NR508 All Weeks Discussions Latest 2019 January

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 36-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. She thought about an IUD but is concerned her husband may feel it during intimacy.

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

Surgeries: Left inguinal hernia and tonsillectomy.

Family history: Mother HTN and Father colon CA both deceased

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 67 inches, weight 157 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 73-year-old male who presents to your clinic with complaints heart palpitations and light headedness on and off for the past 3 months. He has a history of hypertension and is currently prescribed HCTZ. He also is complaining of heartburn and belching after a large meal.

Vital Signs: B/P 159/95, Irregular HR 88, Resp. 22, Weight 99 kilograms

Lower extremities with moderate 3+edema noted in left leg, 2 + edema in right leg, 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?

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 mild depression 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 67" tall and weighs 225lbs today, no current medication. She does report taking a multivitamin daily but still feels tired, 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 225 pounds. Urine dip + glucose, fasting plasma glucose 179 mg/dl, HgbA1C is 7.4%, TSH 5.6. The physical exam is 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

Purpose

The purpose of this assignment is to enhance the student’s clinical reasoning, confidence and learning of multiple pharmacological agents through facilitated discussion.

Description

In Week 7, you will lead a discussion based on your presentation as well as interact with peers in discussions related to their Grand Rounds presentations.

Course Outcomes

Through this assignment, the student will demonstrate the ability to:

Describe the most commonly prescribed drugs use in primary care for the chose condition.

Utilize clinical guidelines, research articles or other materials to support your findings.

Identify any practice barriers, issues, or problems (including cultural diversity and healthcare literacy).

Discuss best practices for optimal outcomes.

Due Dates: Week 7: Presentation must be uploaded to Week 7 discussion by Sunday 11:59 p.m. MT at the end of Week 6. Three responses to a peer’s presentations are due by Thursday 11:59 p.m. MT of Week 7, answers 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.

Total Points Possible: Week 7 Discussion- 75 points

Requirements:

In Week 7, you will post your Kaltura presentation that you have created to the discussion area, without the answers to the multiple choice questions. Please post the presentation to the discussion area by Sunday 11:59 p.m. MT at the end of Week 6 to facilitate a robust discussion.

Participating in the Discussion: You will be required to respond to at least three other students, who have no responses to their posting.** In your post, you will discuss a drug that could be prescribed for the condition DIFFERENT than those presented. Come up with a different treatment plan from the Walmart or Target $4 RX list, and offer reasons for the change or if the drug is not on the list, why? Use references to support your responses. You should also answer the presenter’s five questions.

Three responses to a peer’s presentations are due by Thursday 11:59 p.m. MT of Week 7 so that the presenting student can interact with you.

**If all students have a response, then choose the student with the least responses to their posting.

Leading the Discussion: You must respond to any student who posts to you by THURSDAY regarding your case with a substantial response, either answering their questions or noting their response and acting as leader. You also must respond to any faculty responses to your initial posting if posted by THURSDAY. Use references to support your responses. All FINAL responses to your initial posts must be completed by Sunday, 11:59 p.m. MT.