18 Oct One way to build community is to become better acquainted. This introduction discussion will help to build a learning community.

Building A Community

Purpose

The purpose of this assignment is to introduce yourself to your peers and faculty. Online courses can seem impersonal. One way to build community is to become better acquainted. This introduction discussion will help to build a learning community.

 

Preparing the Assignment

 

Post a written response in the discussion forum for each question. This assignment does not require citations or references.

 

Introduce yourself to peers and faculty.

 

Tell us about yourself and your personal interests.

 

Share why you chose to be a Nurse Practitioner.

 

What thoughts and feelings do you have about prescribing medications in your new role?

 

There is not a rubric for this assignment. An answer to all 4 questions results in 10 points. An answer to anything less than 4 answers results in 0 points.

 

 

 

NR565 Advanced Pharmacology Fundamentals

 

Week 2 Assignment  

 

Purpose

 

The purpose of this assignment is to explore nonopioid medications and nonpharmacologic treatments for chronic pain while using communication techniques that facilitate a patient-centered approach to managing chronic pain. Risks and benefits of first-line treatments to chronic pain will be reviewed and explored. Scenarios will be provided to aid participants in application of module material.

 

Course Outcomes

 

This assignment enables the student to meet the following course outcomes:

 

CO 1: Identify the most commonly prescribed agents in the major drug classes. (POs 1, 2)?

 

CO 2: Make appropriate evidence-based therapeutic treatment decisions for individual patients utilizing drugs from the major drug classes. (POs 1, 2)?

 

CO 3: Apply knowledge of pharmacokinetics, pharmacodynamics and pharmacogenomics in prescribing patient treatment. (POs 1, 2)?

 

CO 4: Distinguish internal and external environment factors affecting drug action, reaction, efficacy, and interaction. (POs 1, 2)?

 

CO 5: Identify client indicators of therapeutic, ineffective, adverse responses and side effects to drug therapy. (POs 1, 2)

 

Each certificate is worth 25 points. Total score will be the number of correct certificates submitted x 25 points.

 

Preparing the Assignment

 

For this assignment, you have the choice of how you would like to demonstrate understanding of the management of opioids in chronic pain.  You can either complete the modules and submit documentation of successful completion OR create a power point presentation for each module/topic listed. See this document for guidance on this alternative assignment.

 

Alternative Assignment Grading Criteria Guidelines (Links to an external site.)

 

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.

 

Follow the CDC Module Account Set-Up Instructions (Links to an external site.)

 

Search for Courses:

 

WB2859R: Applying CDC’s Guidelines for Prescribing Opioids: Module 2: Treating Chronic Pain without Opioids

 

WB2863R: Applying CDC’s Guidelines for Prescribing Opioids: Module 5: Assessing and Addressing Opioid Use Disorder

 

WB2864R: Applying CDC’s Guidelines for Prescribing Opioids: Module 4: Reducing the Risks of Opioids

 

WB2860R: Applying CDC’s Guideline for Prescribing Opioids: Module 7: Determining Whether to Initiate Opioids for Chronic Pain

 

WB4359: Applying CDC’s Guidelines for Prescribing Opioids: Module 13: Using the Prescription Drug Monitoring Program to Promote Patient Safety in Opioid Prescribing and Dispensing

 

Complete the modules.

 

Upload all 5 certificates or a transcript that shows the required modules and your completion status to this assignment.

 

You may use the CDC Guideline for Prescribing Opioids for Chronic Pain-United States, 2016 (Links to an external site.) as a reference.

 

**Please note, there are only 2 attempts allowed to receive the certificate so pay close attention while completing the module.

 

How to Retrieve Your CDC Transcript

 

From the home page after you are logged in, click on “Transcripts & Certificates” on the left navigation menu. Then, set the “Status” to “All”. Click “View”. You will then see an option to “Download Transcript”. You can also download individual certificates on this page as well.

 

 

 

 

 

 

 

NR565 Advanced Pharmacology Fundamentals

 

Week 7 Assignment  

 

Patient Teaching Infographic

 

Purpose

 

The purpose of this assignment is for students to explore the over-the-counter options to manage constipation.

 

Course Outcomes

 

This assignment enables the student to meet the following course outcomes:

 

CO 1: Identify the most commonly prescribed agents in the major drug classes. (POs 1, 2)?

 

CO 2: Make appropriate evidence-based therapeutic treatment decisions for individual patients utilizing drugs from the major drug classes. (POs 1, 2)?

 

CO 3: Apply knowledge of pharmacokinetics, pharmacodynamics and pharmacogenomics in prescribing patient treatment. (POs 1, 2)?

 

CO 4: Distinguish internal and external environment factors affecting drug action, reaction, efficacy, and interaction. (POs 1, 2)?

 

CO 5: Identify client indicators of therapeutic, ineffective, adverse responses and side effects to drug therapy. (POs 1, 2)

 

Preparing the Assignment

 

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.

 

General instructions

 

Use Canva.com or other infographic development tool of your choice to create a patient teaching aid about over-the-counter treatments for constipation.

 

Include the following sections/headings. You do not have to use these exact words for headings, but they should be labeled in a way that is very clear to your instructor of which topic you are addressing.

 

When should a laxative be used?

 

Classification/Types (Bulk, Osmotic, Stimulant, Surfactant)

 

How each type works

 

Examples of each

 

When should each laxative type be considered?

 

When would each laxative type be contraindicated?

 

Caution of laxative overuse

 

Symptoms of laxative overuse

 

Long-term health risks of laxative overuse

 

Who is at risk?

 

Possible referrals

 

Format

 

Readability

 

Lay language for patients

 

Creativity

 

The format should not match the layout shown in the example image. Be creative.

 

Reference(s)

 

References used should be noted at the bottom of your infographic in a smaller font as not to distract from information provided but also validating the information came from a reliable source.

 

References should be from either your textbook or a professional source such as American Gastroenterological Association (Links to an external site.), Prescriber’s Digital Reference, etc. References should not be from sources such as MayoClinic, WebMD, etc. Additionally, avoid use of journal articles for this assignment as you are looking for a more global consensus than that of one journal article.

 

Screen shot

 

Provide a screen shot of your infographic in Canva or other platform of your choice.  

 

Make sure to highlight in some manner the day and time your infographic was created like the image below.  

 

The infographic you submit should match the screen shot you submit with your assignment.  

 

Of course, the date your infographic is created should also coincide with the session of your submission.

 

 

 

NR565 Advanced Pharmacology Fundamentals

 

Week 8 Assignment  

 

Course Reflection

 

Purpose

 

The purpose of this assignment is to allow time of reflection to evaluate self-performance and the meeting of course outcomes that serve student growth as a future practitioner.

 

Course Outcomes

 

This assignment enables the student to meet the following course outcomes:

 

CO1: Identify the most commonly prescribed agents in the major drug classes (PO 1,2)

 

CO2: Make appropriate evidence-based therapeutic treatment decisions for individual patients utilizing drugs from the major drug classes (PO 1,2)

 

CO3: Apply knowledge of pharmacokinetics, pharmacodynamics and pharmacogenomics in prescribing patient treatment (PO 1,2)

 

CO4: Distinguish internal and external environment factors affecting drug action, reaction, efficacy, and interaction (PO 1,2)

 

CO5: Identify client indicators of therapeutic, ineffective, adverse responses and side effects to drug therapy (PO 1, 2)

 

Preparing the Assignment

 

In a Word document, answer the following questions and submit to the assignment dropbox.

 

Answer all six questions to receive full credit. No credit will be earned for answering less than six questions.

 

Provide the question along with your response.

 

Citations and references are not required for this assignment.

 

How has you understanding changed about identifying the most commonly prescribed agents in the major drug classes?

 

How confident do you feel about analyzing factors pertinent to making the most effective drug selection for a patient with a specific diagnosis in the primary care setting? What resources are needed, if any, to help you feel more confident?

 

How has your understanding changed regarding analyzing client indicators of therapeutic, ineffective, adverse responses and side effects to drug therapy?

 

Reflect on your preparedness to write appropriate prescriptions according to evidence-based practice guidelines. What resources are needed, if any, to help you feel more prepared?

 

 

 

NR565 Advanced Pharmacology Fundamentals

 

Week 3 Quiz

 

Question 1 Please explain the value of doing your own work.

 

Question 2Use the Mark Jones case study to answer the following question.

 

Would you treat Mark’s blood pressure today?  Why or why not?

 

Question 3Use the Mark Jones case study to answer the following question.

 

You go ahead and decide to start Mark on some blood pressure medication.  Which drug and dose do you decide to start him on?  Why did you choose this drug and dose?

 

Question 4Use the Mark Jones case study to answer the following question.

 

What does the management of hypertension look like for Mark? (i.e. When does he need to return for follow up visits? What does he need to do at home?  Are there any labs that need to be monitored related to the medication you have prescribed?)

 

Question 5Use the Charlie George case study to answer the following question.

 

What are Charlie’s cholesterol results and what should they be?

 

Question 6Use the Charlie George case study to answer the following question.

 

You decide that Charlie needs to be started on a medication to treat his high cholesterol.  There are different level intensity statins that can be prescribed?  Which one will you prescribe?  Is it a low, moderate, or high-intensity statin?  How did you decide to order that particular drug and dose?

 

Question 7Use the Charlie George case study to answer the following question.

 

What other cardiac issue does Charlie have and what symptoms is he experiencing that are indicative of that condition?

 

Question 8Use the Charlie George case study to answer the following question.

 

What are the goals of treating atrial fibrillation?

 

Question 9Use the Charlie George case study to answer the following question.

 

What is your treatment plan for Charlie to address his atrial fibrillation?

 

Question 10Use the Janie Smith case study to answer the following question.

 

List the main classes of medications to be considered for Janie’s heart failure and how each one would work to improve her symptoms?

 

 

 

NR565 Advanced Pharmacology Fundamentals

 

Week 5 Quiz Case Study – Alfonso Giuliani

 

Question 1 I understand the value of doing my own work and learning this skill to support my future independent practice as a nurse practitioner.  I understand that while there may be opportunities beyond my faculty’s control to collaborate or share answers with peers, that it would not benefit my own personal and professional growth to do so.  I agree to do my own work and take personal responsibility for my learning.

 

I do not.

 

 I do.

 

Question 2 Use the Alfonso Giuliani case study to answer the following question.

 

Which statin agents and dosages are consistent with the statin therapy intensity Alfonso needs? Select all that apply.

 

Pravastatin 40-80 mg

 

 Atorvastatin 10-20 mg

 

 Rosuvastatin 20-40 mg

 

 Atorvastatin 40–80 mg

 

Question 3 Use the Alfonso Giuliani case study to answer the following question.

 

Which of the following types of statin therapy should be started for Alonso?

 

 High-intensity statin therapy

 

 Low-intensity statin therapy

 

 Moderate-intensity statin therapy

 

Question 4 Use the Alfonso Giuliani case study to answer the following question.

 

Alfonso should be started on statin therapy to address his high total cholesterol and low HDL.

 

 True

 

 False

 

Question 5 Use the Alfonso Giuliani case study to answer the following question.

 

What baseline data should be known before prescribing diabetic medications? Select all that apply.

 

Total Cholesterol

 

 HbgA1C

 

 Urinary glucose and ketones

 

 Random plasma glucose

 

 Serum electrolytes

 

 Fasting plasma glucose

 

Question 6 Use the Alfonso Giuliani case study to answer the following question.

 

Considering Alfonso’s ASCVD risk score, which of the following diabetic drug classes should be considered in addition to metformin?

 

Sulfonylurea

 

 GLP-1

 

 SGLT2i

 

 TZD

 

Question 7 Use the Alfonso Giuliani case study to answer the following question.

 

The ASCVD Risk Estimator-Plus calculator would not be ideal to use for Alfonso because of which factor?

 

Blood pressure of 124/76

 

 68 years of age

 

 Family history of diabetes

 

 LDL of 193 mg/dL

 

Question 8 Use the Alfonso Giuliani case study to answer the following question.

 

Which of the following complications may be caused by GLP-1 agents?

 

pancreatitis

 

 cellulitis

 

 cholecystitis

 

 diverticulitis

 

Question 9 Use the Alfonso Giuliani case study to answer the following question.

 

Which lab test is necessary to evaluate before prescribing a sodium/glucose cotransporter-2 inhibitor (SGLT2i)?

 

LFTs

 

 CMP

 

 CBC

 

 HgbA1C

 

Question 10 Use the Alfonso Giuliani case study to answer the following question.

 

Which of the following benefits from GLP-1 therapy are helpful to Alfonso? Select all that apply.

 

appetite suppression

 

 weight loss

 

 low risk for hypoglycemia

 

 blood pressure control

 

Question 11 Identify SGLT2i agents in the list below. Select all that apply.

 

empagliflozin

 

 sitagliptin

 

 alogliptin

 

 linagliptin

 

 dapagliflozin

 

 canagliflozin

 

 saxagliptin

 

 

 

NR565 Advanced Pharmacology Fundamentals

 

Week 5 Quiz Case Study – John Jones

 

Question 1  I understand the value of doing my own work and learning this skill to support my future independent practice as a nurse practitioner.  I understand that while there may be opportunities beyond my faculty’s control to collaborate or share answers with peers, that it would not benefit my own personal and professional growth to do so.  I agree to do my own work and take personal responsibility for my learning.

 

 I do not.

 

 I do.

 

Question 2 Use the John Jones case study to answer the following question.

 

What is the recommended interval for monitoring John’s HgbA1C?

 

3-months

 

 1-month

 

 6-months

 

 6-weeks

 

Question 3 Use the John Jones case study to answer the following question.

 

Which of the following statements best describes John’s status?

 

He has diabetes and requires pharmacological intervention.

 

 He does not have diabetes.

 

 He has diabetes but does not require pharmacological intervention.

 

 He has pre-diabetes.

 

Question 4 Use the John Jones case study to answer the following question.

 

John calls the office and reports that he is scheduled for diagnostic testing that requires IV contrast for imaging. He inquires if there are concerns with undergoing this procedure while taking his medications. What instructions should be given to John regarding his metformin regimen?

 

 Don’t take the metformin the day of the procedure and for 48 hours afterward.

 

 Take the metformin the morning of the procedure but don’t take it for 48 hours afterward.

 

 Don’t take the metformin the day of the procedure but resume the following day.

 

 No special instructions are needed.

 

Question 5 Use the John Jones case study to answer the following question.

 

Using the ADA Standards of Medical Care in Diabetes-2020, which of the following medications should be prescribed for John?

 

Dulaglutide

 

 Metformin

 

 Glyburide

 

 Canagliflozin

 

Question 6 Use the John Jones case study to answer the following question.

 

John’s triglycerides are 260 mg/dl and his HDL is 35mg/dl.  Referring to the ADA Standards of Medical Care in Diabetes-2020, what is the correct action to take at this time?

 

Increase John’s atorvastatin to 40 mg per day.

 

 Stop John’s atorvastatin since he is now being treated for diabetes.

 

 Leave John’s atorvastatin as is and re-check lipids when A1C is re-checked.

 

 Increase John’s atorvastatin to 20mg per day.

 

Question 7 Use the John Jones case study to answer the following question.

 

Which behavior in John’s social history poses a potential concern with initiating metformin?

 

 His diet largely consists of fast-food meals. He drinks sweet tea with every?meal.

 

 He reports drinking “a few beers on the weekend during football season”.

 

 He drinks?3-4 cups of coffee per day.

 

 There are no concerns.

 

Question 8 Use the John Jones case study to answer the following question.

 

Which of John’s behaviors or assessment findings should be addressed to encourage lifestyle changes and decrease A1C levels? Select all that apply.

 

His diet largely consists of fast-food meals. He drinks sweet tea with every?meal.

 

 Sits at a desk several hours a day.

 

 Weight 235lbs

 

 BP 130/90

 

 Family history is significant for diabetes.

 

 He drinks 3-4 cups of coffee per day.

 

Question 9 Use the John Jones case study to answer the following question.

 

Which of the following lab test should be evaluated before prescribing metformin?

 

Urinalysis

 

 Complete metabolic profile (CMP)

 

 Lipid Panel

 

 Complete blood count (CBC)

 

Question 10 Use the John Jones case study to answer the following question.

 

Which glucose level equates with a Hgb A1C of 8.1%?

 

~204 mg/dl

 

 ~160 mg/dl

 

 ~175 mg/dl

 

 ~183 mg/dl

 

Question 11 Use the John Jones case study to answer the following question.

 

Metformin works by decreasing both ____________ and _____________.

 

 incretin secretion; insulin production

 

 glucogenesis; insulin resistance

 

 glucogenesis; incretin secretion

 

 insulin resistance; incretin secretion

 

 

 

NR565 Advanced Pharmacology Fundamentals

 

Week 5 Quiz Case Study – Helen Smith

 

Question 2 Use the Helen Smith case study to answer the following question.

 

Which of the following medical conditions will determine Helen’s diabetes treatment regimen?

 

Group of answer choices

 

Dyslipidemia

 

Obesity

 

Heart Failure

 

Osteoarthritis

 

Question 3 Use the Helen Smith case study to answer the following question.

 

Which of the following agents should be prescribed for Helen? (Independent searching may be required to find the answer to this question)

 

Group of answer choices

 

Glimepiride

 

Pioglitazone

 

Dapagliflozin

 

Glipizide

 

Question 4 What are the Black Box Warnings associated with NSAIDs? Select all that apply.

 

Increases risk for serious skin reactions

 

Increases all-cause mortality

 

Increases risk for cardiovascular thrombotic event

 

Increases risk for GI bleeding, ulceration, and perforation

 

Question 5 Use the Helen Smith case study to answer the following question.

 

There is still one important issue to address with Helen today.  Which of the following concerns requires addressing?

 

Group of answer choices

 

Cholesterol

 

Weight

 

Fatigue

 

Heart failure

 

Question 6 Use the Helen Smith case study to answer the following question.

 

If the standard starting dose of levothyroxine 1.6 mcg/kg/dose is prescribed for Helen, what is the correct dose?

 

Group of answer choices

 

175mcg

 

200mcg

 

300mcg

 

150mcg

 

Question 7 Use the Helen Smith case study to answer the following question.

 

Helen’s has abnormal thyroid values:

 

TSH 24 mU/L

 

Free T4 0.2 ng/dl

 

What condition do these tests indicate?

 

Group of answer choices

 

Hashimoto’s thyroiditis

 

Hyperthyroidism

 

Hypothyroidism

 

Grave’s Disease

 

Question 8 Use the Helen Smith case study to answer the following question.

 

What is the daily maximum dose of levothyroxine?

 

Group of answer choices

 

1000mcg/day

 

300mcg/day

 

500mcg/day

 

700mcg/day

 

Question 9 Use the Helen Smith case study to answer the following question.

 

Which of the following lab values require consideration for possible treatment?

 

Group of answer choices

 

LDL?120mg/dl

 

Free T4 0.2 ng/dl

 

TSH 24 mU/L

 

Hgb?15.3?g/dL

 

Hct?48%

 

AST?(aspartate aminotransferase): 20

 

HDL?35?mg/dl

 

Triglycerides?260?mg/dl

 

Total?Cholesterol?240?mg/dl

 

ALT?(alanine aminotransferase): 18 U/L

 

Alkaline phosphatase: 50 U/L

 

Question 10 Use the Helen Smith case study to answer the following question.

 

Which of the following drug classes should be prescribed for Helen?

 

Group of answer choices

 

SGLTi

 

DPP-4i

 

GLP-1

 

Biguanide

 

 

 

NR565 Advanced Pharmacology Fundamentals

 

Week 6 Quiz Case Study Asthma

 

Preparing the Assignment

 

You will be presented with a patient case and then answer a series of questions. After each question, you will receive feedback on your answer. This does mean that you will not be able to change your answer so be sure to use the resources listed to locate the answers to the questions.

 

Review the case information and then answer each required question with a succinct, informative answer.

 

Answers should be one to five sentences in length.

 

Some questions may require a short one-sentence answer, whereas others require a five-sentence answer for a complete explanation.

 

Consider the most common and obvious answer.

 

A scholarly reference is required for each answer.

 

This assignment is completed in a quiz format; however, it is not an exam and you are encouraged to use your textbook and course materials. There are 10 questions worth 12 points each for a total of 120 points.

 

Lockdown browser is not required and there are no keyed correct answers to review. Course faculty will post assignment feedback for review. There is no time limit for this assignment but once an answer is submitted for a question, it will be locked, and you will not be able to go back and change it. This assignment should be completed at the time it is begun as your answers may not be saved to return to it later.

 

I understand the value of doing my own work and learning this skill to support my future independent practice as a nurse practitioner.  I understand that while there may be opportunities beyond my faculty’s control to collaborate or share answers with peers, that it would not benefit my own personal and professional growth to do so.  I agree to do my own work and take personal responsibility for my learning.

 

The Subjective, Objective, Assessment, and Plan (SOAP) note is a method of documentation used by NPs and other healthcare professionals and includes:

 

S: subjective information provided by the patient

 

O: objective information obtained by the provider

 

A: assessment is the medical diagnosis rather than the physical assessment. *Hint, this information has already been provided to you in the case.

 

P: medical plan.

 

Write a brief SOAP note addressing Haley’s presentation to the clinic and chief complaint. Be sure to include each component: SOAP.  A reference is not required for this question.

 

Based on table 62.9 in your book and the infographic in the course on “The Things to Remember When Treating Asthma”, how would you classify Haley’s asthma?

 

What medication would you prescribe?

 

What is your rationale for the medication you chose to prescribe? 

 

What type of patient education would you provide to Haley and her father on controlling her asthma?

 

Should Haley be prescribed a cough suppressant. Why or why not? 

 

Provide the mechanism of action (MOA) for the prescribed medication.

 

Include a recommendation on the use of spacers in children with asthma. Why should they be used or not used? Include information on any required education and/or medication that should be provided to the school nurse.

 

What education would you give Haley’s father on smoking cessation?

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