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NR 601 Week 2 Part 2 DQ Assignment

NR 601 Week 2 Part 2 DQ Assignment

NR 601 Week 2 Part 2 DQ Assignment

  • According to the ACC/AHA Guidelines, what is BJ’s heart failure stage?Include the pertinent positives (the signs and symptoms AND the objective data)  to support this finding. Cite your reference.

BJ presents to the clinic with signs and symptoms indicative of congestive heart failure. The patient is complaining of shortness of breath that awakens her at night that is relieved by pillow support and exertional dyspnea alleviated with rest. Another subjective symptom worrisome of congestive heart failure is lightheadedness. Objective findings include +2 bilateral pitting lower extremity edema,  inspiratory crackles, S4 located at apex of heart, and a systolic murmur. Results from the lipid panel …

 

  • According to the ACC/AHA Guidelines, what medications should BJ be prescribed? Include the drug class and rationale statement for each medication listed. Cite your reference for each medication.

To reduce mortality and morbidity for a patient who is currently experiencing symptomatic stage C heart failure, proper medication therapy should be administered. Yancy et al. (2017) recommended that prescribing an ACE inhibitor …

 

  • Given her history of MI, what additional medications will you prescribe? Include the drug class and rationale statement for each medication listed. Cite your reference for each medication, prescribed or OTC

To prevent further cardiovascular disease, initiation of a statin and a daily aspirin is appropriate. According to the ASCVD estimated risk score, she is at an 11.5 percent risk for experiencing future …

NR 601 Week 2 Part 2 DQ Assignment

  • Write her complete prescriptions using the prescription writing format.

 

  1. Prescription #1 (Regular)
    2. Sig: 1-Tab PO taken once a day Disp: #30 Refills 5
  2. Prescription #2 (Regular)
    2. Sig: 1 Tab PO BID Dips: #60 Refills 5
  3. Prescription #3 (Regular)
    2. Sig: ½ Tab PO once a day Disp: 16 Refills 5
  4. Prescription #4 (Regular)
    2. Sig 1-Tab PO taken with a meal in the evening Disp: 30 Refills: 3
  5. Aspirin (Over the Counter)
    1. 81 mg PO taken once a day

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References

Braun, M., Stevens, W., & Barstow, C. (2018). Stable coronary artery disease. American Family Physician, 97(6), 376-384. Retrieved from https://www.aafp.org/afp/2018/0315/p376.html

Chavey, W., Hogikyan, R., Harrison, V., & Nicklas, J. (2017). Heart failure due to reduced ejection fraction: Medical management. American Family Physician, 95(1), 13-20. Retrieved from https://www.aafp.org/afp/2017/0101/p13.html

Hoover, L. (2019). Cholesterol management: ACC/AHA updates guideline. American Family Physician, 99(9), 589-591. Retrieved from https://www.aafp.org/afp/2019/0501/p589.html

Switaj, T., Christensen, S., & Brewer, D. (2017). Acute coronary syndrome. American Family Physician, 95(4), 232-240. Retrieved from https//www.aafp.org/afp/2017/0215/p232.html

Yancy, C., Jessup, M., Bozkurt, B., Butler, J., Casey, D., Drazner, M. … Wilkoff, B. (2013). 2013 ACCF/AHA Guideline for management of heart failure. Journal of American Cardiology, 62(16), 147-239. doi: 10.1016/j.jacc.2013.05.019

Yancy, C., Jessup, M., Bozkurt, B., Butler, J., Casey, D., Colvin, M., Drazner, M. … Westlake, C. (2017). 2017 ACC/AHA/HFSA focused update of the 2013 ACCF/AHA guideline for the management of heart failure. Journal of the American College of Cardiology, 70(6), 776-803. doi: 10.1016/j.jacc.2017.04.025