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NSG6005 Advanced Pharmacology

Week 1 Case Study

You have a 58 year old African American male that is coming in for a follow-up visit after recently having a Myocardial infarction which was successfully treated via angioplasty.  He was started on Metoprolol for his consistently elevated high blood pressure during his hospital stay.  

His primary diagnoses include: 

• Coronary Artery Disease

• Type 2 diabetes controlled with Metformin 1,000 mg BID and HgA1C of 6.7.

• Asthma- Mild Intermittent- with no recent episodes of wheezing. Albuterol INH as needed.

• All other pertinent labs Within Normal Limits

First consider what clinical guidelines noted below can help us choose the best medication treatment for this patient with diabetes, CAD, Asthma and Hypertension. 

Joint National Committee JNC 8 - https://thepafp.org/website/wp-content/uploads/2017/05/2014-JNC-8-Hypertension.pdf 

National Center for Biotechnology Information - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092891/table/T1/?report=objectonly 

American Heart Association - https://www.ahajournals.org/doi/epub/10.1161/HYPERTENSIONAHA.120.15026 

IHS Division of Diabetes https://www.ihs.gov/sites/diabetes/themes/responsive2017/display_objects/documents/algorithms/AlgorithmHypertension.pdf 

Please answer each questions citing your response from evidence based clinical guidelines.  Your response should not be post as “I would recommend". Example of appropriate reference: The 2020 international Society of Hypertension Global Hypertension Practice Guidelines – recommend the use of selective ß1-receptor agonists in patients diagnosed with coronary heart disease and or heart failure ( Unger, T, et al, 2020). 

Reference:  
Unger T;Borghi C;Charchar F;Khan NA;Poulter NR;Prabhakaran D;Ramirez A;Schlaich M;Stergiou GS;Tomaszewski M;Wainford RD;Williams B;Schutte AE; (n.d.). 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension (Dallas, Tex. : 1979). Retrieved August 1, 2022, from https://pubmed.ncbi.nlm.nih.gov/32370572/  

1. Metoprolol is selective for which adrenoceptor? ( pharmacodynamics)

2. What effects do agents such as metoprolol have on the cardiovascular system? ( pharmacodynamics)

3. In which organ is metoprolol primarily metabolized? (Pharmacokinetics)

4. Why would a provider be cautious when ordering a Beta Blocker in a patient with Asthma?

MGT500 Management

Discussion Question:

Discuss how you think changes in the context of business are changing the role of management. What parts of the manager's role discussed in this module interest you most and which manager roles interest you least?

DQ1 UMBO – 4
DQ1 PLG –MBAF: 2; MBAPM: 2; MBAIM: 2
DQ1 CLO – 1, 5

BUS530 Marketing Management

Discussion Question:

What are some of the challenges facing businesses today in conducting marketing?
DQ1 UMBO – 4
DQ1 PLG – 3, 4
DQ1 CLO – 1

BUS560 Business Ethics

Discussion Question:

Part 1. Should a short-term or long-term consequence make a difference in resolving an ethical dilemma? Discuss.

Part 2. Of the four commonly held rationalizations for unethical behavior proposed by Saul Gellerman, which one do you thing gets used most often? Why?

DQ1 UMBO – 1, 2, 3
DQ1 PLG – 3, 4
DQ1 CLO –1, 4

NUR-531-18534-M01 Interpro. Ldrsp. in Healthcare

As a nurse leader, you will engage with and lead people from different teams. You may also be involved in improving clinical practices, influencing health policy, or educating the next generation of nurses. To be effective in such a role, you need to understand how social, political, and economic factors influence the healthcare system. You will need to work with different stakeholders to enable positive changes in the healthcare system. 

The American Association of Colleges of Nursing (AACN) The Essentials: Core Competencies for Professional Nursing Education includes Domain 10.3, which lists criteria for the capacity of leadership. As you read Domain 10.3, think about times in your professional experience when this criterion was evident and/or effective.  

In this discussion, introduce yourself to your instructors and peers and respond to the prompts below. Remember to cite the AACN Essentials as you reference it in your discussion posts. 

In your initial post, address the following: 

·       Briefly introduce yourself to your peers. Ideas for sharing include past experiences in nursing, your current role, and what you plan to do after graduating from this program.

·       Review Domain 10.3 of the AACN Essentials, which is linked in this week’s Resources section.

o   Select two criteria from Domain 10.3 that you want to learn more about.

o   Include two reasons why you want to focus on these two criteria from Domain 10.3.  

In response to at least two of your peers, select posts that include different criteria than the ones you initially chose. In your responses, include the following details: 

·       What do you find surprising about your peers’ observations?

·       Do you have any suggestions for your peers? 

To complete this assignment, review the Discussion Rubric.

NUR-499-18513-M01 Identity and Advocacy

In this discussion, we explore the four domains of professional nurse identity, looking at what defines a professional nurse. We examine how professional nurse identity shapes your role and responsibilities within healthcare. Furthermore, this discussion involves connecting the dots between professional nurse identity and advocacy, recognizing how your nursing role extends beyond clinical practice to advocating for patients and healthcare equity.

Create one initial post and respond to at least two of your classmates.

For your initial post, address the following:

1.     Referring to the four domains of professional nurse identity, discuss how your professional experience connects to a specific domain (or specific element of a domain).

2.     How do you see your professional nurse identity connected with speaking up (or advocating) for patients and equity in healthcare? Share an example from your experience where you have advocated for patients or worked toward making healthcare equitable.

For your response posts, address the following:

1.     Reflect on a peer’s post regarding how their professional experience connects to a domain. Why do you think it is useful to have the four domains as a framework?

2.     Consider a peer’s post on professional nurse identity and advocacy. How is your experience different or similar?

To complete this assignment, review the Undergraduate Nursing and Health Professions Discussion Guidelines and Rubric.

IHP-501-10681-M01 Global Health and Diversity

Global health focuses on understanding healthcare in an international and interprofessional context. It includes the learning, research, and practice of medicine for improving health and healthcare equity for populations worldwide. 

In this course, you will explore major global health challenges and their impacts on healthcare delivery systems. But, before you start examining these aspects of global health, it’s time to introduce yourself to your peers and your instructor.  

In your initial post, address the following:

·       Introduce yourself and identify your discipline. Include some information about your educational or professional background.  

·       What role do you currently play or plan to play in healthcare and healthcare systems? What significance does your role have on a healthcare team?

·       Do you think there is a “right to healthcare”? Explain how your views about this are informed by current research and your professional role. Briefly describe consensus views related to this topic fairly and objectively, while acknowledging areas where opinions diverge.

·       Support any claims with scholarly sources. 

In response to two peers, address the following about their roles in global health and priorities:

·       Support or critique your peers’ claims based on your own investigation of the current research. Do you agree with your peers’ characterization of the "right to healthcare”? How do their views differ from your own? Support any claims with current scholarly sources.

·       Share an example from your discipline that lends support to your perspective. How does your example demonstrate the needs or the disparities associated with this issue? 

To complete this discussion, review the Discussion Rubric. 

NUR-306-16403-M01 Nursing in the Community

This course will cover the basics of public and community health nursing. In our first discussion, we will introduce ourselves and then discuss resources used in public and community health nursing. You may address community resources and data resources. For data resources, it is helpful to consider how current the data or source is and who is providing the data (government, school district, nonprofit organization, etc.).

Create one initial post and respond to at least two of your classmates.

For your initial post, address the following:

1.     Briefly introduce yourself to the class by sharing a bit about yourself, such as your preferred name, your pronouns, where you are from, your current role, and any experience you might have with public health.

2.     How are the roles of a public health nurse and a community health nurse similar? How are they different? What example of public health nursing have you seen in your community?

3.     Briefly describe one or two resources you might use as a public health nurse. Include citations to support content. 

For your response posts, address the following:

1.     Could the resources your peer might use as a public health nurse also benefit a community health nurse? Why or why not?

2.     What other resources might you use as a public or community health nurse?

3.     How might you use one of the resources your peer mentioned in your current role?

To complete this assignment, review the Undergraduate Nursing and Health Professions Discussion Guidelines and Rubric.