PHARMACOLO N5334

In partial fulfillment of the requirements of N5334 Advanced Pharmacology for APNs Lynda Jarrell, DNP, APRN, FNP-BC, CNE 6/25/2 0 This study source was downloaded by from CourseH on 07-03-2022 13:47:26 GMT -05:00 DIABETIC CASE STUDY 2 Assessment 1. DM Type 2. HTN 3. Hyperlipidemia 4. Obesity Treatment Plan Pharmacologic: 1. Aspirin 81 mg by mouth once daily (Arnett et al., 2019) 2. Metformin IR 500 mg by mouth once daily (Wexler, 2020) 3. Atorvastatin 40 mg by mouth once dai...

Strep Study Case 2 Assessment: Both tonsils are noted to be erythematous and inflamed. There are exudates present bilaterally, as well as palatal petechiae. Patients temperature is slightly elevated at 101.1 (oral). Patient has also had a decrease appetite for the past 2 days and complains of throat pain. Plan: To treat patient with a 10-day course of Amoxicillin as it’s the drug treatment recommended for a positive rapid detection test for Group A beta hemolytic streptococcus. For th...

CASE SUMMARY: Five-year-old male patient, David Jacobs, appears at the pediatrician office with chief complaints of a sore throat. Patient’s mom states that the patient has been sleeping more than usual, running fever, and refusing to eat any solids for the past two days. They both deny any coughing, shortness of breath, or vomiting. Patient does report having a headache and stomach ache. Mom denies any family illness recently but does state that many parents at the patient’s dayca...

Hypertension Management Submitted by Shannon Delite Leake The University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of Advanced Pharmacology N5334 Mary Davis, DNP, MSN, RN, APN-BC, CRNP, ADM-BC October 26, 2017 Hypertension Management 1 Hypertension Management CASE SUMMARY: Mr. James Franks is a 64-year-old African-American male. Presents today with complaints of occasional headache. Mr. Franks has a 14-year history of hypertension with co-...

COPD Management Submitted by Shannon Delite Leake The University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of Advanced Pharmacology N5334 Mary Davis, DNP, MSN, RN, APN-BC, CRNP, ADM-BC November 5, 2017 COPD Management CASE SUMMARY: Mr. Dwayne Johnson, a 59-year-old male, presents with complaints of shortness of breath upon exertion that impacts daily living and decreases quality of living. He 1 COPD Management would enjoy being able to spe...

Exam 3 Study Questions  What drugs are used to treat gestational diabetes? o Metformin and Insulin  What A1C value indicates diabetes mellitus? Pre-DM? o 6.5% or greater is considered diabetes o 5.7-6.4% pre-diabetes  What fasting and random values indicate DM? o Fasting plasma glucose—126 or greater is diabetes o Random (casual) plasma glucose—anything greater than 200 is diabetes  What are complications of insulin therapy? o Hypoglycemia o Can develop lipohypertrophy...

Exam 2 Notes  Psychiatric Drugs  Two Groups: o First Generation  Conventional Anti-psychotics  Block the receptors for dopamine in central nervous system (CNS)  Cause serious movement disorders (extra pyramidal symptoms, EPS)  Classified by potency  Low, Medium, High  Low Potency  Chlorpromazine o Indications  Schizophrenia  Schizoaffective disorder in the manic phase of bipolar disorder  Anti-nausea  Relief of hiccups  Control of severe ...

ACE Inhibitors Angiotensin-converting enzyme (ACE) inhibitors help relax blood vessels. ACE inhibitors prevent an enzyme in your body from producing angiotensin II, a substance in your body that narrows your blood vessels and releases hormones that can raise your blood pressure. This narrowing can cause high blood pressure and force your heart to work harder. Ray has been diagnosed with hypertension and an angiotensin-converting enzyme inhibitor is determined to be needed. Prior to pr...

CNS DISEASE Central nervous system neurotransmitters 1. Amino acid neurotransmitters a. Excitatory- glutamate b. Inhibitory- GABA (target in CNS for anticonvulsants/benzo) 2. Amine neurotransmitters a. Catecholamines i. Dopamine controls mvmt and emotions ii. Norepi affects HR, BP, bladder iii. epinephrine BP, HR, attention b. Serotonin c. Histamine d. Acetylcholine in ANS movment e. Nicotine in PNS f. Muscarinic in PNS 3. Neuropeptide transmitters a. Vasopressin, Oxytocin, In...

Clinical Pearls for PNS drugs 1 Parasympathetic drugs (cholingeric response)  Think SLUDGE o Salivation o Lacrimation o Urination o Defecation o Gastric upset o Emesis Clinical pearls for PNS drugs 2 Muscarinic agonist vs muscarinic antagonist symptoms  If you remember the above acronym then its important to remember if the drug is an agonist of muscarine receptors or an antagonist and then just associate symptoms of sludge with agonist and the OPPOSITE effects of those that...