NU636 Unit 5 Discussion (dq1+dq2) Latest 2020 August

NU636 Advanced Pharmacology

Unit 5 Discussion

DQ1 PUD and Anemia

Scenario: The family of a 62-year-old white female call your office and ask if you can see their family member.  The person being requested to be seen is known to you for the last twenty years.

She is your former supervisor and a fellow FNP.

The family reports your colleague is demonstrating signs of dementia.

They note that she has not been eating much for the past few weeks reporting she has a gnawing pain in her stomach.  If she does eat she reports getting ‘full’ very quickly.  She reports feeling mildly nauseous for the last few weeks.

Your friend sustained a fall injury about 9 months ago from a ladder.  She shattered some teeth and developed an infection.  She is under the care of an oral surgeon.

You have seen a few of her patients in your practice over the last couple weeks because ‘she is never in her office or available’ over the last few weeks.

You reflect on your last few conversations with your colleague and think to yourself that you also thought she seemed ‘off her game’.

You recommend her family take her to Urgent Care and you convince your colleague this is in her best interest.

Labs drawn at Urgent Care reveal a Hgb of 8 and HCT of 24.

Please develop a discussion that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion.

DQ2 Anti-coagulant Therapy

Scenario: A 77-year-old white male comes into your office complaining of feeling dizzy, short of breath, easily fatigued and having a sensation of his heart ‘skipping beats’.

He reports he has had these same symptoms numerous times over the last year or so, but they only lasted for about a day.

He thought since he has been experiencing them now for about 3 days he should come in and get checked out.

He was diagnosed with type 2 diabetes twenty years ago and hypertension fifteen years ago.

Current medications include Lisinopril 20 mg daily and Metformin 1000 mg daily.

BP 172/100, P 123 irregularly irregular, R 20

Skin is warm, pale with a slight gray cast; lungs are clear to auscultation; heart irregular rhythm

Please develop a discussion that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion.