NURS 6521N Week 2 Assignment
Directions: For each of the scenarios below, answer the questions using your required learning resources, Medscape, and clinical practice guidelines (i.e., ACC/AHA, ADA, GINA). When recommending medications, write out a complete prescription for each medication. What would you send to a pharmacy? Include the following information: drug, dose, route, frequency, duration (if applicable), quantity, # of refills and indication for use. An example of a complete prescription is as follows: lisinopril 10mg #30 tabs, take 1 tab PO once daily for high blood pressure, refills: 2. Also state if you would continue, discontinue or taper the patient’s current medications (if applicable). Use at least 3 sources for each scenario and cite sources using APA format. LIST REFERENCES AFTER EACH SCENARIO.
SCENARIO 1
What are the errors in the following prescriptions (1 per prescription)? Rewrite each prescription correctly. What is each medication classification? What is the mechanism of action (MOA)?
- 5mg amlodipine/160mg valsartan/25mg HCTZ (Avalide HCT) PO daily #30 1 RF
- clonidine patch (Catapres-TTS-5) 0.5 mg/day apply one patch to skin and replace every 7 days #4 patches 1 RF
- furosemide 40 mg daily #30 0 RF
- sotalol 80 mg po daily #30 0 RF
- digoxin .25 mg po daily #30 2 RF
SCENARIO 2
MP is a 46-year-old African American male with blood pressure readings today of 143/96 and 139/93. He states he is taking Advil Cold & Sinus for a cold x 1 week. Additional medications include adalimumab 40 mg subcutaneous injection every other week, Wellbutrin XL 300 mg daily and pantoprazole 40 mg daily 30 minutes before breakfast. What is his goal blood pressure? What medication would you prescribe and how would you improve his treatment (include complete medication order)? What patient monitoring and education would you provide?
SCENARIO 3
Does nitroglycerin have a high or low first pass effect? Please discuss why this is important to know and how it relates to bioavailability. Define these two terms. What route has 100% bioavailability? In addition to parenterally, how can nitroglycerin be given to counter the first pass effect? Write a sample prescription for this medication.
SCENARIO 4
Where are the majority of cytochrome P450 (CYP) enzymes located? Using the Medscape pill identifier, enter the following characteristics to identify the medication AND strength. What CYP enzyme metabolizes this medication? How can this information be applied to medication therapy management? Write a sample prescription for the identified medication and strength. What are goal cholesterol levels and (Coronary Artery Disease) CAD risk factors?
Imprint (A 03) Shape (Round) Color (Pink) Form (Tablet) Scoring (None)
Solution
Get full solution for $20.00
