Assignment: Pharmacotherapy for Cardiovascular Disorders

…heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease…

—Murphy et al., 2018

Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.  

Photo Credit: Getty Images/Science Photo Library RF

As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.

Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm

To Prepare

• Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.
• Review the case study assigned by your Instructor for this Assignment.
• Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.
• Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
• Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
• Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.

By Day 7 of Week 2

Write a 2- to 3-page paper that addresses the following:

• Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
• Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
• Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The College of Nursing Writing Template with Instructions provided at the Walden Writing Center offers an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.

Learning Resources

Required Readings (click to expand/reduce)

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.
Chapter 33, “Review of Hemodynamics” (pp. 285–289)
Chapter 37, “Diuretics” (pp. 290–296)
Chapter 38, “Drugs Acting on the Renin-Angiotensin-Aldosterone System” (pp. 297–307)
Chapter 39, “Calcium Channel Blockers” (pp. 308–312)
Chapter 40, “Vasodilators” (pp. 313–317)
Chapter 41, “Drugs for Hypertension” (pp. 316–324)
Chapter 42, “Drugs for Heart Failure” (pp. 325–336)
Chapter 43, “Antidysrhythmic Drugs” (pp. 337–348)
Chapter 44, “Prophylaxis of Atherosclerotic Cardiovascular Disease: Drugs That Help Normalize Cholesterol and Triglyceride Levels” (pp. 349–363)
Chapter 45, “Drugs for Angina Pectoris” (pp. 364–371)
Chapter 46, “Anticoagulant and Antiplatelet Drugs” (pp. 372–388)

Required Media (click to expand/reduce)

Cardiovascular Disorders
Meet Dr. Norbert Myslinski as he discusses ACE inhibitors, angiotensin inhibitors, beta-blockers, calcium channel blockers, and diuretics as different categories of hypertension drugs. What potential drugs might be best recommended for patients suffering from hypertension? (8m)
Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

use 5 resources for this assignment. Introduction and conclusion parts are very important, thanks

 

Chapter 4 Scenario: Eve’s Allergies

Objective and scenario

To create and evaluate an action plan that addresses Eve’s health issues.

Eve’s mother stops to chat with the program director on the way to her daughter’s preschool classroom. Eve, a 3-year-old, is eager to play with her friends, so she runs ahead while her mother is talking. When Eve arrives in the classroom, you greet her and perform a quick health check. You note that Eve has a runny nose and a few hives on her face and arms, but that her skin does not feel warm. Eve also coughed several times during the health check.
    You suspect that Eve’s symptoms may be associated with allergies. When Eve’s mother arrives to say good-bye to her daughter, you ask if she can step into the hallway and talk for a few minutes. You describe your observations and concerns and ask if Eve has been ill. Her mother informs you that Eve has food and respiratory allergies which have become more severe lately and that she will need to begin receiving daily nebulizer breathing treatments. Eve’s mother asks if you or any of the other teachers know how to administer nebulizer treatments, and if they are able to respond to an anaphylactic emergency if one should occur. You reply that the teachers have not yet been trained, but that the director has scheduled an in-service session for this Friday so that they can learn.

Focus Assignment

1. Create your action plan by first listing three physical signs of an allergic response that you observed during the health check. In addition, explain the causes, signs, and emergency treatment of anaphylactic shock.
2. Be sure to read the REFLECTION section below to guide your thinking. Write your reflection response after you have completed your plan.

The purpose of this assignment is to clearly articulate the specific strategies and methods that will be utilized to manage the organizational changes associated with implementing the problem solution you have selected.The purpose of this assignment is to clearly articulate the specific strategies and methods that will be utilized to manage the organizational changes associated with implementing the problem solution you have selected.

Write 250-500 words that explain how you will address the following organizational issues prior to implementing the problem solution you have selected.

1. Creating employee buy-in (What’s in it for me?) to address the problem using your solution.
2. Resources (systems, technology, training, etc.) needed to implement the solution.
3. Methods for addressing employee resistance to change.

This summary will be used as part of the Business Proposal Presentation in Topic 7 and the Final Business Proposal you submit in Topic 8.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

1. Creating employee buy-in (What’s in it for me?) to address the problem using your solution.
2. Resources (systems, technology, training, etc.) needed to implement the solution.
3. Methods for addressing employee resistance to change.

This summary will be used as part of the Business Proposal Presentation in Topic 7 and the Final Business Proposal you submit in Topic 8.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Discussion of methods for creating employee buy-in to address the problem using the proposed solution is extremely through and includes substantial explanation and supporting details.

Discussion of resources needed to implement the solution is extremely through and includes substantial explanation and supporting details.

Discussion of methods for addressing employee resistance to change is extremely through and includes substantial explanation and supporting details.

Writer is clearly in command of standard, written, academic English.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

 

Read this scholarly, peer-reviewed article:

Ajunwa, I., Crawford, K., & Ford, J. S. (2016). Health and big data: An ethical framework for health information collection by corporate wellness programs . Journal of Law, Medicine & Ethics, 44(3), 474–480. https://doi.org/10.1177/1073110516667943

 Read this article as well

• Ajunwa, I. (2017, January 19). Workplace wellness programs could be putting your health data at risk (Links to an external site.). Harvard Business Review. Retrieved from https://hbr.org/2017/01/workplace-wellness-programs-could-be-putting-your-health-data-at-risk

 

 Based on your learning in the Prepare and Reflect sections above, write at least three paragraphs that fully address the prompt below. Cite any sources you use or refer to.

1. Identify the type of source you read in addition to the scholarly, peer-reviewed article. Who is the audience for each source? How does the intended audience affect the choice of language, images, and organization?
2. Analyze the credibility of the two sources that you read. What specific features of the articles led you to conclude the source was or was not credible? Provide at least one specific example for each source.
3. Explain how each source might be used to address a specific information need. What research situations would be appropriate for each source? What concerns would you have about using the sources in those situations?

Your initial post must be at least 350 words and address all of the prompt’s elements.

You must cite and reference any sources that you use in your posts, including your textbook or any other sources of information that you use. Please refer to the Writing Center’s Citing Within Your Paper (Links to an external site.) and Formatting Your References List (Links to an external site.) for help with citing and referencing your sources