NR 508 Week-5 Discussion: Maria is a 46-Year-Old Woman

NR 508 Week-5 Discussion: Maria is a 46-Year-Old Woman

NR 508 Week-5 Discussion: Maria is a 46-Year-Old Woman

NR 508 Advanced Pharmacology

Maria is a 46-year-old woman who presents for her yearly physical examination. Her medical history is notable for borderline hypertension and moderate obesity. Six months ago, her fasting lipid profile was normal. Maria report that her mother and brother have diabetes and hypertension. She reports that she knows she should be on a low calorie, low fat diet and exercising but with her full time job and four children, she finds it difficult to exercise, and she eats out most of the time. She is 66″ tall and weighs 219lbs today, no current medication. She does report taking a multivitamin, biotin Vit-C when she remembers. She is a nonsmoker, only drinks sweet tea with each meal, 3-4 cups of coffee per day.

Today: BP 155/95mm Hg, TC 234 mg/dL, LDL 137 mg/dL, HDL 35 mg/dL, triglycerides 241mg/dL, fasting plasma glucose is 179 mg/dL; HgbA1C is 7.4mg/dL. Physical Exam reveals notable for acanthosis nigricans at the neck but otherwise is normal.

What are your treatment goals for Maria?
What is your plan for drug therapy? What is the mechanism of action for each drug?
Please give five teaching points for each drug prescribed.
How would you change the plan if her initial HbgA1C was 10.2mg/dL and her fasting blood glucose was 305mg/dL? Provide a detailed alternative plan with the rationale.

KINDLY ORDER NOW FOR A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER WITH COMPLETE ANSWERS

Criteria for Content

• Introduction includes general comments on ethics and leadership (such defining ethics in general, how ethics can impact leadership), identify the two ethical principles selected for use within this assignment, and the sections of the paper. A heading is not used.
• Section one contains a definition and explanation of each of the selected ethical principles. Scholarly references (no dictionaries are allowed to be used) are required. Following the definition and explanation of each of the required ethical principles, each principle should be applied to leadership, in general, within any healthcare setting.
• Section two identifies how the selected ethical principles either prevents or solves two different leadership concerns within healthcare. For example, nonmalificence relates to the leadership concern of high rate of medication errors. Scholarly support is required.
• Section three is a description of how the learner will incorporate each of the two selected ethical principles into their own leadership activities. This needs to be specific and can consider future leadership opportunities
• Summary is the conclusion of this assignment. It provides a review of key elements from your work. The summary also identifies the ideas and understandings you have gained regarding ethical principles and leadership from writing this paper.