nurs6550 week 11 discussion latest 2017

Week 11 Discussion

Discussion Part I: “Aha” Moments

Clinical experiences are essential to your development as an advanced practice nurse, because new learning and discoveries may offer “aha” moments. These moments of insight, inspiration, or realization contribute to your professional growth and strengthen your value in an acute care setting. For this Discussion, consider an “aha” moment that you had during your clinical experience and how this moment might impact your future practice.

To prepare:

Reflect on your clinical experiences.

Consider “aha” moments (e.g., moments of insight, inspiration, or realization) that might impact your future clinical practice.

Post on or before Day 3 a description of three “aha” moments you experienced over the course of your clinical experiences. Explain how these moments might impact your future clinical practice.

Read a selection of your colleagues’ responses.

Respond on or before Day 6 to two colleagues by sharing additional insights or alternative perspectives.

Discussion Part II: Pharmacology

To prepare:

Read the following articles to enhance your knowledge of commonly prescribed medications:

Siân Williams, A. (2014). Pharmacology of steroids in the musculoskeletal system. Nurse Prescribing, 12(5), 237-242.

Trinka, E., Höfler, J., Zerbs, A., & Brigo, F. (2014). Efficacy and safety of intravenous valproate for status epilepticus: a systematic review. CNS Drugs, 28(7), 623-639. doi:10.1007/s40263-014-0167-1

All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way for you to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage.

Solumedrol

Dexamethazone

Teriparatide vs biophosphonates

Non-depolarizing blockers vs Depolarizing blockers for neuromusclular agents

Succinylcholine, decamethonium,

Pancuronium, vecuronium, rocuronium

Anticonvulsant Barbiturates and benzodiazepines

Valproates and Fosphenytoin and topiramate

GABA analogs and Triazines

Migraine medications

Note: When sharing your initial post, select a topic that has not yet been discussed. If all topics have been discussed, then you may select that topic again, but select a different drug within the medication group.

For this Discussion, address 1 of the following options. Post by day 3:

Option 1: Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Include the scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose.

Option 2: Conduct an evidence-based drug search on the drug you selected and post an explanation of any possible issues. Are there any drug interactions? Any black box warnings? To what type of patient would you prescribe this medication?

Option 3: Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Discuss a patient to whom you would prescribe this medication.

Note: To be considered as one of your required responses, your pharmacology rationale must include a supporting reference.

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