27 Mar For this class, you need to start thinking outside of the role of provider administering the medication but the provider prescribing the medication

This week gives you a basic foundation of pharmacokinetics and the principles behind it, as well as a general disease state knowledge of medications (i.e. this is a prostate cancer drug, etc). There are calculations mixed in this week (i.e. 15 mL = how many teaspoonfuls, etc). Also, begin to think as the prescriber instead of the person administering the medication.

Instruction:

Say you want to reference the CDC.   Many will put (CDC, 2012).   That is great however for the first citation you want as follows:

(Centers for Disease Control [CDC], 2012).   

For this class, you need to start thinking outside of the role of provider administering the medication but the provider prescribing the medication. Many students have trouble pulling away from the traditional RN role into a prescriber role. Focus on the disease state, what you would prescribe, doses, adverse effects, monitoring parameters, etc.

When writing papers for this course, please use the following format: generic (brand). Example: acetaminophen (Tylenol). It is important to know the generic names as this helps decrease medication errors. I usually give a couple of weeks to get acclimated to this format before points are deducted,

Please use the correct APA format for discussion applications. Please note, an abstract is not necessary for assignments in this course.

Many students will inquire about available drug resources. I recommend using MicroMedex or Lexi-Comp. Many of your health care institutions have free versions for usage and the companies offer student discounts to purchase for smart phone usage.

Directions: For each of the scenarios below, answer the questions below using clinical

practice guideline where applicable. Explain the problem and explain how you would

address the problem. If prescribing a new drug, write out a complete medication order

just as you would if you were completing a prescription. Use at least 3 sources for each

scenario and cite sources using APA format. You must complete all 4 cases (25 points per case).

1. A 52-year-old man was recently discharged from the hospital following treatment for

atrial fibrillation. He was discharged on Warfarin 5 mg po q day and Amiodarone 200

mg tid. His INR is 8.8. What interaction has occurred with these 2 medications?

What changes in his medications would you make?

2. A 44-year-old women is currently taking Glipizide and Phenytoin. She has a new

prescription for Ceftriaxone. All three medications are known to be highly protein

bound. What effect does protein binding have on drug availability? How would you

manage this patient’s medication?

3. Name two drugs that are highly affected by the first pass effect. As a prescriber,

what actions would you take in prescribing these drugs to counter the first pass

effect?

4. James is a 49-year-old male that was prescribed atenolol for his high blood

pressure. James states that he only occasionally takes the medication because he

does not like the side effects. What information would you provide to the patient at

his visit? How would you manage his medication?