walden nurs6560 week 2 discussion latest 2017 october

Week 2 discussion

Discussion Part I:
Limitations and Challenges

From providing ongoing assessments to monitoring for
complications and facilitating recovery, advanced practice nurses who care for
patients in perioperative environments experience a unique set of limitations
and challenges. Reflecting on your experiences in this complex and critical
environment will help you develop your professional competency and prepare you
for your future role as an advanced practice nurse. In this week’s Discussion,
you consider limitations and challenges of clinical practice in perioperative
care settings.

To prepare:

Reflect on this week’s clinical experiences.

Consider one limitation or challenge you encountered.

Think about how you overcame this limitation or challenge
and how this might affect your future practice in pre- and post-operative care
settings.

Post on or before Day 3 a description of at least one
limitation or challenge you encountered during your clinical experience this
week. Explain how you overcame this limitation or challenge and how this might
affect your future practice.

Note: If you refer to a patient in your Discussions or
Assignments, be sure to use a pseudonym or other false form of identification.
This is to ensure the privacy and protection of the patient.

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

Note: To access this week’s required library resources,
please click on the link to the Course Readings List, found in the Course
Materials section of your Syllabus.

To prepare:

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

Ando, S., Yasugi, D., Matsumoto, T., Kanata, S., &
Kasai, K. (2014). Serious outcomes associated with overdose of medicines
containing barbiturates for treatment of insomnia. Psychiatry Clinical
Neuroscience, 68(9), 721.

Dassanayake, T. L., Jones, A. L., Michie, P. T., Carter, G.
L., McElduff, P., Stokes, B. J., & Whyte, I. M. (2012). Risk of road
traffic accidents in patients discharged following treatment for psychotropic
drug overdose: A self-controlled case series study in Australia. CNS Drugs
26(3), 269–276.

Retrieved from the Walden Library databases.

Kulick, D., & Deen, D. (2011). Specialized nutrition
support. American Family Physician, 83(2), 173–183. Retrieved from
http://www.aafp.org/afp/2011/0115/p173.html

Martini, D. I., Nacca, N., Haswell, D., Cobb, T., &
Hodgman, M. (2015). Serotonin syndrome following metaxalone overdose and
therapeutic use of a selective serotonin reuptake inhibitor. Clinical
Toxicology 53(3), 185–187.

Robinson, A., & Wermeling, D. P. (2014). Intranasal
naloxone administration for treatment of opioid overdose. American Journal of
Health-System Pharmacy, 71(24), 2129–2135.

Retrieved from the Walden Library databases.

Thomas, D. R. (2013). Total parenteral nutrition (TPN). In
The Merck Manual Professional Edition. Retrieved from
http://www.merckmanuals.com/professional/nutritional_disorders/nutritional_support/total_parenteral_nutrition_tpn.html

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 for you 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.

KPhos, bicarb, calcium, magnesium

Iron, folic acid, B12

Diamox

Macrolides

Muinolones/mluoroquinolone

Cephalosporins, 4th and 5th generation

Aminoglycosides

Carbapenems

Lipopeptide

Tigecycline

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. Discuss a
patient to whom you would prescribe this medication.

Explanation & Answer

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