Course: Advance Pharmacology
Program Enrolled: Doctor of Nursing Practice Family Nurse Practitioner
Week 5: Discussion-Pain Prescription Writing Skills (CLO 1, 2, 4, 6)
Pain Prescription Writing Skills:
Bobby Randall, a 67 yo male stubbed his left big toe 6 days ago & is requesting Vicodin for pain. He has a history of HTN, DM, chronic foot pain, a history of Hepatitis C & is a former smoker & IV drug user. He is taking Lisinopril, Metformin, Celexa, & has been treated for his Hep C by a GI specialist. He has NKDA. Your foot assessment indicates he has no signs of infection and has mild swelling with slight tenderness on palpation at the hallux metatarsal phalangeal joint. His blood pressure has been running around 152/88 in the past 2 weeks. You calculate his 10 year ASCVD risk to be 16%. He is taking Lisinopril, Metformin, and Celexa, and a GI specialist has helped him with his Hep C. NKDA is his. Your Assessment of his foot shows that there are no signs of infection and that the joint where the big toe, second toe, and third toe meet is mildly swollen and slightly painful to touch. In the last two weeks, his blood pressure has been around 152/88. You think that his risk of ASCVD in 10 years is 16%.
Part A:
Answer the questions below before writing a prescription:
1) What labs would you order for this patient?
2) What would you consider treating his pain with?
3) How would you manage his Blood Pressure?
4) What would you treat his Cholesterol with considering his Hepatic function?
5) What immunizations would you consider for this patient?
Part B:
Write prescription in attached document N677 Dermatology Prescription and upload in this discussion. What drug, dose, frequency, and duration would you prescribe? How many refills would you order?
Resources:
N677 How to Write Prescriptions.pptx
N677 Prescription Writing Skills Directions
