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NURS 6521: Advanced Pharmacology
Week 6
Introduction
Resources
Discussion
Assignment
Quiz
Week In Review
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NURS 6521: Advanced Pharmacology
Week 6
Introduction
Resources
Discussion
Assignment
Quiz
Week In Review
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Menu
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NURS 6521: Advanced Pharmacology
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Week 4
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Week 6
Week 7
Week 8
Week 9
Week 10
Week 11
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Week 6: Endocrine and Musculoskeletal System
The endocrine and musculoskeletal systems play important roles in the regulation and coordination of activities throughout the body. When alterations of these systems occur, many patients require long-term drug therapies. In addition to drugs prescribed by their health care providers, patients with these disorders also often take herbal and dietary supplements. According to the American Diabetes Association, 22 percent of diabetic patients use herbal therapy and 31 percent use dietary supplements (American Diabetes Association, 2009). This may impact the effects of prescribed drugs, as well as pose a concern of adverse drug reactions in patients. When treating patients with endocrine and musculoskeletal disorders, it is important to educate patients on associated risks. As an advanced practice nurse prescribing drugs, you must carefully consider all drug, herbal, and dietary therapies prior to finalizing treatment plans.
This week you examine types of drugs prescribed to patients with endocrine and musculoskeletal disorders, as well as the impact of patient factors on the effects of drugs. You also explore ways to improve patient treatment plans including suggested drug therapies. Finally, you examine types of diabetes and the impact of diabetes drugs on patients.
Learning Objectives
By the end of this week, students will:
Analyze types of drugs prescribed to treat endocrine and musculoskeletal disorders
Evaluate the impact of patient factors on the effects of prescribed drugs for endocrine and musculoskeletal disorders
Evaluate drug therapy plans to treat endocrine and musculoskeletal disorders
Analyze patient education strategies for treatment and management of endocrine and musculoskeletal disorders
Differentiate types of diabetes
Evaluate the impact of diabetes drugs on patients
Understand and apply key terms, concepts, and principles related to prescribing drugs to treat endocrine and musculoskeletal disorders
Photo Credit: Mark Hatfield/iStock / Getty Images Plus/Getty Images
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
This page contains the Learning Resources for this week. Be sure to scroll down the page to see all of this week’s assigned Learning Resources. To access select media resources, please use the media player below.
Required Readings
Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins..
Chapter 36, “Osteoarthritis and Rheumatoid Arthritis” (pp. 591-609)
This chapter examines the causes, pathophysiology, and diagnostic criteria of osteoarthritis and rheumatoid arthritis. It then outlines the process of selecting, administering, and managing drug therapy for both disorders.
Chapter 46, “Diabetes Mellitus” (pp. 785-806)
This chapter begins by identifying the causes, pathophysiology, and diagnostic criteria of diabetes mellitus. It then examines the process of selecting, administering, and managing drug therapy for patients with diabetes mellitus.
Chapter 47, “Thyroid Disorders” (pp. 809-822)
This chapter explores the causes, pathophysiology, diagnostic criteria, and administration of drug therapy for patients with thyroid disorders, including hypothyroidism, hyperthyroidism, thyroid nodules, subclinical thyroid disease, and thyroiditis. It also discusses the mechanisms of prescribed drugs, as well as proper dosages and potential adverse reactions.
English, C. & Aloi, J.J. (2015). New FDA-Approved Disease-Modifying Therapies for Multiple Sclerosis. Clinical Therapeutics. 37(4). 691-715
Note: Retrieved from the Walden Library databases.
This article covers new FDA approved medications for the treatment of multiple sclerosis.
Kargiotis, O., Paschali, A., Messinis, L., & Papathanasopoulos, P. (2010). Quality of life in multiple sclerosis: Effects of current treatment options. International Review of Psychiatry, 22(1), 67–82.
Note: Retrieved from the Walden Library databases.
This article examines the process of evaluating and diagnosing patients who present with symptoms of multiple sclerosis and explores treatment and rehabilitation methods.
Document: American Diabetes Association. (2018). Pharmacologic Approaches to Glycemic Treatment: Standards of medical care in diabetes—2018. Diabetes Care, 41(Supplement 1), S73-S85. Retrieved from http://care.diabetesjournals.org/content/41/supplement_1/s73.full-text.pdf
Required Media
Laureate Education, Inc. (Executive Producer). (2012). The endocrine system and diabetes. Baltimore, MD: Author.
This media presentation explores the endocrine system and diabetes including diagnosis and treatment of the disease.
Note: The approximate length of this media piece is 5 minutes.
Laureate Education, Inc. (Executive Producer). (2012). Advanced pharmacology – Mid-course review. Baltimore, MD: Author.
This media is an interactive mid-course review covering course content.
Optional Resources
Refer to the Optional Resources listed in Week 1.
Discussion: Pharmacotherapy for Endocrine and Musculoskeletal Disorders
Patients with endocrine and musculoskeletal disorders often require long-term treatment and care resulting in the need for extensive patient education. By appropriately educating patients, advanced practice nurses can assist patients with the management of their disorders. In clinical settings, patients with endocrine and musculoskeletal disorders typically seek treatment for symptoms that pose problems to their everyday lives as ordinary tasks may become difficult to complete. For instance, patients might have difficulty walking short distances, preparing meals, or even running errands. To reduce these symptoms and additional health risks, it is essential to develop drug therapy plans with individual patient factors in mind.
To prepare:
Select one of the following endocrine or musculoskeletal disorders: thyroid disease, osteoarthritis, rheumatic arthritis, gout, multiple sclerosis, or fibromyalgia. Consider the types of drugs that would be prescribed to patients to treat symptoms associated with this disorder.
Select one of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how this factor might impact the effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.
With these thoughts in mind:
By Day 3
Post a description of the endocrine or musculoskeletal disorder you selected including types of drugs that would be prescribed to patients to treat associated symptoms. Then, explain how the factor you selected might impact the effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.
By Day 6
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected a different endocrine or musculoskeletal disorder than you did. Provide recommendations for alternative drug treatments and patient education strategies for treatment and management.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
Submission and Grading Information
Grading Criteria
To access your rubric:
Discussion Rubric
Submission
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
Week 6 Discussion
Assignment:
Diabetes and Drug Treatments
Diabetes is an endocrine system disorder that affects millions of children and adults (ADA, 2011). If left untreated, diabetic patients are at risk for several alterations including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations. In this Assignment, you compare types of diabetes including drug treatments for type 1, type 2, gestational, and juvenile diabetes.
To prepare:
Review this week’s media presentation on the endocrine system and diabetes, as well as Chapter 46 of the Arcangelo and Peterson text and the Peterson et al. article in the Learning Resources.
Reflect on differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.
Select one type of diabetes.
Consider one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
Think about the short-term and long-term impact of the diabetes you selected on patients including effects of drug treatments.
By Day 7
Write a 2- to 3- page paper that addresses the following:
Explain the differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.
Describe one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Include dietary considerations related to treatment.
Explain the short-term and long-term impact of this diabetes on patients including effects of drugs treatments.
Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK06Assgn+last name+first initial.(extension)” as the name.
Click the Week 6 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 6 Assignment link.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK06Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:
Week 6 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 6 Assignment draft, and review the originality report
Submit Your Assignment by Day 7
To submit your Assignment:
Week 6 Assignment
Week 6 Quiz
This week’s Quiz covers the content you have explored this week. The Quiz may include the following topics:
Drug classifications by indication—antidiabetic agents, endocrine disorders, musculoskeletal disorders
Drug dosage calculations
Drug interactions
By Day 7
You have 75 minutes to complete this 31-question Quiz.
This quiz is a test of your knowledge in preparation for your certification exam. No outside resources including books, notes, websites, or any other type of resource are to be used to complete this quiz. You are expected to comply with Walden University’s Code of Conduct.
Submission and Grading Information
Submit Your Quiz by Day 7
To submit your Quiz:
Week 6 Quiz
Week In Review
This week you analyzed prescribed drugs and patient education strategies used for the treatment and management of endocrine and musculoskeletal disorders. You also evaluated the impact of patient factors on the effects of prescribed drugs and drug therapy plans used to treat these disorders.
Next week you will examine diagnoses for patients with potential GI and hepatobiliary disorders and develop a drug therapy plan based on patient history and diagnosis.
Next Week
Go to next week:
Week 7
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