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Discussion 1: Cardiovascular Alterations

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NURSING Discussions-GRADUATE LEVEL WORK ONLY

Please read the assignment in full. If you cannot do it; don’t say you can and not deliver awesome work. I have already not had a good experience on this site so I am looking for graduate level work. The assignment is a Discussion Post, not a paper, but it should include and introduction and summary and ALL of what the assignment says to include. PLEASE READ CAREFULLY. Thanks.
Discussion 1: Cardiovascular Alterations
At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.
Consider the following scenario:
A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.
To Prepare

  • Review the scenario provided, as well as Chapter 25 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.
  • Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.

By Day 3
Post a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient.

Discuss the pharmacological aspects of Benzodiazepine

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Nursing discussions

Write 2 paragraphs for each prompt.
Use at least one scholarly source and evidence-based research in support of your ideas.
Nursing Advanced Pharmacology 
1.Discuss the development of new drugs in the United States as compared to other countries, and evaluate the pharmacoeconomic issues that lead to high prescription costs in the United States
2. Discuss the pharmacological aspects of Benzodiazepine . Give examples of how and when this drug is used.
Nursing Advanced Physiology and Pathophysiology 
1.Describe the clinical manifestations, similarities, and differences of the following vitamin deficiencies: niacin, riboflavin (B2), thiamine (B1), folate, vitamin B12, vitamin B6,pantothenic acid (B5), biotin, vitamin C, vitamin K, vitamin E, vitamin A, and vitamin D.
2.Discuss the inherited mutation genes BRCA and BRCA 2, their prevalence, risks for different cancers, and recommended surveillance screenings for those with a confirmed genetically inherited mutation
1.Describe the clinical manifestations, similarities, and differences of the following vitamin deficiencies: niacin, riboflavin (B2), thiamine (B1), folate, vitamin B12, vitamin B6,pantothenic acid (B5), biotin, vitamin C, vitamin K, vitamin E, vitamin A, and vitamin D.
2.Discuss the inherited mutation genes BRCA and BRCA 2, their prevalence, risks for different cancers, and recommended surveillance screenings for those with a confirmed genetically inherited mutation

What are the side effects of fluoxetine?

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A 40 year old woman presents with fatigue. She reports feeling ‘very run down’ for the past three months.  She has no interest in participating in her usual activities and sporting events. She re

A 40 year old woman presents with fatigue. She reports feeling ‘very run down’ for the past three months.  She has no interest in participating in her usual activities and sporting events. She reports sleeping problems and low appetite. She is constantly feeling low and has frequent crying spells.
Her physical examination is normal and thyroid function is normal.
She is diagnosed with major depression and is referred for counseling and started on fluoxetine.
Assignment Questions

  1. What is the mechanism of action of fluoxetine?
  2. Why is fluoxetine the drug of choice?
  3. What are the side effects of fluoxetine?
  4. What are the risks of abruptly discontinuing fluoxetine?

Instructions 

  • Prepare and submit a 3-4 page paper [total] in length (not including APA format).
  • Answer all the questions above.
  • Support your position with examples.
  • Please review the rubric to ensure that your assignment meets criteria.
  • Submit the following documents to the Submit Assignments/Assessments area:
    • Case Study: Antidepressants

List possible differential diagnosis with supporting/excluding criteria

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Each student will present a Clinical Practice Presentation . The focus of the presentation must reflect current treatment recommendations from accepted professional organizations. Students are expect

Each student will present a Clinical Practice Presentation . The focus of the presentation must reflect current treatment recommendations from accepted professional organizations.
Students are expected to expand their use of resources for evidence-based practice beyond the required text, and explore nursing and related literature to improve their understanding and application of advanced interventions. Each student will present a Clinical Practice Presentation. The focus of the presentation must reflect current treatment recommendations from accepted professional organizations. Presentations will be evaluated related to the criteria listed. Presentations must be no more than 8 slides in a PowerPoint format with a Reference List in APA format, will be no more than 15 minutes in length. Topics will be listed and students must sign up for presentation by the second week of the course. Topics may include: pneumonia, COPD, Parkinson’s, pancreatitis, cholecystitis, Asthma, joint replacement, psoriasis, and others.
Grading Criteria
In order to get the full grade you must have all this aspects
Presents the case including CC, HPI, Hx, ROS and PE findings concisely
List possible differential diagnosis with supporting/excluding criteria.
What labs or tests are typically ordered in relation to this condition? What results should the
NP expects to see with this diagnosis?
What medications are typically prescribed for this condition? List specific drugs, starting doses, dose ranges, precautions to keep in mind when prescribing these drugs.
What are the outcomes expected or unexpected for this specific condition? And What patient outcomes will trigger a referral?
Provide patient teaching materials specific to their condition