NURS 6521 Week 7 Assignment

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Directions for NURS 6521 Week 7 Assignment 

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 for NURS 6521 Week 7 Assignment

Scenarion 1

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?

NURS 6521 Week 7 Assignment

Scenario 2

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?

Scenario 3:

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 includeMetformin 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?

Scenario 4

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?

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Solution

Scenario 1: Mary, Hypothyroidism and Iron Deficiency Anemia

Problem Identification: Mary presents with elevated TSH and low iron levels, indicating uncontrolled hypothyroidism and iron deficiency anemia. Kelp tablets, which she currently takes, can interfere with thyroid function.

Prescription for Hypothyroidism:

  • RX: Levothyroxine 50 mcg tablets
  • Sig: Take one tablet orally daily in the morning on an empty stomach for hypothyroidism
  • Disp: 90 tablets
  • Refill: 3
  • Signed: [Your Name, credentials]

Prescription for Iron Deficiency Anemia:

  • RX: Ferrous Sulfate 325 mg (65 mg Fe) tablets
  • Sig: Take one tablet orally three times a day for iron deficiency anemia
  • Disp: 90 tablets
  • Refill: 1
  • Signed: [Your Name, credentials]

Monitoring and Education:

  • Educate Mary to stop taking kelp tablets as they may affect thyroid hormone levels.
  • Regular monitoring of TSH and iron levels every 6-8 weeks until stable.
  • Educate about taking Levothyroxine on an empty stomach and not within four hours of iron supplements to avoid absorption interference….  click below for NURS 6521 Week 7 Assignment full  solution