Assignment: Nonpharmacologic Treatments

Case-Assignment: Nonpharmacologic Treatments
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Case-Assignment: Nonpharmacologic Treatments

Case-Assignment: Nonpharmacologic Treatments

o prepare: Review and select one of the three provided case studies. Reflect on the patient information. Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments. Consider strategies for educating patients on the treatment and management of the gynecological condition you identified as your primary diagnosis. Post on or before Day 3 an explanation of the differential diagnosis for the patient in the case study you selected. Provide a minimum of three possible diagnoses, and list them from highest priority to lowest priority. Explain which is the most likely diagnosis for the patient and why. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patient. Read a selection of your colleagues’ responses. Respond on or before Day 6 to at least two of your colleagues on two different days in both of the ways listed below. Respond to colleagues who selected different case studies than you did. Based on your personal and/or professional experiences, expand on your colleagues’ postings by providing additional insights or contrasting perspectives. Discussion Part II: Pharmacology Read the following article to enhance your knowledge of commonly prescribed medications: Harder, S., & Graff, J. (2013). Novel oral anticoagulants: clinical pharmacology, indications and practical considerations. European Journal Of Clinical Pharmacology, 69(9), 1617-1633. doi:10.1007/s00228-013-1510-z Stöllberger, C., & Finsterer, J. (2013). Concerns About the Use of New Oral Anticoagulants for Stroke Prevention in Elderly Patients with Atrial Fibrillation. Drugs & Aging, 30(12), 949-958. doi:10.1007/s40266-013-0119-3 Wright, P., & Antoniou, S. (2013). Acute coronary syndrome: potent oral antiplatelets. Nurse Prescribing, 11(8), 397-400. Lira, A., & Pinsky, M. R. (2014). Choices in fluid type and volume during resuscitation: impact on patient outcomes. Annals Of Intensive Care, 438. doi:10.1186/s13613-014-0038-4 Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4298675/ All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way for you to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage. Anticoagulants: rivaroxaban, apixaban, dabigatran, Antiplatelets: ASA, Clopidogrel, Dipyridamole, IV insulin, IV fluids: volume expanders colloids vs saline- Isotonic, Hypotonic, Hypertonic, Potassium, Topical anesthetics sq anesthetics Note: When sharing your initial post, select a drug that has not yet been discussed. If all drugs have been discussed, then you may select that drug again. For this Discussion, address 1 of the following options. Post by day 3: Option 1: Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Include the scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose. Option 2: Conduct an evidence-based drug search on the drug you selected and post an explanation of any possible issues. Are there any drug interactions? Any black box warnings? To what type of patient would you prescribe this medication? Option 3: Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Describe a patient to whom you would prescribe this medication. Note: To be considered as one of your required responses, your pharmacology rationale must include a supporting reference. Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.