NR508 All Weeks Discussions Latest September 2018

NR508 Advanced Pharmacology

Week 1 Discussion

Foundation of the Role of the Nurse Practitioner as Prescriber Legal and Professional Issues in Prescribing

Describe NP practice in your state.

Tell the class what your state laws are related to nurse practitioner prescribing.

Include how many continuing education hours are required for your state.

Describe the importance of knowing the specific laws in your state pertaining to Nurse Practitioners prescribing medications.

 

NR508 Advanced Pharmacology

Week 2 Discussion

Claudia is a 26-year-old mother of two G2P2, she recently delivered her last child 9 months ago, and has been using condoms for birth control for the last 7 months. Today she is requesting a more reliable birth control, she is not sure of her current pregnancy plans, however, she does not wish to discuss sterilization. No religious contraindications for treatment. Previous methods include condoms, and oral contraceptive pills.

PMH: positive for mild hypertension with first pregnancy, seasonal allergies.

Surgeries: Right inguinal hernia and tonsillectomy.

Family history: Mother HTN and Father colon CA both living

Social History: Denies tobacco use, wine one to two glasses a week, denies recreational drugs, exercises twice a week.

Drug allergies-Sulfa causes a rash. Current medications-MVI with Fe, Calcium chews, prn Allegra for allergies. Height 65 inches, weight 137 pounds, BP 110/75, P 70, R 16. PAP collected today, breast exam WNL, urine pregnancy negative.

Physical exam is normal.

What are your treatment goals for Claudia today?

What are two possible contraceptive methods for Claudia? Please give brief rationale for each.

Pick one method and list five (5) patient-centered teaching points for the method you chose today.

What would your contraceptive choice be if Claudia smoked 10-15 cigarettes per day? Explain your answer.

 

NR508 Advanced Pharmacology

Week 3 Discussion

Mr. Russell is a 69-year-old male who presents to your clinic with complaints heart palpitations and light headedness on and off for the past month. He has a history of hypertension and is currently prescribed HCTZ.

Vital Signs: B/P 159/95, Irregular HR 78, Resp. 20, Weight 99 kilograms

Lower extremities with moderate 3+edema noted bilaterally, ABD + BS, Neuro AOX3,

Labs: NA 143mEq/L, CL 99 mmol/L BUN 18mg/dL, Hbg 15, TC 234 mg/dL, LDL 137 mg/dL, HDL 35 mg/dL, triglycerides 241mg/dL,

What are your treatment goals for Mr. Russell today?

What is your pharmacologic plan; please state your rationale for your plan?

What are five key patient education points based on your plan?

How would your plan change if your patient is African American?

How would your plan change if your patient complains of excessive heartburn and belching?

 

NR508 Advanced Pharmacology

Week 5 Discussion

Maria is a 46-year-old woman who presents for her yearly physical examination. Her medical history is notable for borderline hypertension and moderate obesity. Six months ago her fasting lipid profile was normal. Maria report that her mother and brother have diabetes and hypertension. She reports that she knows she should be on a low calorie, low fat diet and exercising but with her full time job and four children, she finds it difficult to exercise, and she eats out most of the time. She is 66″ tall and weighs 219lbs today, no current medication. She does report taking a multivitamin, biotin Vit-C when she remembers. She is a nonsmoker, only drinks sweet tea with each meal, 3-4 cups of coffee per day.

Today: BP 120/70 mm Hg, pulse 76, temperature 98.7, respirations 18, weight 219 pounds. Urine dip + glucose, fasting plasma glucose 179 mg/dl, HgbA1C is 7.4%. Physical Exam reveals notable for acanthosis nigricans at the neck but otherwise is normal.

What are your treatment goals for Maria?

What is your plan for drug therapy? What is the mechanism of action for each drug?

Please give five teaching points for each drug prescribed.

How would you change the plan if her initial HbgA1C was 10.2mg/dL and her fasting blood glucose was 305mg/dL? Provide a detailed alternative plan with the rationale.

 

NR508 Advanced Pharmacology

Week 7 Discussion

Grand Rounds

This week you will post the VoiceThread presentation you created in Week 6 to this discussion board for your peers and lead a discussion throughout the week. Keep the discussion interesting, professional, and focused to the medication and topic.

Please see Course Resources for Voice Thread directions and use the media/edit button to insert your Voice Thread presentation to this thread.

Three responses to a peer’s presentations are due by Thursday 11:59 p.m. MT of Week 7, the answers to five questions in three different presentations (total of 15) and all follow-up posts to your presentation due by Sunday at 11:59 p.m. MT at the end of Week 7.