NR 508 Week 1 Discussions 1 (Part Two) Recent

discussion part two

you diagnose emily with polycystic ovarian syndrome (pcos) and decide to prescribe drospirenone-ethinyl-estradiol as a way to control both the pcos symptoms, as well as to act as an oral contraceptive.

at what dose should this be prescribed?
what is the mechanism of drospirenone-ethinyl-estradiol, and why would, because of its mechanism, it be a good choice for her pcos symptoms (include the medication-altered physiology)?
how would you monitor for efficacy and toxicity? NR 508 Week 1 Discussions 1 (Part Two) Recent
at what dose should this be prescribed?

discussion part three

emily subsequently returns to your clinic 5 months later, and decides to inform you that within the first 3 months after treatment, she struggled with a severe bout of depression. instead of returning to your clinic to be prescribed, yet another pharmaceutical, she consulted her herbalist who told her about the anti-depressant, over-the-counter, herbal formulation, st. john’s wort. NR 508 Week 1 Discussions 1 (Part Two) Recent

she decided to begin taking st. john’s wort in conjunction with her prescribed oral contraceptive medication, and she has now reappeared at your clinic because she is pregnant, and is distraught about how this occurred since she took her oral contraceptive compliantly since its prescription. NR 508 Week 1 Discussions 1 (Part Two) Recent

why then, is she pregnant?
please include detailed pharmacological mechanisms of how this occurred, and your subsequent steps in her management.

discussion part one

cynthia is a 65-year-old african american female who presents to the clinic for a check-up. her last examination was ~5 years ago. she has no specific, significant, or urgent complaint. she explains that her only issues are thirst, fatigue, and leg numbness and tingling, which is beginning to occur more often. you decide to do a physical exam, as well as draw labs and receive the following results:

social history: no smoking or alcohol consumption.

physical examination:

gen: well nourished, slightly obese female

vs: bp 180/103 hr 73 rr 13 t 98.4 weight 90 kg, height 5’6”

heent: perrla

cor: rrr, nmrg

chest: cta

neuro: monofilament test shows decreased peripheral sensation

ext: normal

laboratory (fasting):

na 139 meq/l

k 3.8 meq/l

alt 34 u/l

ca 9.1 mg/dl

cl 102 mmol/l

hco3 22 meq/l

ast 39 u/l

tp 6 g/dl

bun 33 mg/dl

scr 2.0 mg/dl

alb 4.1 g/dl

cholesterol 254 mg/dl

bg 300 mg/dl

tsh 0.12 mu/ml

ua: sg 1.013 mg/24h, ph 6.5, +++ protein

what are the major problems in this patient, and what diagnoses do these values indicate?

additionally, what is your assessment and pharmacological plan for each of these problems including the medication, dose, and mechanism of action?

Description

Please, I need “Concept Map DM (Diabetes Mellitus), NURSING 450 CARE PLAN WORKSHEET map” to be done based on the Case Study 91 which I uploaded. I uploaded the step 1, 2, 3, 4 to follow to do it.

I uploaded the “step 1, 2, 3, 4 to follow in order to do it. I uploaded the grading criteria to look and see how it is going to be graded. So, you have to follow the grading criteria as well in order to do it correctly. I uploaded the template map which is “NURSING 450 CARE PLAN WORKSHEET map” and it is the one that you are going to fill out and as well as the “Concept Map DM.”

To make it easier for you to follow, I am going to upload two examples that another student have already done which you can follow as a guide, remember not to put what is in the student example, it is there just as a guide because he is in the same class as me, if you put his information in my work, they will consider it as plagiarism which is bad.

Please see instructions below for more information on how to do the homework. Thank you so much.