advanced pharmacology, Week 7 Assignment Template Directions: For each of the sc

advanced pharmacology, Week 7 Assignment Template
Directions: For
each of the scenarios below, answer the questions below using clinical
practice guideline where applicable. Explain the problem and explain how
you would address the problem. If prescribing a new drug, write out a
complete medication order just as you would if you were completing a
prescription. Use at least 3 sources for each scenario and cite sources
using APA format.
1.Mary is a 35-year-old woman
that has been diagnosed with hypothyroidism. Her labs today show a TSH
of 20, MCV 78, MCHD 26, Ferritin 9, TIBC 418. She has a history of iron
deficiency anemia for 2 months. Current medications include Kelp tablets
daily, ibuprofen 400 mg daily as needed, and ethinyl
estradiol/norgestrel one tablet daily.What medication would you start
this patient on for her hypothyroidism? How would you monitor this
patient’s response to the medication? What education would you provide
regarding her medications and their interactions?
2.Joe is a
48-year-old male diagnosed with Type II Diabetes Mellitus for a year
ago. He has controlled his blood glucose through dietary changes. He has
hypertension and is currently on Lisinopril 20 mg po daily. He has no
known allergies. His lab work includes these results: fasting BG is 225
mg/dL; HgA1C = 7.5%. Basic Metabolic Profile (BMP) is normal except for a
Cr of 2.0 and eGRF of 28. What treatment plan would you implement for
Joe? What medications would you prescribe and how would you monitor
them? What education would you provide regarding his treatment plan?
3.Jose
is a 55-year-old truck driver being evaluated for his commercial
driver’s license. He has a known history of diabetes mellitus type II.
Current medications include Metformin 1000 mg Bid, Glipizide 20 mg po
daily. Diltiazem 120 mg po BID. He is allergic to sulfa. Lab results
show a fasting blood glucose of 325 mg/dL, HgA1C = 10.6%. Basic
metabolic Profile is normal. What treatment plan would you implement for
Jose? What medications would you prescribe and how would you monitor
them? What education would you provide regarding his treatment plan?
4.Jenny
is a 63-year-old woman with complaints of heartburn 4 to 5 times a week
over the past 3 months. Her symptoms are worse at night after going to
bed. Her heartburn is worse, and she coughs a lot at night. She has
tried OTC Prevacid 24 hour once daily for the past 2 weeks. This has
helped the symptoms some, but she is still bothered by them. Current
medications include Diltiazem CD 120 mg PO once daily,
Hydrochlorothiazide 25 mg PO once daily, Metformin 500 mg PO twice
daily, Aspirin 81 mg PO daily, Fluticasone/salmeterol DPI 100 mcg/50 mcg
one inhalation twice daily. Your working diagnosis for this patient is
GERD. What treatment plan would you implement for Jenny? What
medications would you prescribe and how would you monitor them? What
education would you provide regarding her treatment plan?
Week7_Assignment_Rubric
NURS_6521_Week7_Assignment_Rubric
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeScenario
1: Appropriate medication is prescribed or changed. Rationale provided
and includes current literature to support decision. All aspects of the
patient history are considered in making the medication selection.
15 to >11.0 ptsExcellent
Medication
selected is appropriate and considers all of the unique patient
characteristics. Rationale for selection is clear, complete, and
appropriate.
11 to >7.0 ptsGood
Medication
selected might be appropriate but conflicts with the unique patient
characteristics. Rationale for selection is clear but lacks discussion
about potential prescribing issues.
7 to >3.0 ptsFair
Medication
selected is not appropriate for this patient unique characteristics.
Rationale provided is not correct or is flawed in applying the
medication to this patient.
3 to >0 ptsPoor
Medication selected is inappropriate or would not be provided based on patient unique characteristics.
15 pts
This criterion is linked to a Learning OutcomeScenario
1: Written medication orders include all 5 aspects required for a valid
order. The order is complete, accurate, and appropriate.
3 ptsComplete
Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
0 ptsPoor
The
prescription is incomplete. Aspects of a complete order are missing.
The order is either incomplete, inaccurate, or inappropriate.
3 pts
This criterion is linked to a Learning OutcomeScenario
1: References for the scenario are within past 5 years and include the
appropriate clinical practice guideline if applicable.
4 ptsExcellent
References
for the scenario are within past 5 years and include the appropriate
clinical practice guideline if applicable. Correct APA format is used.
3 ptsGood
References
for the scenario are within past 5 years but do not include the
appropriate clinical practice guideline if applicable. Contains a few (1
or 2) APA format errors.
2 ptsFair
References
for the scenario are not from within the past 5 years or do not reflect
the content of this scenario and do not include the appropriate
clinical practice guideline if applicable. Contains several (3 or 4) APA
format errors.
0 ptsPoor
No
references are included. References do not reflect the content of this
scenario. Appropriate clinical practice guideline is not include.
Contains many (≥ 5) APA format errors.
4 pts
This criterion is linked to a Learning OutcomeScenario 1: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
3 ptsExcellent
Uses correct grammar, spelling, and punctuation with no errors.
2 ptsGood
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
1 ptsFair
Contains several (3 or 4) grammar, spelling, and punctuation errors.
0 ptsPoor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
3 pts
This criterion is linked to a Learning OutcomeScenario
2: Appropriate medication is prescribed or changed. Rationale provided
and includes current literature to support decision. All aspects of the
patient history are considered in making the medication selection.
15 to >11.0 ptsExcellent
Medication
selected is appropriate and considers all of the unique patient
characteristics. Rationale for selection is clear, complete, and
appropriate.
11 to >7.0 ptsGood
Medication
selected might be appropriate but conflicts with the unique patient
characteristics. Rationale for selection is clear but lacks discussion
about potential prescribing issues.
7 to >3.0 ptsFair
Medication
selected is not appropriate for this patient unique characteristics.
Rationale provided is not correct or is flawed in applying the
medication to this patient.
3 to >0 ptsPoor
Medication selected is inappropriate or would not be provided based on patient unique characteristics.
15 pts
This criterion is linked to a Learning OutcomeScenario
2: Written medication orders include all 5 aspects required for a valid
order. The order is complete, accurate, and appropriate.
3 ptsComplete
Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
0 ptsPoor
The
prescription is incomplete. Aspects of a complete order are missing.
The order is either incomplete, inaccurate, or inappropriate.
3 pts
This criterion is linked to a Learning OutcomeScenario
2: References for the scenario are within past 5 years and include the
appropriate clinical practice guideline if applicable.
4 ptsExcellent
References
for the scenario are within past 5 years and include the appropriate
clinical practice guideline if applicable. Correct APA format is used.
3 ptsGood
References
for the scenario are within past 5 years but do not include the
appropriate clinical practice guideline if applicable. Contains a few (1
or 2) APA format errors.
2 ptsFair
References
for the scenario are not from within the past 5 years or do not reflect
the content of this scenario and do not include the appropriate
clinical practice guideline if applicable. Contains several (3 or 4) APA
format errors.
0 ptsPoor
No
references are included. References do not reflect the content of this
scenario. Appropriate clinical practice guideline is not include.
Contains many (≥ 5) APA format errors.
4 pts
This criterion is linked to a Learning OutcomeScenario 2: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
3 ptsExcellent
Uses correct grammar, spelling, and punctuation with no errors.
2 ptsGood
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
1 ptsFair
Contains several (3 or 4) grammar, spelling, and punctuation errors.
0 ptsPoor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
3 pts
This criterion is linked to a Learning OutcomeScenario
3: Appropriate medication is prescribed or changed. Rationale provided
and includes current literature to support decision. All aspects of the
patient history are considered in making the medication selection.
15 to >11.0 ptsExcellent
Medication
selected is appropriate and considers all of the unique patient
characteristics. Rationale for selection is clear, complete, and
appropriate.
11 to >7.0 ptsGood
Medication
selected might be appropriate but conflicts with the unique patient
characteristics. Rationale for selection is clear but lacks discussion
about potential prescribing issues.
7 to >3.0 ptsFair
Medication
selected is not appropriate for this patient unique characteristics.
Rationale provided is not correct or is flawed in applying the
medication to this patient.
3 to >0 ptsPoor
Medication selected is inappropriate or would not be provided based on patient unique characteristics.
15 pts
This criterion is linked to a Learning OutcomeScenario
3: Written medication orders include all 5 aspects required for a valid
order. The order is complete, accurate, and appropriate.
3 ptsComplete
Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
0 ptsPoor
The
prescription is incomplete. Aspects of a complete order are missing.
The order is either incomplete, inaccurate, or inappropriate.
3 pts
This criterion is linked to a Learning OutcomeScenario
3: References for the scenario are within past 5 years and include the
appropriate clinical practice guideline if applicable.
4 ptsExcellent
References
for the scenario are within past 5 years and include the appropriate
clinical practice guideline if applicable. Correct APA format is used.
3 ptsGood
References
for the scenario are within past 5 years but do not include the
appropriate clinical practice guideline if applicable. Contains a few (1
or 2) APA format errors.
2 ptsFair
References
for the scenario are not from within the past 5 years or do not reflect
the content of this scenario and do not include the appropriate
clinical practice guideline if applicable. Contains several (3 or 4) APA
format errors.
0 ptsPoor
No
references are included. References do not reflect the content of this
scenario. Appropriate clinical practice guideline is not include.
Contains many (≥ 5) APA format errors.
4 pts
This criterion is linked to a Learning OutcomeScenario 3: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
3 ptsExcellent
Uses correct grammar, spelling, and punctuation with no errors.
2 ptsGood
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
1 ptsFair
Contains several (3 or 4) grammar, spelling, and punctuation errors.
0 ptsPoor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
3 pts
This criterion is linked to a Learning OutcomeScenario
4: Appropriate medication is prescribed or changed. Rationale provided
and includes current literature to support decision. All aspects of the
patient history are considered in making the medication selection.
15 to >11.0 ptsExcellent
Medication
selected is appropriate and considers all of the unique patient
characteristics. Rationale for selection is clear, complete, and
appropriate.
11 to >7.0 ptsGood
Medication
selected might be appropriate but conflicts with the unique patient
characteristics. Rationale for selection is clear but lacks discussion
about potential prescribing issues.
7 to >3.0 ptsFair
Medication
selected is not appropriate for this patient unique characteristics.
Rationale provided is not correct or is flawed in applying the
medication to this patient.
3 to >0 ptsPoor
Medication selected is inappropriate or would not be provided based on patient unique characteristics.
15 pts
This criterion is linked to a Learning OutcomeScenario
4: Written medication orders include all 5 aspects required for a valid
order. The order is complete, accurate, and appropriate.
3 ptsComplete
Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
0 ptsPoor
The
prescription is incomplete. Aspects of a complete order are missing.
The order is either incomplete, inaccurate, or inappropriate.
3 pts
This criterion is linked to a Learning OutcomeScenario
4: References for the scenario are within past 5 years and include the
appropriate clinical practice guideline if applicable.
4 ptsExcellent
References
for the scenario are within past 5 years and include the appropriate
clinical practice guideline if applicable. Correct APA format is used.
3 ptsGood
References
for the scenario are within past 5 years but do not include the
appropriate clinical practice guideline if applicable. Contains a few (1
or 2) APA format errors.
2 ptsFair
References
for the scenario are not from within the past 5 years or do not reflect
the content of this scenario and do not include the appropriate
clinical practice guideline if applicable. Contains several (3 or 4) APA
format errors.
0 ptsPoor
No
references are included. References do not reflect the content of this
scenario. Appropriate clinical practice guideline is not include.
Contains many (≥ 5) APA format errors.
4 pts
This criterion is linked to a Learning OutcomeScenario 4: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
3 ptsExcellent
Uses correct grammar, spelling, and punctuation with no errors.
2 ptsGood
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
1 ptsFair
Contains several (3 or 4) grammar, spelling, and punctuation errors.
0 ptsPoor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
3 pts
Total Points: 100
Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.). Elsevier.Chapter 48, “Drugs for Diabetes Mellitus” (pp. 397a–415)
Chapter 49, “Drugs for Thyroid Disorders” (pp. 416–424)
Samson,
S. L., Vellanki, P., Blonde, L., Christofides, E. A., Galindo, R. J.,
Hirsch, I. B., Isaacs, S. D., Izuora, K. E., Wang, C. C. L., Twinning,
C. L., Umpierrez, G. E., & Valencia, W. M. (2023). American
Association of Clinical Endocrinology consensus statement:
Comprehensive type 2 diabetes management algorithm — 2023 update
Links to an external site.. https://www.endocrinepractice.org/action/showPdf?p…
Rosenthal,
L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for
advanced practice nurses and physician assistants (2nd ed.).
Elsevier.Chapter 68, “Drugs for Weight Loss” (pp. 627–637)
You are the prescriber for these case studies, please follow the rubric. Here is the whole book: https://drive.google.com/file/d/1j1NDTnSUsSgRWLL0uRLYuD-t1eT6MTnf/view?fbclid=IwAR3FL4pY__wHShfGvnTuEzep-5bV82mwLq7FB4buZ1Dpc937WiXbflozBrs_aem_AYGJocEvGpxaS7ZYcfISTdA7Pk2RcbVWl8StGfj2nmxTZY8vGTJXVLKUjrQNol6apg0