NR 508 Week 2 Discussions 1 (Part One) Recent
NR 508 Week 2 Discussions 1 (Part One) Recent
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. NR 508 Week 2 Discussions 1 Part One
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 NR 508 Week 2 Discussions 1 Part One
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? NR 508 Week 2 Discussions 1 Part One
discussion part two
cynthia has been prescribed a plethora of medications. how will you properly monitor each medication for efficacy and toxicity? are you concerned with any drug-drug interactions? if so, what are they, and what is the mechanism of the interaction?
discussion part three
given cynthia’s increased creatinine and renal deterioration, metformin is probably not optimal in this case. therefore, upon subsequent visits, you decide to start her on a sulfonylurea. she reappears in your clinic fairly soon thereafter with complaints of shakiness, sweating, chills, clamminess, lightheadedness, and a moderately severe headache. NR 508 Week 2 Discussions 1 Part One
• what is the diagnosis given these symptoms and the medications she is currently taking from parts one and two, and how would you proceed?
• at this point, please also be sure to also provide an accurate summary of cynthia’s medication plan. NR 508 Week 2 Discussions 1 Part One
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.” NR 508 Week 2 Discussions 1 Part One
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. NR 508 Week 2 Discussions 1 Part One
Description
Please answer all the questions in Case Study (Questions #1-14), and please do the Stroke Concept Map.
Please see instructions in the files below for more information on how to do the homework. Thank you so much. Note: this concept map steps that I uploaded it is not based on stroke case, it is another case different than stroke. I just put it there, just for you to follow in order to do the stroke concept map