NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators
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NUR 641E Week 1 DQ 1 and 2
Find an article on a
genetic disorder and summarize in two or three paragraphs the genetic component
causing the disorder and any multifactorial inheritance components that may
contribute to the disorder. Discuss the usual age of disease onset and if the sex-specific
threshold model fits the disorder. What education could you present to
high-risk patients to reduce the risk of disease onset if a multifactorial
component exists?
Dq2
Genetic screening has
become widely available to the public including prenatal screening of the fetus
in utero to screening adults for genetic disorders, such as Parkinson’s disease
and breast cancer. Share your thoughts on the legal, ethical, and social
implications that may be related to genetic screening. How would you educate
your patient that is considering having genetic screening?
NUR 641E Week 2 DQ 1 and 2
DQ 1
Choose an FDA-approved
prescription medication and discuss the pharmacokinetics and pharmacodynamics
of the medication, including any differences that would be expected based on
the patient’s age, a condition of pregnancy, or lactation. Address any adverse
effects the medication may have based on age, pregnancy, or lactation.
DQ2
Active acquired immunity
can be achieved through the use of childhood immunizations. Many parents voice
concerns regarding the safety of vaccinations. What is your opinion on the
current use of vaccinations? How would you educate parents regarding the safety
and effectiveness of vaccinations? Defend your answers with evidence-based
research.
NUR 641E Week 3 Dq 1 and dq 2
DQ1
Share a case study of
an electrolyte imbalance from your practice or from the literature. Summarize
the case study in 1-2 paragraphs. Then discuss the clinical manifestations of
the imbalance, the pathophysiology behind the imbalance, normal cell membrane
transport of the electrolyte(s), and any alterations in cell membrane transport
caused by the imbalance. How was the electrolyte imbalance resolved? Analyze
the case study to determine any areas in which patient or staff education may
have helped to prevent the electrolyte imbalance.
Use at least three
scholarly, peer-reviewed resources less than 5 years old in addition to course
materials
DQ2
A widespread belief is
that caffeine has a diuretic effect when consumed and will induce dehydration
if used by athletes or those who perform strenuous exercise. Discuss the
pathophysiology behind this belief. Share your thoughts on whether you agree or
disagree that caffeine can induce dehydration. Support your answer with
evidence-based literature.
NUR 641E Week 4 DQ 1 and DQ 2
Compare and contrast
the pathophysiology between chronic obstructive pulmonary disease (COPD) and
pneumococcal pneumonia. Include any types of cellular injury or cellular
adaptation that may occur. Evaluate if an inflammatory response is present and
discuss the impact of that response. In the case of COPD, discuss the type of
patient education you would implement to help with the patient’s understanding
of the disease and to improve compliance with a treatment plan.
DQ 2
Find an evidence-based
journal article on cystic fibrosis and summarize the article in one or two
paragraphs. Address why you chose the article and how you might use the
findings in your current or future practice setting.
NUR 641E Week 5 DQ 1 and DQ 2
DQ 1
Atherosclerosis is a
common disorder of the arteries. A modifiable risk factor for the development
of atherosclerosis is hypertension. Discuss the pathophysiology of both
disorders and the mechanisms by which hypertension contributes to
atherosclerosis. Discuss the current medications used to treat both disorders
and the pharmacologic actions the medications have in altering the pathophysiology.
How can you use this information in your current or future practice setting?
DQ2\
Share a case from your
personal practice or from the literature in which alternative therapies were
used to facilitate the management of acute or chronic cardiovascular
conditions.
NUR 641E Week 6 DQ 1 and DQ 2
DQ1
Find an article on an
inflammatory condition of the lower genitourinary tract. Summarize the article
in one or two paragraphs. Discuss the pathophysiology of the condition, the
pharmacologic agent(s) used to treat the condition, and how the agent(s) alter
the pathophysiology. Discuss the role of the nurse educator related to patient
education of the reported condition and treatment.
Respond to another
student’s posting on an inflammatory condition that is different from the
condition you posted, comparing and contrasting the differences between the
conditions.
DQ 2
Infertility is
considered a disease process of the reproductive tract. Find an article
on an alteration of the genital tract that can lead to infertility.
Summarize the article in two or three paragraphs. Discuss any potential
treatments. What is the potential psychosocial impact for the patient
with the condition?
NUR 641E Week 7 DQ 1 and DQ 2
Review the following
case study:
Chief Complaint:
A 23-year-old woman
presents with complaints of muscle weakness in the face.
History:
The patient is a
23-year-old administrative assistant who complains of intermittent muscle
weakness in her face that has been getting worse over the past 3 months. She
also states that as she chews, her jaws feel tired. Swallowing has also become
difficult. She reports episodes of double vision (diplopia), which seems to
occur after reading for a few minutes in the late evening. With certain
strenuous activities or after typing for long periods of time at work, she
reports problems with bilateral arm weakness.
Physical Examination:
Notable ptosis
(drooping) of the eyelids after repeated blinking exercises. When asked to
smile, she appears to be snarling. Reflexes and sensation are normal in both
upper and lower extremities. There is considerable weakness of the arms noted
bilaterally after exercise.
Case Questions:
1.
Is the patient’s
condition neurological, musculoskeletal, or both? Explain why and support your
thoughts with evidence-based literature. What would be a possible neurologic or
musculoskeletal condition causing the symptoms?
2.Explain the
pathophysiology behind the condition.
3.What pharmacological
agent(s) are commonly used to treat the disorder and how do the agent(s) alter
the pathophysiology of the condition?
4.What would be your
educational plan for the patient?
DQ 2
Parkinson’s disease is
a progressive neurodegenerative disorder. The current treatment options for the
disorder have focused on symptom control. Research is now focusing on
developing ways to modify the disease progression and possibly provide a cure.
Investigate the current research on Parkinson’s disease treatments, including
stem-cell research and the use of fetal tissue implants. Share your thoughts on
the evolving therapies. What are the current controversies?
NUR 641E Week 8 DQ 1 and DQ 2
DQ 1
Share a case study
from your clinical practice or from the literature on an endocrine disorder.
Discuss the pathophysiology of the disorder, including the effects on the
endocrine feedback system, and the role of the hypothalamic-pituitary axis.
Identify the pharmacologic agent(s) used to treat the disorder and how the
pharmacologic agent(s) alters the pathophysiology.
DQ2
Human chorionic
gonadotropin (HCG) is currently being used as an aid to weight loss in
conjunction with an extremely restricted caloric intake of 500 calories per
day. Many people are buying the HCG through the Internet with no medical surveillance.
Research the HCG diet and share your thoughts on the efficacy, safety, and
validity of the diet. What strategies would you use to educate patients on the
diet?
NUR 641E Week 2 Patient Educational Flyer
Design a 1-2 page
patient education flyer/pamphlet for an alternative medicine/herbal product.
Describe the product,
its intended use, side effects, adverse reactions, and safety issues (risks and
benefits of using an alternative medication/herbal product versus a
prescription medication).
The flyer should
include at least two community and/or online resources for the patient to
obtain more information.
APA format is not
required, but solid academic writing is expected.
NUR 641E Week 3 Acid-Base Case Study Paper
Read the “Resource 1:
Case Study.” Read below
Answer the questions
at the end of the case study in a paper of 750-1,000 words.
Prepare this
assignment according to the APA guidelines found in the APA Style Guide,
located in the Student Success Center. An abstract is not required.
This assignment uses a
rubric. Please review the rubric prior to beginning the assignment to become
familiar with the expectations for successful completion.
Case Study =
A 22-year-old woman
reports being “sick with the flu” for the past 8 days. She is vomiting several
times every day, having difficulty keeping liquids or food down, and has been
using more than the recommended dose of antacids in an attempt to calm the
nausea. She has become severely dehydrated. After fainting at home, she was
taken to a local hospital. An arterial blood gas sample was drawn and then an
IV was placed to help rehydrate her. The arterial blood gas revealed the
following:
Test
Result
Normal levels
pH
7.5
7.35 – 7.45
PaCO2
40 mm Hg
35-45 mm Hg
PaO2
95 mm Hg
80-100 mm Hg
SaO2
97%
95-100%
HCO3-
32 meq/liter
22-26 meq/liter
How would you classify
the patient’s acid-base disturbance and explain why?
Given the case study,
what are the possible factors causing this acid-base disturbance? Explain the
pathophysiology created by these factors.
How would the renal
and respiratory systems try to compensate for this acid-base disturbance?
What pharmacologic intervention
is commonly used to correct this acid-base disturbance? Describe the
pharmacological actions.
Describe the
educational needs for this patient and what your approach will be.
NUR 641E Week 4 Patient Interview Paper
Interview a patient with
a chronic pulmonary health condition who is on at least two medications.
In a 1,350-1,600-word
paper, discuss the following:
1.
Obtain a complete
health history.
2.
Obtain a complete
medication history, including prescription and over-the-counter drugs or supplements.
3.
Analyze the client’s
current knowledge level of medications and compliance with the prescribed
dosing and administration.
4.
For each medication,
identify the pharmacokinetics, pharmacodynamics, dose, route of administration,
side effects, adverse reactions, any drug interactions, potential safety
issues, and the impact on the client’s health status.
5.
Formulate possible
interventions related to lack of drug efficacy, lack of client knowledge, or
client compliance issues as identified during the interview.
Prepare this
assignment according to the APA guidelines found in the APA Style Guide,
located in the Student Success Center. An abstract is not required.
NUR 641E Week 5
(CLC – Staff
In-Service Presentation – Part 1) This is a group assignment. I will instruct
the writer as to which part I am assigned to do.
Develop a PowerPoint
presentation with complete speaker notes for a staff in-service on the
pathophysiology and pharmacologic agents for a select disease process. The
total maximum number of slides is 30 (Parts 1 and 2 combined). Your group may
determine how to divide the number of slides between Parts 1 and 2.
Each CLC will choose
one disease process to present from the following list with the instructor’s
approval:
1.Alzheimer’s disease
2.Asthma
3.Diabetes Type 2
4.Epilepsy
5.Gastroesophageal
reflux disease (GERD)
6.Hypertension
7.Hypothyroidism
8.Multiple sclerosis
9.Peptic ulcer disease
10.Tuberculosis.
Part 1 of the
presentation will focus on the physiology and pathophysiology of the disease,
clinical manifestations, and evaluation (e.g., labs, imaging).
Refer to the resource,
“Creating Effective PowerPoint Presentations,” located in the Student Success
Center, for additional guidance on completing this assignment in the appropriate
style.
NUR 641E Week 6 Commercial Critique Paper
In a 1,200-1,500-word
paper:
1.Critique a TV or
radio commercial, an Internet advertisement, or a print advertisement from a
nonprofessional journal/magazine related to an FDA-regulated prescription drug
for a gastrointestinal disorder.
2.Critique a TV or
radio commercial, an Internet advertisement, or a print advertisement from a
nonprofessional journal/magazine related to a non-FDA-regulated
over-the-counter medication/herbal for a gastrointestinal (GI) disorder.
Include a description
of the pathophysiology of the GI disorder and how the medication/herbal alters
that pathophysiology.
Compare and contrast
the two commercials, including their stated use of medication/herbal, patient
safety issues, analysis of company claims for any drug benefits. Substantiate
your thoughts and ideas with evidence-based research/articles.
Prepare this
assignment according to the APA guidelines found in the APA Style Guide,
located in the Student Success Center. An abstract is not required.
NUR 641E Week 8 CLC – Staff In-Service Presentation – Part 2
This is a
Collaborative Learning Community (CLC) assignment. This is a group assignment.
I will instruct the writer as to which part of the assignment I am assigned.
Part 2 of the
presentation will focus on the pharmacologic treatment of the disease,
including pharmacokinetics, pharmacodynamics, drug interactions, side effects,
adverse reactions, and application of the nursing process in monitoring the
drug therapy.
Part 2 will also
include the development of a creative patient education tool for the staff to
use to assist in increasing patient knowledge of medications and medication
compliance.
The total maximum
number of slides is 30 (Parts 1 and 2 combined).
An abstract is not
required.
Part 2 Class Advanced Pathophysiology and Pharmacology
for Nurse Educators: Power Point for Staff In-Service.
(Part 2 focuses on the pharmacologic treatment of the
Alzheimer’s disease)
Please include speaker
notes with all slides and references (journals preferably)!!!!
·
Focus on the
pharmacologic treatment of Alzheimer’s disease/ Drug Interactions, Side
Effects, Adverse Reactions (5-6 slides). Since it is 6
slides you can do two slides for each underlined section.
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