Pharmacotherapy of Cardiovascular Disorders
Discipline: Nursing
Type of Paper: Coursework
Academic Level: High school
Paper Format: APA
Question
Case Study:
LM is an 89-year-old female resident
of a long-term care facility who has been experiencing multiple falls, some
resulting in injuries such as bruising and skin tears. Over the last 6 months,
her ambulation status has declined from independent to wheelchair level. She
complains of pain in her legs when walking more than short distances across the
nursing unit.
PMH:
- HTN
- Alzheimer’s disease
- Hypothyroidism
- Osteoarthritis
- Diabetes
MEDICATIONS:
- Amlodipine 10 mg QD
- Donepezil 10 mg QHS
- Levothyroxine 0.88 mg QAM
- Celecoxib 200 mg QD
- Furosemide 40 mg QAM
- Metformin 500mg, 1 BID
- Glyburide 5mg, 1 BID
ALLERGIES: NKA
SOCIAL HISTORY:
Widowed with 2 adult children living
in town, retired photographer and owner of an art supply store
VITALS:
LABS:
Weight: 129 lbs
TSH 2.45 Free T4 0.98
Height: 64
inches
Na 135, K+ 3.8, Cl 99, CO2 25,
BP: Supine =
177/82
Glucose 101, SCr 0.9, BUN 42
HR: 78 bpm
WBC 7.0, RBC 4.5, Hgb 11.9, Hct
34.1
Plt 255
Cr: 1.6 UA: Clear
eGFR: 45 ml/min
PE:
- HEENT: Normocephalic, no evidence of trauma, PERRLA,
EOMI, Dry mucous membranes
- CV: RRR
- Respiratory: Clear to auscultation bilaterally
- Abdomen: Soft, non-tender, no masses or guarding
- G/U: Skin intact, assisted with toileting and personal
hygiene by staff
- Extremities: Bilateral 2+ edema to lower extremities;
skin dry, dark bruising and skin tear to right elbow and forearm
- Neuro: Alert and oriented to person only. MMSE 18/30,
stable over last 12 months.
PAIN ASSESSMENT:
Faces pain scale: No pain occurs at
rest, upon walking, pain is moderate to severe
This announcement is closed for comments
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.
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.
·
NURS_6521_Week2_Assignment_Rubric
|
NURS_6521_Week2_Assignment_Rubric
|
||||||
|
Criteria |
Ratings |
Pts |
||||
|
This criterion is linked to a Learning Outcome Explain how
the factor you selected might influence the pharmacokinetic and
pharmacodynamic processes in the patient from the case study you were
assigned. |
|
25 pts |
||||
|
This criterion is linked to a Learning Outcome Describe
how changes in the processes might impact the patient's recommended drug
therapy. Be specific and provide examples. |
|
30 pts |
||||
|
This criterion is linked to a Learning Outcome Explain how
you might improve the patient's drug therapy plan, and explain why you would
make these recommended improvements. |
|
30 pts |
||||
|
This criterion is linked to a Learning Outcome Written
Expression and Formatting - Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow
logically, and demonstrate continuity of ideas. Sentences are carefully
focused--neither long and rambling nor short and lacking substance. |
|
5 pts |
||||
|
This criterion is linked to a Learning Outcome Written
Expression and Formatting - English writing standards: Correct grammar,
mechanics, and proper punctuation |
|
5 pts |
||||
|
This criterion is linked to a Learning Outcome Written
Expression and Formatting - The paper follows correct APA format for title
page, headings, font, spacing, margins, indentations, page numbers,
running head, parenthetical/in-text citations, and reference list. |
|
5 pts |
||||
|
Total Points: 100 |
||||||
