Nurs 6521 pharm week 3 discussion question

Pharmacotherapy for Cardiovascular Disorders

As the induced principle of dissolution in the United States for twain men and women, cardiovascular disorders statement for 7 favorite hospitalizations per year (NCSL, 2012). This is the product of the extensive tenor and wariness that is repeatedly required for resigneds after a while these disorders. While the incidences of hospitalizations and dissolution are calm?} exalted, the torpor scold of cardiovascular disorders has been subsided since the 1960s (CDC, 2011). Improved tenor discretions entertain supplyd to this disengage, as courteous as past notice on resigned induce rudiments. As an slow habit encourage, it is your once to advise misapply tenor discretions for resigneds after a while cardiovascular disorders. To fix the security and effectiveness of refuse therapy, slow habit encourages must observe aspects that command wave pharmacokinetic and pharmacodynamic manneres such as medical narrative, other refuses vulgarly prescribed, and single resigned rudiments.

Consider the forthcoming instance studies:

Case Examine 1:

Patient AO has a narrative of embonpoint and has of-late gained 9 pounds. The resigned has been diagnosed after a while hypertension and hyperlipidemia. Drugs vulgarly prescribed comprise the forthcoming:
Atenolol 12.5 mg daily
Doxazosin 8 mg daily
Hydralazine 10 mg qid
Sertraline 25 mg daily
Simvastatin 80 mg daily

Case Examine 2:

Patient HM has a narrative of atrial fibrillation and a fugitive ischemic onset (TIA). The resigned has been diagnosed after a while pattern 2 diabetes, hypertension, hyperlipidemia and ischemic benevolence indisposition. Drugs vulgarly prescribed comprise the forthcoming:
Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun
Aspirin 81 mg daily
Metformin 1000 mg po bid
Glyburide 10 mg bid
Atenolol 100 mg po daily
Motrin 200 mg 1–3 tablets every 6 hours as needed for pain

Case Examine 3:

Patient CB has a narrative of pats. The resigned has been diagnosed after a while pattern 2 diabetes, hypertension, and hyperlipidemia. Drugs vulgarly prescribed comprise the forthcoming:              
Glipizide 10 mg po daily
HCTZ 25 mg daily
Atenolol 25 mg po daily
Hydralazine 25 mg qid
Simvastatin 80 mg daily
Verapamil 180 mg CD daily

To prepare:

·        Review this week’s resources bestowal on hypertension and hyperlipidemia, as courteous as Chapters 19 and 20 of the Arcangelo and Peterson quotation.

·        Select one of the three instance studies, as courteous as one the forthcoming rudiments: genetics, gender, ethnicity, age, or demeanor rudiments.

·        Reflect on how the rudiment you clarified command wave the resigned’s pharmacokinetic and pharmacodynamic manneres.

·        Consider how changes in the pharmacokinetic and pharmacodynamic manneres command impression the resigned’s adviseed refuse therapy.

·        Think about how you command rectify the resigned’s refuse therapy drawing based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would alter the vulgar refuse tenor or cater an choice tenor discretion for the resigned.

Post a 1 page paper APA format 

1.      an explication of how the rudiment you clarified command wave the pharmacokinetic and pharmacodynamic manneres in the resigned from the instance examine you clarified.

2.      Then, narrate how changes in the manneres command impression the resigned’s adviseed refuse therapy.

3.      Finally, clear-up how you command rectify the resigned’s refuse therapy drawing.

Readings

·        Arcangelo, V. P., & Peterson, A. M. (Eds.). (2013). Pharmacotherapeutics for slow habit: A skilled approach (3rd ed.). Ambler, PA: Lippincott Williams & Wilkins.  

o   Chapter 19, “Hypertension” (pp. 230–246)

This stipulation examines the relationships between the cardiovascular, laconic, and renal systems. It then narrates indication criteria for hypertension resigneds, refuses used to bargain hypertension and feasible alien reactions, monitoring resigned acceptance, and resigned teaching.

o   Chapter 20, “Hyperlipidemia” (pp. 247–262)

This stipulation explores principles of hyperlipidemia, tenors for hyperlipidemia resigneds, and methods for monitoring resigned acceptance. It too re-examinations strategies for induce tribute and resigned teaching.

o   Chapter 21, “Chronic Durable Angina” (pp. 263–277) 

This stipulation begins by exploring rudiments that supply to constant durable angina, patterns of refuses used in tenor, and indication criteria for initiating refuse therapy. It too examines methods for monitoring resigned acceptance to tenor and educating resigneds on self-care.

o   Chapter 22, “Heart Failure” (pp. 278–297) 

This stipulation examines the manner of prescribing refuses to bargain benevolence scarcity and explores constitutionalty of prescribed refuses, constitutional dosages, and feasible alien reactions.

o   Chapter 49, “Anticoagulation Disturbances” (pp. 764–803) 

This stipulation covers refuse therapy discretions for three disorders requiring anticoagulants: venous thromboembolism, atrial fibrillation, and ischemic pat. It too clear-ups the manner of initiating and managing refuse therapy for resigneds after a while these disorders.

·        Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a embracing re-examination of custom and over-the-counter refuses including counsel on base uses and undeveloped margin constitutionalty. It too caters updates relating to new refuses on the negotiate, stay from sanity professionals, and a refuse-refuse interactions checker.

Media

·        Laureate Education, Inc. (Executive Producer). (2012). Hypertension and hyperlipidemia. Baltimore, MD: Author.

This resources bestowal outlines hypertension and hyperlipidemia including contributing rudiments, evaluation, tenor, and implications.

Note: The border elongation of this resources interest is 10 minutes.

 

 

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