Walden NRNP 6566 Week 2 12-Lead EKG Interpretation

Walden NRNP 6566 Week 2 12-Lead EKG Interpretation

Week 2

 Posted on: Monday, March 8, 2021 12:00:00 AM EST Hi Students!

Welcome to week 2! Great job on your discussion board! Evaluation of Arrhythmias

This week you will focus on EKG’s and diagnostic evaluation of arrhythmias. Please make sure you review the learning resources and the cardiac case. You will need to

write admission orders for the patient in your branching exercise. Here is the information for your patient:

63 year old female, 5’5 and weighs 72 kg Code Status: Full Code

PMH: HTN, Asthma

 Home Meds: Losartan 50 mg PO Daily, Albuterol QID PRN shortness of breath Ax: Lisinopril

A few things for writing admission orders…be as specific as possible. Specify what kind of diet and activity level. When you are writing the nursing orders…make sure it is clear for the nurse. Don’t write..”call provider if abnormal” you need to define what abnormal is and write out parameters for vital signs (ex: notify provider for SBP less than 90). This is what you will need to do in your practice. Try not to leave any room for interpretation on your orders.

Make sure you address I/O’s, IV access, fall precautions. Make sure you explain labs and diagnostics for your patient. Don’t just order everything you can think of, really critically think what is going on with the patient and order what is necessary.

Make sure you follow the rubric and use a minimum of 3 evidence-based references within the last 5 years. Your assignment is due on day 7 ( Monday, March 15 @ 0159 est).

Let me know if you have any questions, comments, or concerns.

Discussion – Week 1 Example

Impact of Pharmacokinetics on Medications Selection and Administration

Pharmacokinetics is the movement and distribution of drugs through the body as it is absorbed, distributed, metabolized and eliminated. Both pharmacokinetics (ADME) and pharmacodynamics are important in determining the effect that a drug regimen is likely to produce. Extrinsic factors such as environmental exposures or concomitant medications can affect the efficacy of a medication.

The genetic study of pharmacokinetics (PK) and pharmacodynamics (PD) has received considerable interest because of its fundamental importance in designing personalized medications based on an individual’s genetic architecture (Evans and McLeod, 2003; Weinshilboum, 2003).

As an advanced health care provider, understanding the pharmacokinetics of each medication that will be prescribed in each patient is very essential because this will determine the efficacy of the medications and prevent toxicity of a patient’s drug therapy. Clearly, the interactions between a drug and the human body are incredibly complex.

This makes choosing the most appropriate medication and dose complicated, and that choice becomes more obscure when a patient is taking many other medications. This complexity makes it all the more essential that prescriptions be filled carefully and accurately at all times (Sakai, 2008).

References

 Evans, W.E., McLeod, H.L. (2003). Pharmacogenomics- Drug disposition, drug targets, and side effects. New England Journal of Medicine 348; 538-549. https://doi.org/10.1056/nejmra020526

Sakai, J.B. (2008). Practice pharmacology for the pharmacy technician. Philadelphia PA: Jones & Bartlett Learning. Chapter 3, “Pharmacokinetics: The Absorption,

Distribution, and Excretion of Drugs” (pp. 27-40).

Assignment: Branching Exercise: Cardiac Case 1 Instructions

For this Assignment, you will review the interactive media piece/branching exercise provided in the Learning Resources. As you examine the patient case, consider how you might assess and treat patients with the symptoms and conditions presented.

To prepare:

 ■ Review the interactive media piece/branching exercise provided in the Learning Resources.

■ Reflect on the patient’s symptoms and aspects of disorders that may be present in the interactive media piece/branching exercise.

■ Consider how you might assess, perform diagnostic tests, and recommend medications to treat patients presenting with the symptoms in the interactive media piece/branching exercise.

■ You will be asked to develop a set of admission orders based on the patient in the branching exercise.

The Assignment

 Using the Required Admission Orders Template, write a full set of admission orders for the patient in the branching exercise.

● Be sure to address each aspect of the order template

 ● Write the orders as you would in the patient’s chart

● Make sure the order is complete and applicable to the patient

● Any rationale you feel the need to supply should be done at the end of the order set – not included with the order

● Please do not write per protocol. We do not know what your protocol is and you need to demonstrate what is the appropriate standard of care for this patient.

● A minimum of three current, evidenced based references are required.

By Day 7 Of Week 2

 Submit your completed Assignment by Day 7 of Week 2 in Module 2. Submission And Grading Information

To submit your completed Assignment for review and grading, do the following:

 ■ Please save your Assignment using the naming convention “MD2 gn1+last name+first initial.(extension)” as the name.

■ Click the Module 2 Assignment 1 Rubric to review the Grading Criteria for the Assignment.

■ Click the Module 2 Assignment 1 link. You will also be able to “View Rubric” for grading criteria from this area.

■ Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “MD2 gn1+last name+first initial.(extension)” and click Open.

■ If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

■ Click on the Submit button to complete your submission.

Rubric Detail – Walden NRNP 6566 Week 2: 12-Lead EKG Interpretation