Explore our Ultimate FREE detailed guide on the NURS-6521 Advanced Pharmacology Week 7: Musculoskeletal System: Case Studies.
Instructions of NURS-6521 Advanced Pharmacology Week 7
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.
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?
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?- 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?
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?
ASSIGNMENT: CASE STUDIES
Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and health histories.
For this Assignment, you evaluate drug treatment plans for patients with various disorders and justify drug therapy plans based on patient history and diagnosis.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
To Prepare:
- Review the case study posted in “Announcements” by your Instructor for this Assignment
- Review the information provided and answer questions posed in the case study
- When recommending a medication, write out a complete prescription for the medication
- Whenever possible, use clinical practice guidelines in developing your answers when possible
- Include at least three references to support your answer and cite them in APA format.
BY DAY 7 OF WEEK 7
Submit the Assignment.
SUBMISSION INFORMATION
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
- To submit your completed assignment, save your Assignment as WK7Assgn_LastName_Firstinitial
- Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.
Step-By-Step Guide NURS-6521 Advanced Pharmacology Week 7: Musculoskeletal System: Case Studies
Introduction to NURS-6521 Week 7: Assignment: Case Studies
Welcome to NURS-6521 Advanced Pharmacology Week 7: Musculoskeletal System: Case Studies. This assignment focuses on applying your knowledge of pharmacokinetics and pharmacodynamics to specific patient cases related to the musculoskeletal system. Through case studies, you will evaluate and justify drug treatment plans based on patient history and diagnosis.
This NURS-6521 guide provides step-by-step instructions to help you successfully complete each scenario.
Mary is a 35-year-old woman diagnosed with hypothyroidism. Her labs today show a TSH of 20, MCV 78, MCHD 26, Ferritin 9, and 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?
Mary’s Hypothyroidism and Anemia Management
- Start Mary on Levothyroxine 50 mcg daily for hypothyroidism.
- Adjust dose based on TSH levels in 6-8 weeks.
- Schedule follow-up appointments to monitor TSH and symptoms.
- Ensure regular lab tests to track progress.
- Advise Mary to take Levothyroxine on an empty stomach and to separate it from her iron supplements by at least 4 hours.
- Discuss potential side effects and the importance of adherence.
Example
Mary, a 35-year-old woman, presents with hypothyroidism, indicated by a TSH level of 20. She also has iron deficiency anemia with a ferritin level of 9, MCV of 78, and MCHD of 26. Current medications include kelp tablets, ibuprofen 400 mg daily, and ethinyl estradiol/norgestrel. The primary goal is to manage her hypothyroidism and anemia effectively (Pearce, 2022).
Joe is a 48-year-old male diagnosed with Type II Diabetes Mellitus 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%. The Basic Metabolic Profile (BMP) is normal except for a Cr of 2.0 and eGFR of 28. What treatment plan would you implement for Joe?
Joe’s Diabetes and Hypertension Management
- Develop Treatment Plan: Introduce Metformin 500 mg BID for blood glucose control.
- Consider insulin therapy if kidney function declines.
- Monitor Joe’s blood glucose levels and kidney function regularly.
- Adjust medication based on lab results and clinical symptoms.
- Educate Joe on the importance of medication adherence, diet, and monitoring blood glucose.
- Discuss lifestyle changes to manage both diabetes and hypertension effectively.
Example
Joe, a 48-year-old male with Type II Diabetes Mellitus and hypertension, presents with a fasting blood glucose of 225 mg/dL, HgA1C of 7.5%, and normal BMP except for a creatinine level of 2.0 and eGFR of 28. Given his elevated blood glucose and compromised kidney function, Metformin alone is insufficient (Pan et al., 2020). Introduce a GLP-1 receptor agonist, such as liraglutide, which can improve glycemic control without worsening renal function. Start liraglutide at 0.6 mg daily, titrating up based on response and tolerance.
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?
Jose’s Diabetes Management for Commercial Driver’s License
- Add insulin therapy to manage Jose’s elevated blood glucose levels.
- Start with a basal insulin like Lantus, titrating the dose based on blood glucose readings.
- Regularly monitor Jose’s blood glucose levels and adjust insulin dosage accordingly.
- Ensure comprehensive monitoring to meet the requirements for his commercial driver’s license.
- Teach Jose about the proper administration of insulin, signs of hypo- and hyperglycemia, and the importance of maintaining a healthy diet and lifestyle.
- Emphasize the necessity of frequent blood glucose checks.
Example
Jose, a 55-year-old truck driver with Type II Diabetes Mellitus, presents with poorly controlled diabetes, indicated by a fasting blood glucose of 325 mg/dL and HgA1C of 10.6%. Current medications include Metformin 1000 mg BID, Glipizide 20 mg daily, and Diltiazem 120 mg BID. Given his elevated blood glucose levels and the need for better control to maintain his commercial driver’s license, introduce insulin therapy. Start with a basal insulin, such as Lantus (insulin glargine), at 10 units nightly, adjusting based on blood glucose readings.
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 hours once daily for the past 2 weeks. This has helped the symptoms some, but she is still bothered by them.
Jenny’s GERD Management
- Increase Prevacid (lansoprazole) to 30 mg twice daily for better symptom control.
- Consider adding a nighttime H2 blocker like ranitidine.
- Schedule follow-up visits to monitor symptom improvement and potential side effects.
- Adjust treatment based on response and any adverse reactions.
- Advise Jenny to elevate the head of her bed, avoid eating late at night, and avoid foods that trigger her symptoms.
- Discuss the importance of adherence to her medication regimen and lifestyle changes to manage GERD effectively.
Example
Jenny, a 63-year-old woman, presents with frequent heartburn and nighttime symptoms consistent with GERD. Current medications include Diltiazem CD 120 mg daily, Hydrochlorothiazide 25 mg daily, Metformin 500 mg BID, Aspirin 81 mg daily, and Fluticasone/salmeterol DPI. She has tried OTC Prevacid (lansoprazole) 24 hour once daily for 2 weeks with partial relief. To improve her symptom control, increase Prevacid to 30 mg twice daily.
Closing
In this assignment for NURS-6521 Advanced Pharmacology Week 7: Musculoskeletal System: Case Studies, you will enhance your understanding of pharmacokinetics and pharmacodynamics by evaluating drug treatment plans for various patient scenarios. By following these Owlisdom guidelines, you can effectively address each patient’s needs, prescribe appropriate medications, and ensure thorough monitoring of treatment plans. This practice will help solidify your clinical decision-making skills and improve patient outcomes in managing musculoskeletal disorders. In the next module of NURS-6521, we will discuss Advanced Pharmacology Week 8: Psychological Disorders.
References
Pan, Q., Lu, X., Zhao, C., Liao, S., Chen, X., Guo, F., Yang, C., & Liu, H. (2020). Metformin: The updated protective property in kidney disease. Aging (Albany NY), 12(9), 8742.
Pearce, E. N. (2022). Management of hypothyroidism and hypothyroxinemia during pregnancy. Endocrine Practice, 28(7), 711–718.
