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 chan...
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.
BN is a 74-year-old African American male who is seeing his PCP because he noticed when he woke up that his “heart was not beating right; it feels like it is going to slow.” He denies chest pain, SOB, and N/V. He notes feeling dizzy earlier in the day. 6 weeks earlier, his PCP started him on Diltiazem CD to further lower his BP to goal. His Metoprolol was lowered at that time as well from 75 mg to 50 mg BID. His PCP recommends he be admitted to the hospital.
Upon presentation to the hospital:
PMH:
HTN x 7 years
Type II DM
CAD s/p angioplasty 2 years ago
MI 3 years ago
EF = 60%
PVD s/p left femoral to posterior bypass
Hx of A Fib x 4 years
Medications:
Digoxin 0.25 mg QD KCl 40 mEq QD Vitamin C 500 mg QD
Diltiazem CD 180 mg QD ASA EC 325 mg QD Vitamin E 400 IU QD
Metoprolol 5- mg BID Warfarin 5 mg QD Ibuprofen 200 mg 2 tabs prn headache
Lisinopril 20 mg QD Famotidine 20 mg QHS Multivitamin QD
Imdur 30 mg QD Lantus 26u QHS Ca++/Vit D 500mg/200 IU BID
HCTZ 12.5 mg QD Humalog 8u with meals
PE:
BP 110/50 Pulse 38 bpm Resp 14/min
Rest of physical exam unremarkable
Labs:
K+ 6.9 WBC 5,800/mm3
Na+ 135 Hct 35%
Cr 1.9 Dig 2.78
BUN 35 INR 2.3
Gluc 102
rubric
NURS_6521_Week1_Assignment_Rubric
NURS_6521_Week1_Assignment_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeExplain the ethical and legal implications of the scenario you selected on all stakeholders involved such as the prescriber, pharmacist, patient, and the patient's family.
25 to >22.0 pts
Excellent
The response accurately and thoroughly explains in detail the ethical and legal implications of the scenario selected on all stakeholders involved. ... The response includes accurate, clear, and detailed explanations as to how these implications affect the prescriber, pharmacist, patient, and the patient's family.
22 to >19.0 pts
Good
The response explains the ethical and legal implications of the scenario selected on all stakeholders involved. ... The response includes accurate explanations as to how these implications affect the prescriber, pharmacist, patient, and the patient's family.
19 to >17.0 pts
Fair
The response inaccurately or vaguely explains the ethical and legal implications of the scenario selected for all stakeholders involved. ... The response includes vague explanations as to how these implications affect the prescriber, pharmacist, patient, and the patient's family.
17 to >0 pts
Poor
The response vaguely and inaccurately explains the ethical and legal implications of the scenario selected for all stakeholders involved, or the response is missing. ... The response vaguely and inaccurately explains how these implications affect the prescriber, pharmacist, patient, and the patient's family, or is missing.
25 pts
This criterion is linked to a Learning OutcomeDescribe strategies to address disclosure and nondisclosure as identified in the scenario selected. Be sure to reference laws specific to your state.
20 to >17.0 pts
Excellent
An accurate, detailed, and clear description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided. ... The response includes specific, detailed, and accurate reference to state laws related to the scenario.
17 to >15.0 pts
Good
An accurate description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided. ... The response includes accurate reference to state laws related to the scenario.
15 to >13.0 pts
Fair
A vague or inaccurate description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided. ... The response includes inaccurate or vague reference to state laws related to the scenario.
13 to >0 pts
Poor
A vague and inaccurate description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided, or is missing. ... The response includes vague and inaccurate reference to state laws related to the scenario, or is missing.
20 pts
This criterion is linked to a Learning OutcomeExplain two strategies that you, as an advanced practice nurse would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.
20 to >17.0 pts
Excellent
The response accurately and thoroughly explains in detail at least two strategies that an advanced practice nurse would use to guide decision making in the scenario. ... The re
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