NURS 6521: Superior Pharmacology
Week 6: Neurologic and Musculoskeletal Disorders
Sabrina is a 26 12 months previous feminine who has simply been recognized with a number of sclerosis. She has scheduled an appointment for a observe up together with her doctor however has a number of questions on her prognosis and is looking the Nurse Helpline for her hospital community. As she talks with the superior apply nurse, she learns that her prognosis additionally impacts her neurologic and musculoskeletal methods. Though a number of sclerosis is an autoimmune dysfunction, each the neurologic and musculoskeletal methods will likely be affected by antagonistic signs that Sabrina wants to concentrate on and for which particular drug remedy plans and different remedy choices have to be selected.
As a complicated apply nurse, what kinds of medication will greatest tackle potential neurologic and musculoskeletal signs Sabrina would possibly expertise?
This week, you’ll consider sufferers for the remedy of neurologic and musculoskeletal issues by specializing in particular affected person case research by a choice tree train. You’ll analyze the choices you’ll make within the choice tree train and replicate in your experiences in proposing the really useful actions to deal with the well being wants within the affected person case examine.
Studying Targets
College students will:
Consider sufferers for remedy of neurologic and musculoskeletal issues
Analyze choices made all through the prognosis and remedy of sufferers with neurologic and musculoskeletal issues
Justify choices made all through the prognosis and remedy of sufferers with neurologic and musculoskeletal issues
Studying Assets
Required Readings (click on to develop/scale back)
Required Media (click on to develop/scale back)
Task: Resolution Tree for Neurological and Musculoskeletal Disorders
On your Task, your Teacher will assign you one of many choice tree interactive media items offered within the Assets. As you look at the affected person case research on this module’s Assets, think about the way you would possibly assess and deal with sufferers presenting signs of neurological and musculoskeletal issues.
Picture Credit score: Getty Photos/Science Picture Library RF
To Put together
Assessment the interactive media piece assigned by your Teacher.
Replicate on the affected person’s signs and points of the dysfunction offered within the interactive media piece.
Take into account the way you would possibly assess and deal with sufferers presenting with the signs of the affected person case examine you have been assigned.
You’ll be requested to make three choices in regards to the prognosis and remedy for this affected person. Replicate on potential co-morbid bodily in addition to affected person elements that may affect the affected person’s prognosis and remedy.
By Day 7 of Week eight
Write a 1- to 2-page abstract paper that addresses the next:
Briefly summarize the affected person case examine you have been assigned, together with every of the three choices you took for the affected person offered.
Primarily based on the choices you really useful for the affected person case examine, clarify whether or not you imagine the choices offered have been supported by the evidence-based literature. Be particular and present examples. Remember to Help your response with proof and references from outdoors sources.
What have been you hoping to attain with the choices you really useful for the affected person case examine you have been assigned? Help your response with proof and references from outdoors sources.
Clarify any distinction between what you anticipated to attain with every of the choices and the outcomes of the choice within the train. Describe whether or not they have been completely different. Be particular and present examples.
You’ll submit this Task in Week eight.
Studying Assets
Required Readings (click on to develop/scale back)
Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for superior apply suppliers. St. Louis, MO: Elsevier.
Chapter 10, “Primary Ideas of Neuropharmacology” (pp. 73–77)
Chapter 11, “Physiology of the Peripheral Nervous System” (pp. 79–90)
Chapter 12, “Muscarinic Agonists and Antagonists” (pp. 91–107)
Chapter 13, “Adrenergic Agonists” (pp. 109–119)
Chapter 14, “Adrenergic Antagonists” (pp. 121–132)
Chapter 15, “Oblique-Performing Antiadrenergic Brokers” (pp. 133–137)
Chapter 16, “Introduction to Nervous System Pharmacology” (pp. 139–141)
Chapter 17, “Medicine for Parkinson Illness” (pp. 143–158)
Chapter 18, “Medicine for Alzheimer Illness” (pp. 159–166)
Chapter 19, “Medicine for Epilepsy” (pp. 167–189)
Chapter 20, “Medicine for Muscle Spasm and Spasticity” (pp. 191–201)
Chapter 57, “Drug Remedy of Rheumatoid Arthritis” (pp. 629–641)
Chapter 58, “Drug Remedy of Gout” (pp. 643–651)
Chapter 59, “Medicine Affecting Calcium Ranges and Bone Mineralization” (pp. 653–672)
American Academy of Household Physicians. (2019). Dementia. Retrieved from http://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=5
This web site offers info referring to the prognosis, remedy, and affected person schooling of dementia. It additionally presents info on problems and particular instances of dementia.
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Week 6 Neurologic and Musculoskeletal Disorders
Posted on: Monday, December 30, 2019 eight:08:56 AM EST
This week, you’ll consider sufferers for the remedy of neurologic and musculoskeletal issues by specializing in particular affected person case research by a choice tree train. You’ll analyze the choices you’ll make within the choice tree train and replicate in your experiences in proposing the really useful actions to deal with the well being wants within the affected person case examine.
Task:
In your course sources below week 6 you can find the choice tree below required media.
Select the case ” Alzheimer’s Illness”, It needs to be the primary one on the record.
This task shouldn’t be due till WEEK eight
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Neurologic and Musculoskeletal Disorders
The case examine examines the remedy of Sabrina, a 26-year-old feminine with a number of sclerosis. The remedy is supposed to deal with the neurologic and musculoskeletal issues occurring because of a number of sclerosis. The primary choice is to prescribe dimethyl fumarate 50 mg each day. The second choice is to extend the dosage to 120mg each day whereas the third choice is to extend the dosage to 240 mg each day.
The selections are supported by evidence-based apply since dimethyl fumarate is used within the remedy of a number of sclerosis by blocking immune cells from damaging nerves (Gajofatto & Benedetti, 2015). It additionally capabilities as an antioxidant to guard the mind and spinal wire. The medication are essential for stopping relapse and extreme signs that set off neurologic and musculoskeletal issues.
Within the first choice of prescribing dimethyl fumarate 50 mg each day, I hoped to scale back the speed of relapse and scale back signs related to neurologic and musculoskeletal issues akin to poor cognition, muscle weak point, and seizures (Cerqueira et al., 2018). Within the second choice of prescribing dimethyl fumarate 120mg each day, I hoped to scale back signs together with poor cognition, muscle weak point, and seizures (Gandhi et al., 2016). Within the third choice of prescribing dimethyl fumarate 240 mg each day, I hoped to scale back the signs (Gandhi et al., 2016). The drug is critical to lower the worsening situation of a number of sclerosis. Within the first choice, I hoped to scale back the speed of relapse and signs related to neurologic and musculoskeletal issues akin to poor cognition, muscle weak point, and seizures by prescribing dimethyl fumarate 50 mg each day (Cerqueira et al., 2018). I hoped that by prescribing dimethyl fumarate 120mg each day, I might have the ability to scale back signs akin to poor cognition, muscle weak point, and seizures (Gandhi et al., 2016). I hoped to alleviate the signs with the third choice of prescribing dimethyl fumarate 240 mg each day (Gandhi et al., 2016). The drug is required to sluggish the development of a number of sclerosis.
Within the first prescription of dimethyl fumarate 50 mg each day the affected person nonetheless skilled the identical issues with no well being enchancment, which was in opposition to my expectation. When the medicine was elevated to 120mg each day the affected person reported a gentle lower within the signs, which was as per my expectation. When it was elevated to 240mg the patient-reported lower of signs and important well being enchancment as per my expectation.
References
Cerqueira, J. J., Compston, D. A. S., Geraldes, R., Rosa, M. M., Schmierer, Ok., Thompson, A., … & Palace, J. (2018). Time issues in a number of sclerosis: early remedy and long-term follow-up guarantee everybody advantages from the most recent advances in a number of sclerosis? J Neurol Neurosurg Psychiatry, 89(eight), 844-850.
Gajofatto, A., & Benedetti, M. D. (2015). Therapy methods for a number of sclerosis: when to begin, when to alter, when to cease? World Journal of Scientific Circumstances: WJCC, three(7), 545.
Gandhi, S., Jakimovski, D., Ahmed, R., Hojnacki, D., Kolb, C., Weinstock-Guttman, B., & Zivadinov, R. (2016). Use of natalizumab in a number of sclerosis: present views. Skilled Opinion on Organic Remedy, 16(9), 1151-1162.
