NURS 6550 Week 5 Discussion Part I: Benefits of Clinical Experiences

Clinical experiences in acute care settings may differ considerably from those in primary care settings. You likely have encountered new situations during your acute care clinical experiences, such as using unfamiliar assessment tools, interacting with patients who have unique needs, and communicating with colleagues from multiple disciplines. For this Discussion, consider how these experiences might benefit your future practice as an advanced practice nurse in the acute care setting.

To prepare:

Reflect on this week’s clinical experiences (i.e., using a new assessment tool, obtaining health information from a patient, evaluating a patient who presents with symptoms that are new to you, etc.).

Consider how and why this experience might benefit your future practice.

Post on or before Day 3 a description of at least one clinical experience from this past week that might benefit you in your future practice. Explain how and why this experience would benefit you as an advanced practice nurse.

Read a selection of your colleagues’ responses.

Respond on or before Day 6 to two colleagues by sharing additional insights or alternative perspectives.

Discussion Part II: Pharmacology

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To Prepare:

Read the following articles to enhance your knowledge on commonly prescribed medications:

Panchmatia, S. (2009). Nitrates: uses, actions and prescribing rationale. Nurse Prescribing, 7(9), 404- 409.

Roush, G. C., Kaur, R., & Ernst, M. E. (2014). Diuretics: a review and update. Journal Of Cardiovascular Pharmacology And Therapeutics, 19(1), 5-13. doi:10.1177/1074248413497257

All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage.

Atropine,

Ipratropium

Bromide,

Prostigmin,

Bumex,

Furosemide,

Nitroprusside,

Nitro,

Esomeprazole,

Pantoprazole,

Lanzoprazole,

Metoclopramide

Note: When sharing your initial post, select a topic that has not yet been discussed. If all topics have been discussed, then you may select that topic again, but select a different drug within the medication group.

For this Discussion, address 1 of the following options. Post by day 3:

Option 1: Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Include the scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose.

Option 2: Conduct an evidence-based drug search on the drug you selected and post an explanation of any possible issues. Are there any drug interactions? Any black box warnings? To what type of patient would you prescribe this medication?

Option 3: Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Describe a patient to whom you would prescribe this medication.

Note: To be considered as one of your required responses, your pharmacology rationale must include a supporting reference.

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NURS 6550 Week 5 Discussion Part I: Benefits of Clinical Experiences