WestCoast NURS676B 2021 April Week 3 Discussion Latest

NURS676B Advanced Pharmacology

Week 3 Discussion     

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, #3 Anne COPD.

Marty is a 66-year-old male chef who has been experiencing severe reflux symptoms for the past several weeks that seem to be worsening at night. He had similar symptoms two to three years ago that went away when he stopped drinking alcohol. He claims to remain abstinent, but his symptoms have returned. What additional information should you obtain? What medications should you consider for his symptoms? Discuss your assessment and plan of care including clinical guidelines that support your decision.

Kathy is a 32-year old Caucasian female with a history of migraine headaches since age 16. She has no other health issues. She is married with 4 children under age 10. She admits to life stressors. She drinks 3 cups of coffee a day. She has been well managed on Imitrex 50 mg and occasional OTC Excedrin until the past two months. She is now using her Imitrex more than 4 times a month and is not having resolution with two doses. Her exam and recent blood work are normal. What is your initial management plan for this patient? Is she a candidate for an alternative medication regimen? Would a headache diary be helpful with this patient? Use evidence-based guidelines to support your treatment plan.

James is a 19- year old African American male who was diagnosed with HIV one-month prior at his college health clinic. He was referred to a specialized HIV clinic for management. He was seen at the clinic, and he was advised to start antiretroviral treatment (ART) based on lab results. He never followed up. He admits that he is very scared and confused about ART. What education can you provide this patient about ART? What are the benefits and risks of ART? What patient education can you offer James about self-care in HIV disease?

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

In your peer replies, please reply to at least one peer who chose a different topic.