NU636 Unit 7 Discussion (dq1+dq2) Latest 2020 August

NU636 Advanced Pharmacology

Unit 7 Discussion

DQ1 Anxiety

Scenario:

A 32-year-old white female is in the office today with a chief complaint “I have to force myself to go to work and other than that I don’t want to leave my house.”

She reports that last week she tried to go to a Pampered Chef party one of her coworkers was having and she only got about three blocks from her house and had to turn around and go back home.

She admits that being anxious is not new for her but feels as though lately those feelings are negatively impacting her life.

Her medical history is inclusive for a diagnosis of psoriasis.

She is married and has a 4-year-old son.

She is presently on no routine medications.  She takes an over-the-counter B-50 vitamin to help her manage stress associated with marital strife and childcare challenges secondary to her work schedule.

Her last menstrual period was two weeks ago.

BP 100/58, P 66, R 18

Large raised silvery-white scaly patch noted posterior occipital region of scalp; no thyroid enlargement or tenderness with palpation; heart -regular rate and rhythm; lungs are clear to auscultation

Please develop a discussion that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources. 

Please be sure to validate your opinions and ideas with citations and references in APA format.

The post and responses are valued at 40 points. Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.

Estimated time to complete: 2 hours

DQ2 Migraine

Scenario:

A 46-year-old white male comes in for evaluation of his migraine headache management.

His medical history is inclusive for hypertension and a myocardial infarction at the age of 39. He was diagnosed with migraine headaches three years ago.

Current medications include Losartan 50 mg a day, verapamil SR 100 mg at bedtime, Carvedilol 25 mg a day, Lipitor 40 mg a day, Topamax 50mg a day

He has been admitted to the hospital for migraine management 3 times over the last 6 months.  Inpatient admissions have ranged anywhere from 3 to 6 days.  Management strategies utilized during the hospitalization include IV corticosteroids, IV Dilaudid and IV magnesium sulfate.

BP 132/84, P 82, R 15

Skin: pink, warm, dry

Neuro: alert and oriented, CNs II – XII intact

Cardio: radial and pedal pulses 2+, heart regular rate and rhythm without murmur or gallop

Lungs: clear to auscultation

Abdomen: large, non-distended, active bowel sounds all quadrants, non-tender to palpation

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.