NURS 6384 Pharmacotherapeutics Summer 2022 Unit 5 Assignment Review powerpoints,

NURS 6384 Pharmacotherapeutics
Summer 2022
Unit 5 Assignment
Review powerpoints, and links provided and answer case study questions in full detail ad depth. Please provide 4 reference within the last 5 years from 2022. Please provide plagiarism report after completed.
Read Chapters 17, 20, 33, 36, 40
View each of the chapter PowerPoints to highlight important chapter themes
View the following videos
· https://www.youtube.com/watch?v=qihjhBrK0Xs
· https://www.youtube.com/watch?v=XmfzxFcrpHY
· https://www.youtube.com/watch?v=6_nDW36x0s4
Complete the quiz for Unit 5 – There are 20 multiple choice questions on this quiz and you will have 30 minutes to complete the quiz. Please make sure you have read each of the unit chapters and viewed the PowerPoints before beginning the quiz.
Submit your case study answers as a word document to the Unit 5 drop box. The case study answers should be detailed and demonstrate analytical and critical thinking skills. Please follow the directions within the case study folder.
Case study #1
Chief complaint
“My heartburn has been waking me up at night.”
History
A 47-year-old male patient (Greg) presents to the clinic with complaints of intermittent nocturnal gastroesophageal reflux. History reveals that he awakens experiencing burning pain substernally and in the back of his throat. This results in “my larynx closing down” and his being “almost unable to breathe.” As soon as he can breathe effectively, he swallows “a lot” of antacid and flushes it down with water. The entire episode is very frightening, and he is often afraid to go back to sleep. Because he already has a problem with mild sleep apnea, he is becoming increasingly tired and unable to function at work due to lack of sleep. He now sleeps only in his recliner. He is also concerned about the substernal pain because his father had a myocardial infarction at age 49 and required coronary artery bypass surgery.
He is 5 feet 9 inches tall and weighs 220 pounds (body mass index [BMI] is 32.5), with much of his excess weight carried in his abdomen. He is not a smoker, “occasionally” has three or four beers with friends, and “often” has pizza or submarine sandwiches for lunch with a “diet cola.” He takes no drugs other than the antacid after a reflux episode.
Assessment
A chest x-ray and electrocardiogram are negative for cardiopulmonary disease, and Greg is diagnosed by history with gastroesophageal reflux disease (GERD).
1. What would be the initial management plan for Greg?
2. What medication is appropriate for Greg?
3. What education is appropriate for Greg?
Case Study #2
A 43-year-old African American male has a history of hypertension, hypertriglyceridemia, and avitaminosis D.
Current medications include ezetimibe 10 mg daily, niacin SR 1,000 mg at bedtime, hydrochlorothiazide (HCTZ)/lisinopril 25/20 mg daily, and vitamin D3 over the counter 5,000 units twice a day. He had a previous testosterone level drawn at another facility that he reports as being low.
He endorses a feeling of fogginess, lack of energy, core weight gain, decrease in erections, and decrease in semen consistency.
Labs reveal testosterone 180 ng/dL (193–836 ng/dL), and thyroid-stimulating hormone/thyroxine, vitamin D, follicle-stimulating hormone/luteinizing hormone, and prostate-specific antigen within normal levels.
1. Is this patient a good candidate for testosterone therapy? Why or why not?
2. What are his risk factors for having erectile dysfunction?
3. What information is required to make a final decision on the testosterone replacement?