Advance Pharmcology Discussion
Advance Pharmcology Discussion
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Question Description
I’m working on a Nursing exercise and need support.
Please respond.
Adrienna Rivers
Week 1 Discussion
COLLAPSE
Week 1 Discussion
This case involves a 23-year-old African American female with a history of sickle cell disease, asthma, and anemia. The patient came in with complaints of pain in back and legs, unrelieved with home prescribed Norco 10/325 mg three times daily. The patient’s labs reflected that the patient was in leukocytosis and mild dehydration. The patient reports a lack of appetite since the pain began 3-4 days ago. Pharmacokinetics determine how the body reacts to the medication, pharmacodynamics explores the effects medication has on the body (Rosenthal, & Burchum, 2021). When creating a plan of care for this patient I would consider the state their body was currently in (dehydration) and decreased nutritional status can affect any medication that I may prescribe. In patients suffering from dehydration or a nutritional decline, it can cause drug metabolism to alter (Rosenthal, & Burchum, 2021). A necessity to prescribing medication is understanding disease processes and which medications will best treat most of the symptoms presented.
One of my first orders would be to replace the fluids they have lost. Dehydration and a lack of oxygen can cause an increase of the sickling of cells which can cause a sickle crisis to become more severe (McCance, & Huether, 2019). While the patient is being hydrated I would provide pain relief since the by mouth prescriptions home meds failed I would provide the patient with some IV medication to obtain pain control if they were in a true crisis and after pain control was achieved attempt to wean them off to by mouth pain medications that are effective. Patients that suffer from sickle cell disease have a continuous complication with pain control due to drug adherence and many other factors but it has been found that when in severe crisis opioids are a good first line of defense for pain control (Chu et. al, 2020). In my experience, I have found that sickle cell patients often get accustomed to remarkably high dosages of pain medicines quickly especially if they have very frequent sickle cell crises. Hopefully, these combined measures will relieve the patient’s pain and allow the patient’s labs to stabilize, and the patient’s dietary intake will also have to be measured before discharge. Care is completed when the patient affirms that adequate proficiency of care has been provided (Fowler, M. D. M., & American Nurses Association, 2015). I have found that it is extremely important to discuss the treatment plan and expectations with patients so that they have an understanding of the healthcare goals you are attempting to achieve. When it comes to prescribing medication I plan to provide adequate education to my patents to ensure that they know how, when, and why taking the medication as prescribed is important.
References
Chu, R., Claus, L., Orhurhu, M. S., Orhurhu, V, Roberts, J., Salisu, B., & Urits, I. (2020). Neuropathic Pain and Sickle Cell Disease: a Review of Pharmacologic Management. Current Pain and Headache Reports, 24(9), 1-14.
Fowler, M. D. M., & American Nurses Association. (2015). Guide to the Code of Ethics for Nurses with Interpretive Statements: Development, Interpretation, and Application: Vol. Second edition. American Nurses Association.
McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.
Advance Pharmcology Discussion
Advance Pharmcology Discussion
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.