Purpose
This assignment is intended to help you learn to apply the concepts of the pharmacotherapeutics, pharmacokinetics, and pharmacodynamics of broad categories of medications.
Overview
Whether you are a nurse at the bedside, long-term care, clinic, or private practice, understanding the clinical guidelines for medication management is imperative from either a patient advocate/education or prescribing perspective.
A 62-year-old African-American woman with prediabetes presents for her annual physical. She has no complaints. The average of two BP readings in her right arm is BP 143/88. Her physical exam is unremarkable except for obesity. She has no history of myocardial infarction, stroke, kidney disease, or heart failure. After the visit, she measures her BP at home and returns 1 month later. The average BP from multiple clinic and home readings is 138/86.
Her total cholesterol is 260 mg/dL, HDL 42 mg/dL, and LDL 165 mg/dL. She does not smoke.
Using the following guidelines to complete the action items:
- 2017 ACC/AHA guidelinesLinks to an external site.
- 2018 American Heart Association Cholesterol management guide for healthcare practitionersLinks to an external site.
Action Items
- Read the scenario above.
- In a post to the discussion board,
- Describe and give rationales for an appropriate treatment plan including medication and lifestyle recommendations. Be certain to consider cost, access, and comorbidities in your decisions. Consider using the I Can PresCribE Mnemonic as your guide and build the other components into your response.
- Be certain to include these guidelines and at least two other evidence-based resources using APA for citations and references.
- After reading your classmates’ posts, return to your own posting. Make a reply to your original work and tell what you learned from reading the work of your peers. Briefly explain what you would alter in your original work, if anything. If not, why not? (For example, after reading others’ work, does it look like you overlooked anything? Would you change anything you wrote? Or are you satisfied with your original work but did you also gain insights from seeing the way your peers approached the case?) A minimum of one citation/reference is needed for the reply post.