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Advance Pharmacology

Question 2; 5; and 6

 

Choose THREE of the following seven cases to answer for the Point-Counterpoint Discussion. Answer all questions associated with the three cases you choose. Answer all cases in one post (as opposed to making a separate post for each case).

Case 1: A 90-year-old woman develops symptoms of a cold and buys an over-the-counter cold medication at the grocery store. The medication contains diphenhydramine, acetaminophen, and phenylephrine.  She takes the recommended adult dose but soon after taking the medication she becomes very confused and disoriented.

a) What is likely causing the signs of confusion? b) What symptoms are associated with strong anticholinergic drugs in older patients c) Name 4 other drugs which have strong anticholinergic properties and should be avoided in elderly patients.

Case 2: A 72-year-old woman occasionally takes diazepam when she feels anxious and has trouble sleeping. Her physician has prescribed diazepam for her since she was 50. Recently the patient has had trouble maintaining her balance after taking diazepam.

a) What might be causing this patient’s difficulty in maintaining her balance. b) What are the factors that increase benzodiazepine sensitivity in older adults? c) Are there benzodiazepines that are safer in older adults? d) What other medications have greater CNS effects in the elderly?

Case 3: A 49-year-old woman has been 6 months without menstruation. She is now experiencing severe “hot flashes” that are impacting her daily life. She would like some therapy that would make her more comfortable.

a) What hormone replacement therapy is available for her? b) She is being treated with a combination estrogen/progesterone product (ethinyl estradiol/norethindrone, FEMHRT). Why is the progesterone added to the estrogen? c) What are the mechanisms of action estrogen and progesterone? d) What are the risks of hormone replacement therapy that should be discussed with the patient?

Case 4: A 22-year-old woman is asking for an oral contraceptive.

a) What are the options available for her? b) Why do some products contain a progesterone? c) What are progestin-only contraceptives? d) What are the risks and side effects that should be discussed with this patient?

Case 5: A 46-year-old man is diagnosed with hypogonadism and low serum testosterone.

a) What options are available for his testosterone replacement? b) What are the risks and untoward effects of testosterone therapy that should be discussed with this patient?

Case 6: A 55-year-old female is asking for something to help with her low sex drive. She says her husband takes medication for his ED, and she wants to know if there is a “female version” of his Viagra available.

a) What drugs are available for female sexual interest-arousal disorder? Describe their MOA, dosing regimen, and common adverse effects. b) What drugs are available for erectile dysfunction? Describe their MOA, dosing regimen, and common adverse effects.

Case 7: A 31-year-old female presents with oropharyngeal candidiasis that has not responded to a seven-day course of nystatin suspension. She is breast-feeding an 8-month-old healthy baby girl.

a) What concerns should you take into consideration when prescribing for this patient? b) What drug would you prescribe for this patient, and what is your justification for prescribing it?

Health Assessment of the Young and Middle-Aged Adult

For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature.

Health Assessment of the Young and Middle-Aged Adult

You are admitting a 19-year old female college student to the hospital for fevers.  Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. Discuss the health care support systems available in your community for someone of this culture. If no support systems are available in your community, identify a national resource.

 

  • My community is in Fort Wayne, Indiana
  • I am a Jamaican from African descent
  • There is no need for a title page for this assignment

Advance Pharmacology

Using the template provided, complete the table comparing changes in absorption, distribution, metabolism, and excretion in special populations. If there are no significant changes for a population, put “N/A.” Also include at least 3 “Prescribing Pearls” when it comes to prescribing drugs for that particular population. Provide your references in APA format.

Gender rights

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Adolescence: Contemporary Issues and Resources

Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:

  1. Describe the contemporary issue and explain what external stressors are associated with this issue.
  2. Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.
  3. Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Health Assessment During the Adolescent and Prenatal Periods

Describe two external stressors that are unique to adolescents. Discuss what risk-taking behaviors may result from the external stressors and what support or coping mechanism can be introduced.

Health Assessment During the Adolescent and Prenatal Periods

Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. Research community and state resources devoted in adolescent pregnancy and describe at least two of these resources. Research the teen pregnancy rates for the last 10 years for your state and community. Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.

 

*My state is Indiana.

The health Assessment of toddler, preschool and school aged child

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

  1. Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.
  2. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
  3. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.