Pharmacotherapy for Cardiovascular Disorders

Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.

 

Photo Credit: Getty Images/Science Photo Library RF

As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.

Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm

To Prepare
  • Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.
  • Review the case study assigned by your Instructor for this Assignment.
  • Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.
  • Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
  • Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
  • Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.
By Day 7 of Week 2

Write a 2- to 3-page paper that addresses the following:

  • Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
  • Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
  • Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

 

CASE STUDY 2: Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia, and ischemic heart disease.

Drugs currently prescribed include the following:

• Warfarin 5 mg po daily MWF and 2.5 mg daily T, TH, Sat, Sun

• Aspirin 81 mg po daily

• Metformin 1000 mg po bid

• Glyburide 10 mg po bid

• Atenolol 100 mg po daily

• Motrin 200 mg 1–3 tablets every 6 hours as needed for pain

please pay attention to the my case study above

 

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

  • Chapter 34, “Review of Hemodynamics” (pp. 335–340)
  • Chapter 35, “Diuretics” (pp. 341–349)
  • Chapter 36, “Drugs Acting on the Renin-Angiotensin-Aldosterone System” (pp. 351–362)
  • Chapter 37, “Calcium Channel Blockers” (pp. 363–369)
  • Chapter 38, “Vasodilators” (pp. 371–373)
  • Chapter 39, “Drugs for Hypertension” (pp. 375–388)
  • Chapter 40, “Drugs for Heart Failure” (pp. 389–402)
  • Chapter 41, “Antidysrhythmic Drugs” (pp. 403–418)
  • Chapter 42, “Prophylaxis of Atherosclerotic Cardiovascular Disease: Drugs That Help Normalize Cholesterol and Triglyceride Levels” (pp. 419–439)
  • Chapter 43, “Drugs for Angina Pectoris” (pp. 441–450)
  • Chapter 44, “Anticoagulant and Antiplatelet Drugs” (pp. 451–472)

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Nursing

What type of historical evidence can be used to support nursing’s political advocacy in providing primary health care?

Write a 300 – word paper using APA Format.  Please provide all reference 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Journal: From Issue to Persuasion

Now that you’ve spent some time writing down some potential issues for your project, it’s time to narrow the focus. Reviewing the Opposing Viewpoints database – that’s the link provided–>

(https://go-gale-com.ezproxy.snhu.edu/ps/browseCategory?userGroupName=nhc_main&inPS=true&prodId=OVIC&category=Health+and+Medicineand reviewing your brainstorming activity, select two potential issues that are related to your career of Nursing. Again, be sure you’re selecting and writing about two separate issues.

As you work on the journal, remember to refer to the assignment guidelines and rubric below to make sure you’re fulfilling each critical element.

Assignment Guidelines and Rubric

Overview: The journal activity in this course is private between you and the instructor. This week, you spent some time reflecting on persuasion in your everyday life, and you shared some potential topic ideas with your peers and instructor. But why is persuasion so important? Let’s think about that a little bit in this journal assignment.

Specifically, the following critical elements must be addressed:

  1. After exploring the Opposing Viewpoints Database and reviewing your brainstorming activity, identify two issues that are related to your career or degree:
    1. Write a fully developed paragraph for issue one (5–8 sentences each).
      1. Explain at least two clear arguable sides to the issue.
      2. Explain how the issue relates to your field or degree or potential field or degree.
    2. Write a fully developed paragraph for issue two (5–8 sentences each).
      1. Explain at least two clear arguable sides to the issue.
      2. Explain how the issue relates to your field or degree or potential field or degree.
  2. After exploring the arguments related to your issues, take a moment to consider the bigger picture. Then, briefly reflect (in 1 to 2 paragraphs) on the importance of persuasion for the issue you are most likely to write about. Be specific in your assignment; this information will help guide you as you work on your project in the coming weeks.
    1. Identify which side you might argue if you plan to pursue this issue in your final persuasive essay.
    2. Identify your potential audience and why your topic would be relevant to them.

Guidelines for Submission: Save your work in a Word document with double spacing, 12-point Times New Roman font, and one-inch margins. Then, check your writing for errors.

Please use link provided above to retrieve your two separate issues and please also use reading attched called modle 1below as additional reference.

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

week 2 crisis intervention

Chapter 3 – The Intervention and Assessment Models
Chapter 4 – Tools of the Trade

Question(s): Case of Elizabeth.

Maria is a 48-year-old white female who is recently divorced. She is not doing well in her love life and comes to you to get some immediate help because she is depressed and thinking about suicide. She spends the first ten minutes weeping uncontrollably and has a hard time putting words together.  Of the nine intentional strategies depicted in your book, which ones are the most important ones in this situation (mention 3 in the order of priorities) and why (explain and justify your answer)?

Guidelines:The answer should be based on the knowledge obtained from reading the book, no just your opinion. If there are 2 questions in the discussion, you must answer both of them. Your grade will be an average of both questions (50% each question). First question: Mention the adequate strategy for this case scenario (50%). Second part of this question:  explain / justify your answer (50%).

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

week 51.1.2 NR 521

The ability to communicate effectively is a critical skill for nurse leaders (Roussel, Thomas & Harris, 2016). In the healthcare setting such as a hospital, nurses work various shifts, and communication can be challenging. Nurse leaders will need to utilize fundamental communication skills to achieve organizational goals (Roussel et al.,2016).  There are various traditional ways that leaders can communicate with their staff, such as through emails, text, or even instant messaging (Roussel et al., 2016). Leaders are also finding creative ways to connect with every team members, so the message remains consistent.

One strategy that I would use as a leader to improve communication and empower the members of my team working various shifts is to restructure team huddles. The huddle is a quick meeting given while standing that last approximately fifteen minutes (Johnson, 2018). The huddles can also occur at any time of the day (Johnson, 2018). Providing huddles at various times of the day will allow effective communication with members of the team that works on various days and shifts.

Also, because everyone is assembled, it allows staff to participate in a discussion and give feedback on the information shared. Another way to share information about the magnet designations is to have it displayed as screen savers on the computers nurses use to document. The messaging on the computer screen is a strategy that is used at my workplace to update the employees on new initiatives, and it is useful.

Another strategy is establishing a bulletin board where the staff spends time, such as the break room, nurse’s station, or even restrooms. Ensuring the messaging reaches everyone helps make each member feel part of the team. Another strategy would include leadership rounding. The leader could visit and meet with staff members and provide updates and share information on the magnet designation.

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Emerging Threats and Countermeasures

Your final research paper assignment is to write a research paper that explains how defense-in-depth (chapter 6) and awareness (chapter 10) are complimentary techniques to detect emerging threats and strengthen countermeasures.  To complete this assignment, upload a Microsoft Word document (.doc or .docx) that contains your complete paper. Remember that your list of sources must be in APA format, and you MUST cite your reference in the body of the paper using APA in-text citation format. A source is any paper or article that you will reference in your paper.

This assignment must be YOUR OWN WORK!  This is an individual assignment. Plagiarism detected in your work will result in a grade of zero for the entire paper.

Here are a few details about the overall research paper Please look at the attached rubric for details on how the paper will be graded.

You must reference two (2) peer-reviewed articles or papers that support your thesis statement. One of these papers may be from your annotated bibliography assignment. The final paper must be at least 500 words in length. (DO NOT exceed 500 words by a material amount. Excessive words or too many references will NOT impress me.)

So in summary, here are the research paper requirements:

  • 2 peer reviewed resources (articles or papers) (1 may be from your annotated bibliography assignment)
  • Paper MUST address:  How defense-in-depth (chapter 6) and awareness (chapter 10) are complimentary techniques to detect emerging threats and strengthen countermeasures
  • Cited sources must directly support your paper (i.e. not incidental references) 500 words

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Leadership week 9 assignment

Describe  the  CORE VALUES  A LEADER OR A NURSE MANAGER  MUST HAVE IN TODAY’S HEALTH CARE INDUSTRY.

  • Write a 250-300 word paper using APA Format.
  • Use at least THREE references
  • References must not be less than FIVE years

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders

CASE STUDY:

1HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomiting.Ht: 5’8” Wt: 89 kgAllergies: Penicillin (rash)

Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Intuition vs Experience in Nursing

Nurses promote a place of safety for the patients. We promote healing and wellness within the health care industry. The nurse advocates for safety, educates the patients and their family and even the community. They have a vital role in the medical field.Technology is constantly changing and is the medical field so is medicine. Always using evidence based practices, research studies and trials. There are NP’s, PA’s, doctors that walk around with a tablet in hand as they are doing rounds in a hospital, so they pretty much have everything at their finger tips versus how things were 10 or more years ago. I could see a robot or even an avatar greeting patients, checking them in at a clinic or hospital. It could be possible that the avatar may even collect patient information, provide discharge instructions to the patients. It all seems so far out however we have a machine which I believe is called “The Da Vinci” that is very similar to one playing a video game. I have seen this in action as the surgeon is not even touching the patient, it is the machines hands.
Technology is constantly changing and we need to be up to speed with it. For example, when electronic charting rolled out, I am sure it was not a smooth transition. As with any new product that is trying to streamline things there will be some draw backs and even setbacks however in the long run it will make things run more efficiently . The nurses had to learn how to navigate through the new systems versus the old paper charting system.  In doing some research I found an article that discusses less invasive and more accurate tools for diagnostics and treatment which is to include a tattoo that will monitor blood glucose levels. The dye from the tattoo will light up when the levels get too high and when the blood sugar gets too low the colors will become dark (Huston, 2013). With changes like this it can make not only the nurses life easier but also the patient’s. They should be able to manage their diabetes easier.  With the changes in technology, nurses will be able to deliver better patient care which can contribute to a better outcome.

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Nursing homework help

 List three examples of plagiarism and discuss how plagiarizing as a student affects the integrity of a baccalaureate degree, the public perception of the nursing profession, and evidence-based practice. Describe two things you will do to ensure academic integrity in your work.

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now