NUR633 All Weeks Discussions
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NUR633Week
1 DQ 1
Select
a medication using the treatment guidelines for sedation or paralysis in the
ICU. Share the mechanism of action of this medication and hints for monitoring,
side effects, and drug interactions of which one should be aware. In addition,
share a clinical trial that supports the use of this agent in an acute care
patient population. Make sure that you select a different medication than your
peers. Include the name of the medication in the subject line so that the
medications can be followed. Include your references in APA format.
NUR633
Topic 1 DQ 2
A
patient has been in the ICU for several weeks. Today, the patient is exhibiting
signs/symptoms of a respiratory infection. Discuss what the most likely pathogens
are in this case. Choose an empiric treatment regimen that you would implement
prior to receiving culture results. Use evidence-based literature to support
your answer.
NUR63
Week 2 DQ 1
Select
a medication from the ISMP Do Not Crush list. Discuss the reasons why the
medication cannot be crushed. Be sure to include the brand and generic name,
dosage form(s), mechanism of action, and possible effects crushing the oral
dosage form might have. Make sure that you select a different medication than
your peers. Include the name of the medication in the subject line so that the
medications can be followed. Include your references in APA format.
NUR63
Week 2 DQ 2
Select
one of the following articles on medication errors. Write a scholarly summary
(150-200 words) of your chosen article.
1 Seibert, H. H., Maddox,
R. R., Flynn, E. A., & Williams, C. K. (2014). Effect of barcode technology
with electronic medication administration record on medication accuracy rates. American
Journal of Health-System Pharmacy, 71(3), 209-218.
2 Mattison, M. L., Afonso,
K. A., Ngo, L. H., & Mukamal, K. J. (2010). Preventing potentially
inappropriate medication use in hospitalized older patients with a computerized
provider order entry warning system. Archives of Internal Medicine, 170(15),
1331-1336.
Radley,
D. C., Wasserman, M. R., Olsho, L. E. et al. (2013). Reduction in medication
errors in hospitals due to adoption of computerized provider order entry
systems. Journal of the American Medical Association, 20(3), 470-476.
NUR63
Week 3 DQ 1
Select
a medication used for the treatment of chronic hypertension, heart failure, or
dyslipidemia. Share the mechanism of action of this medication and hints for
monitoring, side effects, and drug interactions of which one should be aware.
In addition, share a time when the use of this medication resulted in a
positive or negative outcome in a patient you were caring for. Make sure that
you select a different medication than your peers. Include the name of the
medication in the subject line so that the medications can be followed. Include
references using APA format.
NUR63
Week 3 DQ 2
Find
a clinical guideline in the literature that is published by a major entity
(e.g., American Heart Association, American College of Cardiology). Post the
reference and discuss some of the key recommendations, including how they may
apply to the acute care patient population.
To
cut or not to cut is always a question that doctors face, there are so many
factors before rushing a patient to surgery.
In my own hospital it’s a discussion among surgeons because many
insurance companies push doctors to pursue medication treatment before
surgical. If a surgeon pushes to do a
cholecystectomy then they risk that the insurance could turn around and not pay
for the procedure,
NUR63
Week 4 DQ 1
Select
an antiarrhythmic, antiplatelet, or anticoagulant medication. Share the
mechanism of action of this medication and hints for monitoring, side effects,
and drug interactions of which one should be aware. In addition, share a
clinical trial that supports the use of this agent in family practice patient
population. Make sure that you select a different medication than your
peers. Include the name of the medication in the subject line so that the
medications can be followed. Include references using APA format.
Choose
a vasopressor or inotrope that can be used in the ICU setting with regard to
the evidence and treatment guidelines used for those medications. Discuss the
mechanism of action and side effects of this agent. Also discuss the advantages
and disadvantages of using this agent and its place in therapy (i.e., what type
of patient would benefit the most). Provide an example of a patient you have
cared for who benefitted from this agent.
Why
is bleeding a common adverse effect of antiplatelet and anticoagulant?
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