year-old African-American man, was referred to the CNP in the hypertension clinic for evaluation of high BP noted on an initial screening. He reports having headaches and nocturia. He states that he has gained 8 pounds over the last year. Past medical history: Appendectomy 30 years ago, Peptic ulcer disease 10 years ago, Type 2 diabetes mellitus for 10 years; Family history: Father had hypertension; died of myocardial infarction at age 55, Mother had diabetes mellitus and hypertension; died of cerebrovascular accident at age 60; Physical examination: Height 69 in, weight 108 kg; BP: 140/89 mm Hg (left arm), 138/82 mm Hg (right arm); Pulse: 84 beats/min, regular; Funduscopic examination: mild arterial narrowing, sharp discs, no exudates or hemorrhages; Laboratory findings: Blood urea nitrogen: 24 mg/dL, Serum creatinine: 1.5 mg/dL, Glucose: 95 mg/dL, Potassium: 4.0 mEq/L, Total cholesterol: 201 mg/dL, High-density lipoprotein cholesterol: 30 mg/dL, Triglycerides: 167 mg/dL, Urinalysis: 1+ proteinuria; Electrocardiogram and chest radiograph: mild left ventricular hypertrophy; Social history: Tobacco: 35 pack years, Alcohol: pint of vodka/week, Coffee: 2 cups/day N521-Stage 1 Hypertension Discussion Essay – 65-year-old African-American man

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Diagnosis: Stage 1 Hypertension

In this discussion forum:

  1. Discuss specific goals for pharmacotherapy for treating R. S.’s hypertension and cholesterol
  2. Discuss what you would consider to be first-line pharmacotherapy for R. S., and why.
  3. Discuss the parameters for monitoring the success of the therapy.
  4. Discuss health promotion recommendations you would consider for R. S.
  5. Does the presence of Diabetes Mellitus impact your treatment selection?
  6. N521-Stage 1 Hypertension Discussion Essay – 65-year-old African-American man

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria.

Uncontrolled Type II DM, HTN, and urinary incontinence Essay

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Uncontrolled Type II DM, HTN, and urinary incontinence Essay

Discussion 5

This week if your last name begins with A-L complete case 1 and reply to two peers in case 2.  If your last name begins with M-Z complete case 2 and reply to two peers in case 1.

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Case 1:

C. J. is a 55-year-old Hmong postmenopausal woman presenting with Type II diabetes mellitus, hypertension and urinary incontinence. She reports that she often cannot get to the bathroom in time when she feels the urge to urinate. Uncontrolled Type II DM, HTN, and urinary incontinence Essay – C. J. and Mr. Z She also wets herself when she laughs or sneezes. She is very embarrassed about this problem and has decreased her excursions from the house because of it. She drinks six cups of coffee a day. She does not follow a special diet, She takes hydrochlorothiazide for hypertension, and metformin for DM. Today her HgbA1C is 12.  She wants treatment for her urinary complaints. Uncontrolled Type II DM, HTN, and urinary incontinence Essay – C. J. and Mr. Z

Diagnosis: Uncontrolled Type II DM, HTN, and urinary incontinence

In this discussion forum:

  1. Discuss specific goals for pharmacotherapy for treating C. J..
  2. Discuss the drug therapy a CNP would likely prescribe and why.
  3. Discuss the parameters for monitoring success of the therapy.
  4. Discuss health promotion recommendations you would consider for C. J.

Case 2:

Mr. Z is a 36-year-old construction worker who presents to the nurse with fatigue and a foot ulcer. He is a smoker with type 1 diabetes for 25 years, and he take 20 units of

70/30 insulin twice a day. He lost his meter a year ago. He is very thin, although he eats constantly on the job because he is worried about hypoglycemia; he cannot remember the last time he had hypoglycemia, but it was years ago.  He recently received a call from the office because his TSH level was greater than 10 and he was told he has “thyroid” problems.  He thinks this may be the cause of his fatigue.

In this discussion forum:

  1. Discuss specific goals for pharmacotherapy for treating Mr Z
  2. Discuss the drug therapy a CNP would likely prescribe and why.
  3. Discuss the parameters for monitoring success of the therapy.
  4. Discuss health promotion recommendations you would consider for Mr Z.

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria. Uncontrolled Type II DM, HTN, and urinary incontinence Essay – C. J. and Mr. Z

Pharmacotherapy of Gastrointestinal and Endocrine Disorders

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Pharmacotherapy of Gastrointestinal and Endocrine Disorders

Module 5 Overview

Introduction

This week we will focus on the pharmacotherapeutics of gastrointestinal and endocrine disorders, including commonly occurring conditions and their commonly prescribed medications.  As you review this week’s content consider the impact of comorbid disease on each condition.  It is not unusual to encounter a patient who has underlying cardiovascular disease in the presence of diabetes.  Think about the impact of pharmacotherapeutics on all organ systems Pharmacotherapy of Gastrointestinal and Endocrine Disorders.

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Learning Objectives

After completing this module, you will be able to:

  • Utilize advanced nursing and pharmacological interventions in gastrointestinal, renal and endocrine disorders to resolve complex and biological, psychological, physiological and pathophysiologic conditions. Pharmacotherapy of Gastrointestinal and Endocrine Disorders
  • Teach patients, family members, and others from diverse populations regarding safe and effective use of drugs and natural products in gastrointestinal, renal and endocrine disorders.

Reading & Resources

  • Read Chapters 28-31 and 46-47.  In Arcangelo, V. P., & Peterson, A. M. (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins.
  • American Diabetes Association (2017). Standards of medical care in diabetes—2018 abridged for primary care providers. Clinical Diabetes, 36(1), 14–37. doi:10.2337/cd17-0119. Retrieved from http://clinical.diabetesjournals.org/content/36/1/14

Learning Activities

  • Discussion: Participate in Discussion 5. Remember there are two cases and if your last name begins with A-L complete case 1 and reply to two peers in case 2.  If your last name begins with M-Z complete case two and reply to two peers in case 1.
  • Test: Complete Progress Test 3. Click on the Progress Test 3 link for more details. Pharmacotherapy of Gastrointestinal and Endocrine Disorders

Discussion 5

This week if your last name begins with A-L complete case 1 and reply to two peers in case 2.  If your last name begins with M-Z complete case 2 and reply to two peers in case 1.

Case 1:

C. J. is a 55-year-old Hmong postmenopausal woman presenting with Type II diabetes mellitus, hypertension and urinary incontinence. She reports that she often cannot get to the bathroom in time when she feels the urge to urinate. She also wets herself when she laughs or sneezes. She is very embarrassed about this problem and has decreased her excursions from the house because of it. She drinks six cups of coffee a day. She does not follow a special diet, She takes hydrochlorothiazide for hypertension, and metformin for DM. Today her HgbA1C is 12.  She wants treatment for her urinary complaints Pharmacotherapy of Gastrointestinal and Endocrine Disorders.

Diagnosis: Uncontrolled Type II DM, HTN, and urinary incontinence

In this discussion forum:

  1. Discuss specific goals for pharmacotherapy for treating C. J..
  2. Discuss the drug therapy a CNP would likely prescribe and why.
  3. Discuss the parameters for monitoring success of the therapy.
  4. Discuss health promotion recommendations you would consider for C. J.
  5. Pharmacotherapy of Gastrointestinal and Endocrine Disorders

Case 2:

Mr. Z is a 36-year-old construction worker who presents to the nurse with fatigue and a foot ulcer. He is a smoker with type 1 diabetes for 25 years, and he take 20 units of

70/30 insulin twice a day. He lost his meter a year ago. He is very thin, although he eats constantly on the job because he is worried about hypoglycemia; he cannot remember the last time he had hypoglycemia, but it was years ago. Pharmacotherapy of Gastrointestinal and Endocrine Disorders He recently received a call from the office because his TSH level was greater than 10 and he was told he has “thyroid” problems.  He thinks this may be the cause of his fatigue.

In this discussion forum:

  1. Discuss specific goals for pharmacotherapy for treating Mr Z
  2. Discuss the drug therapy a CNP would likely prescribe and why.
  3. Discuss the parameters for monitoring success of the therapy.
  4. Discuss health promotion recommendations you would consider for Mr Z.
  5. Pharmacotherapy of Gastrointestinal and Endocrine Disorders

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria. Pharmacotherapy of Gastrointestinal and Endocrine Disorders

Asymptomatic HIV Infection Essay Discussion 6

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Asymptomatic HIV Infection Essay Discussion 6

J. P. is a 36-year-old Caucasian gay male who was diagnosed with HIV infection 2 years ago. He and his male partner, T. R., were married shortly after his diagnosis. T. R. is not HIV positive. He has been feeling well for the past 2 years, and he maintains a healthy, active lifestyle by exercising three to four times a week and eating a balanced diet. His medications include a multiple vitamin and occasional omeprazole for heartburn. He has never received antiretroviral therapy Asymptomatic HIV Infection Essay. He comes to your office for a routine physical exam and blood work. The physical examination is unremarkable, and the laboratory results are as follows: Electrolytes, serum creatinine, liver function tests: within normal limits; Complete blood count with differential: within normal limits, CD4+ T-cell count: 210 cells/mm3; Viral load: 10,000 copies/mL, Genotype: No resistance mutations detected Asymptomatic HIV Infection Essay

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Diagnosis: Asymptomatic HIV Infection

In this discussion forum:

  1. Discuss specific goals for pharmacotherapy for treating J. P.’s asymptomatic HIV infection.
  2. Discuss when prophylaxis for infection is indicated ie daily bactrim
  3. Discuss the drug therapy a CNP would likely prescribe and why. Asymptomatic HIV Infection Essay
  4. Discuss the parameters for monitoring success of the therapy.
  5. Discuss health promotion recommendations you would consider for J. P.

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria Asymptomatic HIV Infection Essay.

Anti-infective Medications Essay

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Anti-infective Medications Essay

Module 6 Overview

Introduction

This week we will focus on the pharmacotherapeutics of anti-infective medications, including their use in commonly occurring conditions and the more commonly prescribed medications.  The presence of infection may occur in any body system and include causative agents such as bacteria, viruses, fungi, and protozoans Anti-infective Medications Essay.  The evidence-based treatment will vary with the cause and area of infection.

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Learning Objectives

After completing this module, you will be able to:

Utilize advanced nursing and pharmacological interventions in the use of anti-infective medications to resolve complex and biological, psychological, physiological and pathophysiologic conditions. Anti-infective Medications Essay.

  • Synthesize evidence-based clinical practice guidelines to develop pharmacotherapeutics plans for common infections such as pneumonia, otitis, urinary tract infections, sexually transmitted infections, skin infections, dental infections, gastroenteritis, and sepsis. Anti-infective Medications Essay
  • Teach patients, family members, and others from diverse populations regarding safe and effective use of drugs and natural products within the anti-infective medication classifications.

Reading & Resources

Read Chapters 8, 17, 18, 24, 27, 31, 32, & 35 In Arcangelo, V. P., & Peterson, A. M. (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins. Anti-infective Medications Essay

Visit Infectious Disease Society of America (IDSA) Practice guidelines at https://www.idsociety.org/PracticeGuidelines/

Learning Activities

  • Discussion: Participate in Discussion 6.(Remember to use the IDSA resource)

Discussion 6

J. P. is a 36-year-old Caucasian gay male who was diagnosed with HIV infection 2 years ago. He and his male partner, T. R., were married shortly after his diagnosis. T. R. is not HIV positive. Anti-infective Medications Essay He has been feeling well for the past 2 years, and he maintains a healthy, active lifestyle by exercising three to four times a week and eating a balanced diet. His medications include a multiple vitamin and occasional omeprazole for heartburn. He has never received antiretroviral therapy. He comes to your office for a routine physical exam and blood work. The physical examination is unremarkable, and the laboratory results are as follows: Electrolytes, serum creatinine, liver function tests: within normal limits; Complete blood count with differential: within normal limits, CD4+ T-cell count: 210 cells/mm3; Viral load: 10,000 copies/mL, Genotype: No resistance mutations detected Anti-infective Medications Essay

Diagnosis: Asymptomatic HIV Infection

In this discussion forum:

  1. Discuss specific goals for pharmacotherapy for treating J. P.’s asymptomatic HIV infection.
  2. Discuss when prophylaxis for infection is indicated ie daily bactrim Anti-infective Medications Essay
  3. Discuss the drug therapy a CNP would likely prescribe and why.
  4. Discuss the parameters for monitoring success of the therapy.
  5. Discuss health promotion recommendations you would consider for J. P.

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria Anti-infective Medications Essay.

Pharmacotherapy of Mental & CNS Disorders Essay

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Pharmacotherapy of Mental & CNS Disorders Essay

Module 7 Overview

Introduction

This week we will focus on the pharmacotherapeutics of mental and CNS disorders, including commonly occurring conditions and their commonly prescribed medications.

Learning Objectives

After completing this module, you will be able to:

  • Utilize advanced nursing and pharmacological interventions in mental and CNS disorders to resolve complex and biological, psychological, physiological and pathophysiologic conditions.
  • Teach patients, family members, and others from diverse populations regarding safe and effective use of drugs and natural products in mental and CNS disorders. Pharmacotherapy of Mental & CNS Disorders Essay

Reading & Resources

Read Chapters 38-45. In Arcangelo, V. P., & Peterson, A. M. (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins.

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Learning Activities

  • Discussion: Participate in Discussion 7.
  • Assignment: Complete & Submit Assignment 3. Click on the Assignment 3 link for more details.

Discussion 7

J. T., who is a Native American male, age 8, is always interrupting his teacher, jumping out of his seat in class, fidgeting relentlessly, and butting into other children’s games. At home, he runs around recklessly and is uncontrollable. His mother comes to the CNP in the Pediatric Clinic and wonders why he will not listen. She is concerned because his grades at school are dropping. After medical evaluation, you find nothing wrong with J. T. physically, and he is taking no other medications. Through questioning, you determine that he has trouble concentrating on his homework, often forgets he has homework, loses pieces of games frequently, and hates to sit and read. His mother is unsure of the time frame over which these behaviors developed, but she thinks it has been since her second child was born 5 years ago. Pharmacotherapy of Mental & CNS Disorders Essay While in your office, J. T. did not seem to be hyperactive or inattentive, but you notice he is easily distracted by people passing in the hallway because the door is slightly ajar. Pharmacotherapy of Mental & CNS Disorders Essay

Diagnosis: Attention-Deficit Hyperactive Disorder (ADHD)

In this discussion forum:

  1. Discuss specific goals for pharmacotherapy for treating J. T.’s ADHD.
  2. Discuss the first-line drug therapy for J. T., and why.
  3. Discuss monitoring parameters you would institute for J. T.’s parents and his teachers.
  4. Discuss specific patient education you would provide to J. T.’s parents based on the prescribed therapy.

Remember to respond to at least two of your peers. Please see the Course Syllabus for Pharmacotherapy of Mental & CNS Disorders Essay Discussion Participation Requirements and Grading Criteria. Pharmacotherapy of Mental & CNS Disorders Essay

N521-Attention-Deficit Hyperactive Disorder (ADHD)

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N521-Attention-Deficit Hyperactive Disorder (ADHD)

N521-Attention-Deficit Hyperactive Disorder (ADHD) Discussion 7

J. T., who is a Native American male, age 8, is always interrupting his teacher, jumping out of his seat in class, fidgeting relentlessly, and butting into other children’s games. At home, he runs around recklessly and is uncontrollable. His mother comes to the CNP in the Pediatric Clinic and wonders why he will not listen. She is concerned because his grades at school are dropping. After medical evaluation, you find nothing wrong with J. T. physically, and he is taking no other medications. Through questioning, you determine that he has trouble concentrating on his homework, often forgets he has homework, loses pieces of games frequently, and hates to sit and read. His mother is unsure of the time frame over which these behaviors developed, but she thinks it has been since her second child was born 5 years ago. N521-Attention-Deficit Hyperactive Disorder (ADHD) . While in your office, J. T. did not seem to be hyperactive or inattentive, but you notice he is easily distracted by people passing in the hallway because the door is slightly ajar. N521-Attention-Deficit Hyperactive Disorder (ADHD)

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Diagnosis: Attention-Deficit Hyperactive Disorder (ADHD)

In this discussion forum:

  1. Discuss specific goals for pharmacotherapy for treating J. T.’s ADHD.
  2. Discuss the first-line drug therapy for J. T., and why.
  3. Discuss monitoring parameters you would institute for J. T.’s parents and his teachers.
  4. Discuss specific patient education you would provide to J. T.’s parents based on the prescribed therapy.

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria. N521-Attention-Deficit Hyperactive Disorder (ADHD)

N521- Advanced Pharmacology Assignment 2

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N521- Advanced Pharmacology Assignment 2

R. W. is a 64-year-old Caucasian postal clerk who has smoked a pack of cigarettes a day for the past 35 years. He reports to his CNP in his family practice clinic. He presents with progressive difficulty getting his breath while doing simple tasks. He is having difficulty doing any manual work, but he has no symptoms when working behind his desk. He also reports a cough, fatigue, and weight loss. He has been treated for three respiratory infections a year for the past 3 years and feels like another one is developing now. On physical examination, you notice clubbing of his fingers, use of accessory muscles for respiration, wheezing in the lungs, and hyperresonance on percussion of the lungs. Pulmonary function studies show an FEV1 of 58%. R. W. is a 64-year-old Caucasian postal clerk who has smoked a pack of cigarettes a day for the past 35 years. N521- Advanced Pharmacology Assignment 2

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In a paper not to exceed six pages, excluding title and reference pages, please answer the following:

  1. What is R. W.’s likely diagnosis?
  2. What stage of disease does RW have?
  3. List specific pharmacotherapeutic treatment goals for R. W.
  4. What drug therapy would the CNP likely prescribe? Why?
  5. What are the parameters for monitoring the success of the therapy?
  6. Describe specific patient education based on the prescribed therapy.
  7. List one or two adverse reactions for the selected agent that would cause the CNP to change therapy.
  8. What would be the choice for second-line therapy?
  9. What health promotion activities should be recommended for this patient?
  10. If RW was currently taking metoprolol for “headaches” would a change be recommended?
  11. R. W. is a 64-year-old Caucasian postal clerk who has smoked a pack of cigarettes a day for the past 35 years

Please use the Case Study Analysis rubric provided to guide you in completing this assignment. It will be used to evaluate your submitted work.

Competency

40

36

33

0

Points Earned
Case Study questions completely and thoroughly answered with accurate evidence-based supported rationales Accurate and well defined discussion of all 10 questions for the case study using current evidence-based resources. Accurate discussion of nine case study questions  presented with use of  current evidence-based resources.  

Accurate discussion of 8 questions using current evidence-based resources

Missing response to questions or inappropriate answers to questions. No use of evidence-based resources.

/40

R. W. is a 64-year-old Caucasian postal clerk who has smoked a pack of cigarettes a day for the past 35 years

40

36

33

0

Evidence of 

  • critical thinking
  • therapeutic decision-making in drug selection and evaluation of patient care
  • pathophysiology and current pharmacological research
  • assessment of the effectiveness of drug therapy
  • formulation of clinical care and teaching plans for persons from diverse populations
 Well-defined evidence of 

  • critical thinking
  • therapeutic decision-making in drug selection and evaluation of patient care
  • pathophysiology and current pharmacological research
  • assessment of the effectiveness of drug therapy
  • formulation of clinical care and teaching plans for persons from diverse populations
  

Evidence of critical thinking in prescriptive therapy, monitoring and adverse events.  May have lacked a teaching plan or pathophysiologic discussion.

  

Evidence of critical thinking but incompletely described therapeutic decision making and omitted teaching plan and pathophysiology.

Multiple bulleted points are absent or poorly defined in the assignment. There is no demonstration of critical thinking.

R. W. is a 64-year-old Caucasian postal clerk who has smoked a pack of cigarettes a day for the past 35 years

/40

 

10

9

8

0

Points Earned
Grammar, spelling, and punctuation There are no errors in grammar, spelling, and punctuation There are a few minor errors in grammar, spelling, and punctuation that do not detract from the meaning (1-3 errors) There are major errors in grammar, spelling, and punctuation .(4-5 errors)

No content or more than 5 errors

/10

10

9

8

0

APA Compliance The paper meets APA formatting guidelines There are a few minor errors (1-3 errors) There are significant errors in the format of the paper (4-5 errors)

No content or more than 5 errors

/10
Total Points

R. W. is a 64-year-old Caucasian postal clerk who has smoked a pack of cigarettes a day for the past 35 years. N521- Advanced Pharmacology Assignment 2

/100

N521- Advanced Pharmacology Assignment 3

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N521- Advanced Pharmacology Assignment 3

L. P., age 23, is a Hispanic woman who graduated from college last year. She reports to the CNP in her local community mental health center. She began working as an accountant 1 month after graduating L. P., age 23, is a Hispanic woman who graduated from college. Approximately 2 months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she see a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past 9 months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent. She reports that all her life she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” L. P. reports that she has a good relationship with her boyfriend but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past 4 years without any adverse effects L. P., age 23, is a Hispanic woman who graduated from college. N521- Advanced Pharmacology Assignment 3

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In a paper not to exceed six pages, excluding title and reference pages, submit your answers to the following in an MS Word document:

  1. What is L. P.’s likely diagnosis?
  2. List specific pharmacotherapeutic treatment goals for L. P.
  3. L. P., age 23, is a Hispanic woman who graduated from college
  4. Should the CNP order any labs for L. P. at this time? Why?
  5. What drug therapy would the CNP likely prescribe? Why?
  6. What are the parameters for monitoring the success of the therapy?
  7. Describe specific patient monitoring based on the prescribed therapy.
  8. List one or two adverse reactions for the selected agent that would cause the CNP to change therapy.
  9. L. P. returns to see the CNP after six weeks, complaining of still feeling anxious and had heard of a medication called Klonopin that she would like to try; how should the CNP respond to her request?
  10. What health promotion activities should be recommended for this patient?
  11. What is L. P.’s long-term prognosis? L. P., age 23, is a Hispanic woman who graduated from college

Please use the Case Study Analysis rubric provided to guide you in completing this assignment. It will be used to evaluate your submitted work.

Competency

40

36

33

0

Points Earned
Case Study questions completely and thoroughly answered with accurate evidence-based supported rationales Accurate and well defined discussion of all 10 questions for the case study using current evidence-based resources. Accurate discussion of nine case study questions  presented with use of  current evidence-based resources. L. P., age 23, is a Hispanic woman who graduated from college Accurate discussion of 8 questions using current evidence-based resources

Missing response to questions or inappropriate answers to questions. No use of evidence-based resources.

/40

40

36

33

0

Evidence of 

  • critical thinking
  • therapeutic decision-making in drug selection and evaluation of patient care
  • pathophysiology and current pharmacological research
  • assessment of the effectiveness of drug therapy
  • formulation of clinical care and teaching plans for persons from diverse populations
 Well-defined evidence of 

  • critical thinking
  • therapeutic decision-making in drug selection and evaluation of patient care
  • pathophysiology and current pharmacological research
  • assessment of the effectiveness of drug therapy
  • formulation of clinical care and teaching plans for persons from diverse populations
 Evidence of critical thinking in prescriptive therapy, monitoring and adverse events.  May have lacked a teaching plan or pathophysiologic discussion. Evidence of critical thinking but incompletely described therapeutic decision making and omitted teaching plan and pathophysiology.

Multiple bulleted points are absent or poorly defined in the assignment. There is no demonstration of critical thinking.

/40 L. P., age 23, is a Hispanic woman who graduated from college

Competency

10

9

8

0

Points Earned
Grammar, spelling, and punctuation There are no errors in grammar, spelling, and punctuation There are a few minor errors in grammar, spelling, and punctuation that do not detract from the meaning (1-3 errors) There are major errors in grammar, spelling, and punctuation .(4-5 errors) No content or more than 5 errors

/10

Competency

10

9

8

0

APA Compliance

The paper meets APA formatting guidelines

L. P., age 23, is a Hispanic woman who graduated from college

There are a few minor errors (1-3 errors)

There are significant errors in the format of the paper (4-5 errors)

No content or more than 5 errors

/10
Total Points

/100