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pharmaassign.docx
ASSIGNMENT: CASE STUDIES
Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and health histories.
For this Assignment, you evaluate drug treatment plans for patients with various disorders and justify drug therapy plans based on patient history and diagnosis.
RESOURCES
Review the following Video Resources and Content Pages in the Lecturio Platform by clicking button below labeled Load Week 9: Learning Resources in a new window.
· Overview – Reproductive Pharmacology
· Estrogens and Progestins – Reproductive Pharmacology
· Anti-Estrogens and Antiprogestins – Reproductive Pharmacology
· Androgens and Antiandrogens
· Benign Prostatic Hypertrophy (BPH): Treatment (Nursing)
· Selective Estrogen Receptor Modulators (SERMs)
· Gonorrhea and Chlamydia Trachomatis: Management
· Genital Herpes in Adolescents
· Trichomonas – Protozoa (Sexually Transmitted Infection)
· Sympathetic Blockers Eye Medications – Timolol Levobunolol.
· Otitis Media: Management and Complications (Pediatric Nursing).
· Strep Throat (Pediatric Nursing) (Penicillins and Antibiotic groups discussed)
If you have any technical issues, please contact the Customer Care Team at 1-800-925-3368.
Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.
To Prepare:
· Review the case study posted in “Announcements” by your Instructor for this Assignment
· Review the information provided and answer questions posed in the case study
· When recommending a medication, write out a complete prescription for the medication
· Whenever possible, use clinical practice guidelines in developing your answers when possible
· Include at least three references to support your answer and cite them in APA format.
BY DAY 7 OF WEEK 9
Submit the Assignment.
SUBMISSION INFORMATION
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
1. To submit your completed assignment, save your Assignment as WK9Assgn_LastName_Firstinitial
2. Then, click on Start Assignment near the top of the page.
3. Next, click on Upload File and select Submit Assignment for review.
Rubric
NURS_6521_Week9_Assignment_Rubric
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NURS_6521_Week9_Assignment_Rubric |
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Criteria |
Ratings |
Pts |
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This criterion is linked to a Learning OutcomeScenario 1: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection. |
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15 pts |
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This criterion is linked to a Learning OutcomeScenario 1: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate. |
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3 pts |
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This criterion is linked to a Learning OutcomeScenario 1: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. |
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4 pts |
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This criterion is linked to a Learning OutcomeScenario 1: Written Expression and Formatting - English writing standards: Correct grammar, mechanics, and proper punctuation |
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3 pts |
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This criterion is linked to a Learning OutcomeScenario 2: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection. |
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15 pts |
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This criterion is linked to a Learning OutcomeScenario 2: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate. |
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3 pts |
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This criterion is linked to a Learning OutcomeScenario 2: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. |
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4 pts |
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This criterion is linked to a Learning OutcomeScenario 2: Written Expression and Formatting - English writing standards: Correct grammar, mechanics, and proper punctuation |
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3 pts |
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This criterion is linked to a Learning OutcomeScenario 3: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection. |
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15 pts |
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This criterion is linked to a Learning OutcomeScenario 3: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate. |
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3 pts |
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This criterion is linked to a Learning OutcomeScenario 3: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. |
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4 pts |
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This criterion is linked to a Learning OutcomeScenario 3: Written Expression and Formatting - English writing standards: Correct grammar, mechanics, and proper punctuation |
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3 pts |
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This criterion is linked to a Learning OutcomeScenario 4: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection. |
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15 pts |
||||
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This criterion is linked to a Learning OutcomeScenario 4: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate. |
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3 pts |
||||
|
This criterion is linked to a Learning OutcomeScenario 4: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. |
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4 pts |
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This criterion is linked to a Learning OutcomeScenario 4: Written Expression and Formatting - English writing standards: Correct grammar, mechanics, and proper punctuation |
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3 pts |
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Total Points: 100 |
Week 9 Cases
1. Jamie is a 38-year-old homeless bipolar patient that is diagnosed with an acute psychotic episode. He tells you that he has been on lithium for years and was recently started on amitriptyline (Elavil) 25mg po TID by someone at a free clinic. What treatment plan would you develop to Jamie? Would you discontinue any medications? What medications would you add?
2. A 68-year-old woman has a history of rheumatoid arthritis and has been taking nabumetone (Relafen) 1000 mg po qd for 2 years. Other pertinent past medical history includes: occasional incontinence, Crohn’s disease with frequent exacerbations, and well-controlled diabetes type 2. Recently, her arthritis pain has been much worse and she is requesting additional medication for her rheumatoid arthritis. What would be appropriate additional therapy for this patient? What monitoring would be appropriate to monitor this medication? What monitoring would be appropriate to monitor this medication?
3. Sheila is a 26-year-old with history of head injury and tonic clonic seizures. She is seen today with complaints of “funny” eye movements, feeling uncoordinated, blurred vision, and feeling lethargic. Her current medications include Ritalin 10 mg po BID, Dilantin 300 mg po BID, Paxil 20 mg po daily, Lasix 20 po daily Lab Values from today Dilantin level of 11 Albumin 2 WBC 9.9 Plt 177 Na 141 K 4.2 Hg 13.2. What do you think is causing the patient’s symptoms? What lab values and calculated corrected medication level support your diagnosis? What is your treatment plan for this patient?
4. Xavi is a 44-year-old man with complaints of low back pain following a motor vehicle accident. The accident occurred 7 days ago. He rates his pain 8 out of 10. He was prescribed Lortab 5 / 325 in the ER last week. He is requesting a refill of the Lortab today and indicates it just barely makes him comfortable. What treatment plan would you implement for Xavi? What medications would you prescribe and how would you monitor them? What education would you provide regarding his treatment plan?
