Written Expression and Formatting – Paragraph Development and Organization:

Assignment: Pharmacotherapy for Cardiovascular Disorders

Heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease…

—Murphy et al., 2018

Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.

As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.

Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm

To Prepare

• Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.

• Review the case study assigned below for this Assignment.

• Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.

• Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.

• Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.

• Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.

SCENARIO

Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs currently prescribed include the following: • Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun • Aspirin 81 mg daily • Metformin 1000 mg po bid • Glyburide 10 mg bid • Atenolol 100 mg po daily • Motrin 200 mg 1–3 tablets every 6 hours as needed for pain

THE ASSIGNMENT QUESTION: (PLS INCLUDE SUBTITLES)

Write a 2- to 3-page paper that addresses the following:

• Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.

• Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.

• Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

• Integrates 2 or more credible outside sources, in addition to 2-3 course resources to suppport point of view. (SEE ATTACHED LEARNING RESOURCES)

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ASSIGNMENT GRADING RUBRIC:

• The response accurately and completely explains in detail how the factor selected might influence the pharmacokinetic and pharmacodynamic processes in the patient.

• The response accurately and completely describes in detail how changes in the processes might impact the patient’s recommended drug therapy.

• Accurate, complete, and aligned examples are provided to support the response.

• The response accurately and clearly explains in detail how to improve the patient’s drug therapy plan.

• The response includes an accurate and detailed explanation to support the recommended improvements.

• Integrates 2 or more credible outside sources, in addition to 2-3 course resources to suppport point of view.

• Applies meaning to the field of advanced nursing practice.

• Written Expression and Formatting – Paragraph Development and Organization:

• Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas.

• Sentences are carefully focused–neither long and rambling nor short and lacking substance with no errors.

• Correct grammar, mechanics, and proper punctuation

• The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.