NURS 6521 Week 2 Assignment: Pharmacotherapy for Cardiovascular Disorders | Homework Solution

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Assignment: Pharmacotherapy for Cardiovascular Disorders

…heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke some of the leading risk factors for heart disease.

Murphy et al., 2018

Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.

Photo Credit: Getty Images/Science Photo Library RF

As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors. Pharmacotherapy for Cardiovascular Disorders

Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.html

To Prepare

• Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece. Pharmacotherapy for Cardiovascular Disorders
• 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 patients pharmacokinetic and pharmacodynamic processes.
• Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patients recommended drug therapy.
• Think about how you might improve the patients 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.

By Day 7 of Week 2

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. Pharmacotherapy for Cardiovascular Disorders
• Describe how changes in the processes might impact the patients recommended drug therapy. Be specific and provide examples.
• Explain how you might improve the patients drug therapy plan and explain why you would make these recommended improvements.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The College of Nursing Writing Template with Instructions provided at the Walden Writing Center offers an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.

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Learning Resources

Required Readings (click to expand/reduce)

Rosenthal, L. D., & Burchum, J. R. (2021). A Lehnes pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier. Pharmacotherapy for Cardiovascular Disorders
Chapter 33, Review of Hemodynamics (pp. 285289)
Chapter 37, Diuretics (pp. 290296)
Chapter 38, Drugs Acting on the Renin-Angiotensin-Aldosterone System (pp. 297307)
Chapter 39, Calcium Channel Blockers (pp. 308312)
Chapter 40, Vasodilators (pp. 313317)
Chapter 41, Drugs for Hypertension (pp. 316324)
Chapter 42, Drugs for Heart Failure (pp. 325336)
Chapter 43, Antidysrhythmic Drugs (pp. 337348)
Chapter 44, Prophylaxis of Atherosclerotic Cardiovascular Disease: Drugs That Help Normalize Cholesterol and Triglyceride Levels (pp. 349363)
Chapter 45, Drugs for Angina Pectoris (pp. 364371)
Chapter 46, Anticoagulant and Antiplatelet Drugs (pp. 372388)

Required Media (click to expand/reduce)

Cardiovascular Disorders
Meet Dr. Norbert Myslinski as he discusses ACE inhibitors, angiotensin inhibitors, beta-blockers, calcium channel blockers, and diuretics as different categories of hypertension drugs. What potential drugs might be best recommended for patients suffering from hypertension? (8m) Pharmacotherapy for Cardiovascular Disorders
Accessible player –Downloads–Download Video w/CCDownload Audio Download Transcript.

Case study assigned.

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. Pharmacotherapy for Cardiovascular Disorders 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 88 mcg 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 Free T4 0.98

Height: 64 inches Na 135, K+ 3.4, Cl 99, CO2 25,

BP: Supine = 177/82 Glucose 101

HR: 78 bpm WBC 7.0, RBC 4.5, Hgb 11.9, Hct 34.1, Plt 255

BUN 42, Cr 1.6, UA Clear

eGFR: 45 ml/min

PE:

• HEENT: Normocephalic, no evidence of trauma, PERRLA, EOMI
• CV: RRR Pharmacotherapy for Cardiovascular Disorders
• 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. Pharmacotherapy for Cardiovascular Disorders
• 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

RUBRIC FOR GRADING

Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned. = Pharmacotherapy for Cardiovascular Disorders The response accurately and completely explains in detail how the factor selected might influence the pharmacokinetic and pharmacodynamic processes in the patient.

This criterion is linked to a Learning OutcomeDescribe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples. = The response accurately and completely describes in detail how changes in the processes might impact the patient’s recommended drug therapy. … Accurate, complete, and aligned examples are provided to support the response.

Explain how you might improve the patient’s drug therapy plan, and explain why you would make these recommended improvements. = The response accurately and clearly explains in detail how to improve the patient’s drug therapy plan. … The response includes an accurate and detailed explanation to support the recommended improvements. Pharmacotherapy for Cardiovascular Disorders

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. = Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation. = Uses correct grammar, spelling, and punctuation with no errors. Get Strategic Planning Group Essay Help!! Pharmacotherapy for Cardiovascular Disorders

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. Uses correct APA format with no errors.