NU641 Interactive Upper Respiratory Case Study

NU641 Interactive Upper Respiratory Case Study

NU641 Advanced Clinical Pharmacology

Week 7 Assignment  

Interactive Upper Respiratory Case Study

In this assignment, you will review the interactive Upper Respiratory Case Study patient scenario and analyze the data to determine the health status of the patient. You will need a minimum of two evidence-based practice articles to include clinical practice guidelines, as well as the course textbook.

Use the NU641 Upper Respiratory Case Study Questions (Word) document to complete the case study assignment.

Follow the requirements posted in the rubric.

This case study should be three to five pages, excluding title and references pages.

All papers must conform to the most recent APA standards.

Please refer to the Grading Rubric for details on how this activity will be graded.

NU641 Case Study Week 7 – Upper Respiratory Infections

Jackieis a 45-year-old white female with past medical history of controlled hypertension, controlled asthma, and eczema. She has a four-day history of nasal congestion, headache, sore

throat, sneezing, and productive cough. She denies fever, nausea, vomiting, and myalgias. She has three children who recently went back to school following a summer vacation. No one else in her household is currently presenting with similar symptoms. She has no known drug allergies but is allergic to mums and ragweed. She calls her primary care provider’s office requesting a medication to treat her illness. She takes several medications, including the following:

• Mometasone 220 mcg—1 puff daily for asthma.

• Albuterol 90 mcg—1 to 2 puffs q4–6 hours as neededfor shortness of breath.

• Lisinopril 10 mg—one tablet by mouth daily forhypertension.

• Oxymetazoline hydrochloride 0.05% nasal spray—2sprays per nostril bid × 3 days.

Provide rationales for your answers:

1. Which of the following is the MOST appropriate drug to recommend?

a. Oxymetazoline hydrochloride 0.05% nasal spray—2 sprays per nostril bid until symptoms resolve.

b. Naproxen 220 mg—one tablet by mouth every12 hours as needed until symptoms resolve.

c. Dextromethorphan ER oral liquid—60 mg every12 hours until symptoms resolve.

d. Amoxicillin–clavulanic acid 500 mg every 8 hoursfor seven days.

2. Which of the following nonpharmacological therapiesis NOT recommended?

a. Steam inhalation

b. Increased water intake

c. Menthol lozenges

d. Saline gargle

3. Jackie is insistent on taking a complementary therapy to help treat her symptoms. What is the MOST appropriate recommendation?

a. Echinacea purpurea tincture—0.75 mL

b. Fresh garlic—3 cloves

c. Acidophilus probiotic—1 tablet daily

d. Vitamin C—1 g

NU641 Advanced Clinical Pharmacology

Week 10 Assignment  

Interactive Anxiety Case Study

Instructions

In this assignment, you will review the interactive Mental Health Anxiety Case Study patient scenario and analyze the data to determine the health status of the patient. You will need a minimum of two evidence-based practice articles to include clinical practice guidelines, as well as the course textbook.

Use the NU641 Mental Health Anxiety Case Study Questions (Word) document to complete the case study assignment.

Follow the requirements posted in the rubric.

This case study should be three to five pages, excluding title and references pages.

All papers must conform to the most recent APA standards.

Please refer to the Grading Rubric for details on how this activity will be graded.

NU641 Case Study Week 10 – Anxiety Disorders

Ivy, age 23, is a white woman who graduated from college last year. She began working as an accountant one month after graduating. Approximately two months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she sees a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past nine months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent.

She reports that all her life she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” Ivy reports that she has a good relationship with her boyfriend, but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past four years without any adverse effects.

Diagnosis: Generalized Anxiety Disorder

1. List specific treatment goals for Ivy.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success ofthe therapy?

4. Describe specific patient monitoring based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What dietary and lifestyle changes should be recommended for this patient?

8. Describe one or two drug–drug or drug–food interactions for the selected agent.