Advanced Pathophysiology And Advanced Pharmacology

Parts 1 and 2 have the same questions, however, you must answer with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.

APA format

1) Minimum 5 pages (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per page

You must strictly comply with the number of paragraphs requested per page

Part 1: minimum 2 pages

Part 2: minimum 2 pages

Part 3: minimum 1 page

Submit 1 document per part

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraph

Bulleted responses are not accepted

Don’t write in the first person

Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references (APA format) per part not older than 5 years (Journals, books) (No websites)

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering:

Example:

Part 1.doc

Part 2.doc

__________________________________________________________________________________

Part 1: Advanced pathophysiology

1. Which of these three is related to imply airways? Describe the concepts of:

a. Ventilation

b. Diffusion

c. Perfusion.

2. Function of:

a. Cilia

b. Goblet cells in airways.

3. Gas exchange in Lungs: where does it occurs?

a. Which are structures that participate on it?

4. Function of Pneumocystis type II in Alveoli.

5. Functions of the Pulmonary System.

6. Function of Surfactant.

7. What is compliance related to Lungs and chest wall?

a. Mention one disease where compliance is decreased.

8. What are expected changes in Lungs in elderly populations?

9. What is Orthopnea and Paroxysmal Nocturnal Dyspnea?

10. What is Hypoxia and what is Hypoxemia?

11. Pneumothorax

a. Concept

b. Types

c. symptoms

12. Pleural effusion: what is exudative vs transudate? Empyema, Hemothorax, Chylothorax: concepts.

13. Restrictive lung diseases: which are…?

14. What is a Pulmonary Edema?

15. What is Acute Lung Injury (ARDS)?

16. Where is located the damage in ARDS?

17. What is Obstructive Lung Disease?

a. Which are Obstructive Lung diseases?

18. Pathophysiology of

a. COPD

b. Chronic Bronchitis?

19. Events that occur in Asthma Pathophysiology.

20. What is Pneumonia?

a. What is most frequent etiology for Community Acquired Pneumonia?

21. What is Pulmonary embolism?

a. What is Virchow Triad?

22. What is pulmonary hypertension?

a. Causes for it.

23. Cancers related to cigarettes smoking.

24. What is Cor Pulmonale?

25. What is Cystic Fibrosis?

a. Features of this disease.

Part 2: Advanced pathophysiology

1. Which of these three is related to imply airways? Describe the concepts of:

a. Ventilation

b. Diffusion

c. Perfusion.

2. Function of:

a. Cilia

b. Goblet cells in airways.

3. Gas exchange in Lungs: where does it occurs?

a. Which are structures that participate on it?

4. Function of Pneumocystis type II in Alveoli.

5. Functions of the Pulmonary System.

6. Function of Surfactant.

7. What is compliance related to Lungs and chest wall?

a. Mention one disease where compliance is decreased.

8. What are expected changes in Lungs in elderly populations?

9. What is Orthopnea and Paroxysmal Nocturnal Dyspnea?

10. What is Hypoxia and what is Hypoxemia?

11. Pneumothorax

a. Concept

b. Types

c. symptoms

12. Pleural effusion: what is exudative vs transudate? Empyema, Hemothorax, Chylothorax: concepts.

13. Restrictive lung diseases: which are…?

14. What is a Pulmonary Edema?

15. What is Acute Lung Injury (ARDS)?

16. Where is located the damage in ARDS?

17. What is Obstructive Lung Disease?

a. Which are Obstructive Lung diseases?

18. Pathophysiology of

a. COPD

b. Chronic Bronchitis?

19. Events that occur in Asthma Pathophysiology.

20. What is Pneumonia?

a. What is most frequent etiology for Community Acquired Pneumonia?

21. What is Pulmonary embolism?

a. What is Virchow Triad?

22. What is pulmonary hypertension?

a. Causes for it.

23. Cancers related to cigarettes smoking.

24. What is Cor Pulmonale?

25. What is Cystic Fibrosis?

a. Features of this disease.

Part 3: Advanced pharmacology

Case Study

Chief complaint: “I’m here for a medication refill because I ran out of my medicines”.

HPI: Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with exertion, especially when she is walking fast, and it is resolved when she is resting. She reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. Her symptoms of shortness of breath resolve after sitting upright on 3 pillows. She also has lower leg edema pitting 1+ which started 2 weeks ago. She indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight of stairs, but it resolves after sitting down to rest. She has not tried any over the counter medications at home.

She started taking her medications, but failed to refill the prescriptions because she cannot afford the medications as she only works part-time and lives alone. In addition, she reports that she does not think taking all these medications would help her condition anyway.

PMH: Primary Hypertension, Previous history of MI 1 year ago

Surgeries:

1 year ago-Left Anterior Descending (LAD) cardiac stent placement

Allergies: Penicillin

Vaccination History: Up-to-date

Social history:

High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago.

Family history:

Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52.

ROS:

Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks. Psychiatric: Non-contributory.

Physical 3xamination:

Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111, R 22 and non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease.

NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.

LUNGS: + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress.

HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally.

ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.

GENITOURINARY: No CVA tenderness bilaterally. GU 3xam deferred.

MUSCULOSKELETAL: + Heberden’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis.

PSYCH: Normal affect. Cooperative.

SKIN: No rashes. Positive for dry skin.

Labs: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

Primary Diagnosis: Congestive Heart Failure (CHF)

Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA)

Differential Diagnosis: Peripheral Vascular Disease (PVD)

Plan:

Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain

Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index.

Additional lab results: Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 %

BNP – not available.

As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease).

Questions:

1. According to the ACC/AHA guidelines, what medications should this patient be prescribed?

2. Does he need medication(s) given his history of MI?

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. Advanced Pathophysiology And Advanced Pharmacology

APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. Advanced Pathophysiology And Advanced Pharmacology

LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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Advanced Pathophysiology And Advanced Pharmacology