Posted: June 15th, 2022

Principles For Safe Use Of Pharmacologic And Herbal Substances

NUR641E Topic 2: Principles For Safe Use Of Pharmacologic And Herbal Substances

Objectives:

Analyze the impact of pharmacologic agents on a patient’s health status considering physiology, pathophysiology, pharmacokinetics, pharmacodynamics, and patient knowledge.
Evaluate drug actions to promote safe and effective drug therapy.
Identify ethnic, cultural, and genetic differences in patients that may affect the safety or efficacy of medications.
Integrate knowledge of pathophysiology and pharmacology into teaching and educational materials in diverse settings.
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Topic 2 DQ 1

Published

Assessment Description

The Beer’s criteria contain a list of drugs that are potentially unsafe for use in older persons. Utilize the provided resource, “American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults” for Helpance in completing this question. Select a drug on the “avoid” list that you have administered to an older patient or a drug that you know is prescribed for an older adult. Relate the outcome of using this drug to the pharmacokinetics (absorption, metabolism, distribution, and excretion) of drugs in an older client. In addition to the link, cite one other reference to support your post. Make sure that you select a different drug than your peers. Include the name of the drug in the subject line so that the drugs can be followed. Include your references in APA style. NUR641E Topic 2: Principles For Safe Use Of Pharmacologic And Herbal Substances

Topic 2 DQ 2
Published

Assessment Description

Many people are using herbal medications and dietary supplements for the prevention and treatment of medical problems. Review two current research articles about two of these products. Based on the findings, what would be the implications for you as a nurse? What additional research needs to be done in this area? Cite the two references to support your answer. Make sure that you select different herbal medications and dietary supplements than your peers. Include the name of the herbal medication and dietary supplement in the subject line so that the medications can be followed. Include your references in APA style.

Content Lesson Presentation – NUR641E Topic 2: Principles For Safe Use Of Pharmacologic And Herbal Substances

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Status

Published

Assessment Description

Create an 8-9 slide presentation with speaker notes about a selected disease process and drug class. The presentation should provide content specific information on the selected disease process and drug class for staff or learners in a clinical environment.

Follow these steps:

Select a disease process and a drug class used to treat the disease process.
Describe pharmacokinetics and pharmacodynamics of the drug related to the pathophysiology of the disease process.
Describe the product, its intended use, side effects, adverse reactions, and safety issues.
Identify ethnic, cultural, and genetic differences in patients that may affect the safety or efficacy of medications.
How would you monitor the desired effect is achieved?
Be sure to include three to five references.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

Topic 2 DQ 1
Mar 10-12, 2022

The Beer’s criteria contain a list of drugs that are potentially unsafe for use in older persons. Utilize the provided resource, “American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults” for Helpance in completing this question. Select a drug on the “avoid” list that you have administered to an older patient or a drug that you know is prescribed for an older adult. Relate the outcome of using this drug to the pharmacokinetics (absorption, metabolism, distribution, and excretion) of drugs in an older client. In addition to the link, cite one other reference to support your post. Make sure that you select a different drug than your peers. Include the name of the drug in the subject line so that the drugs can be followed. Include your references in APA style.

Zolpidem (Ambien)

Zolpidem is an approved short-term treatment for insomnia that does not contain benzodiazepines (Bouchette et al., 2022). It is on the American Geriatrics Society’s 2019 Updated Criteria for Potentially Inappropriate Medication Use in Older Adults list because it can have the same bad effects on older people as benzodiazepines, such as delirium, falls, and a higher chance of needing to go to the hospital. From what I know, this medicine was given to older people in the hospital with care. Due to the possible side effects, this wasn’t a first-choice sleep aid. I do remember that after taking this, some of our patients “slept walked” or became delirious, and the next morning they had no idea what they had done. We were lucky to be there to watch and help, but if we hadn’t been, they could have gotten hurt.

Absorption

Zolpidem is quickly taken in by the body and has a short half-life in healthy people (Bouchette et al., 2022). People get less mobile as they get older. The RCTs showed that this group’s concentrations were higher, so they should only get the lowest dose of 5 mg (Bouchette et al., 2022).

Metabolism

This medicine is changed into a metabolite that doesn’t work. Hepatic damage, especially in older people, can change how a drug works and how much of it is given (Bouchette et al., 2022).

Distribution

This drug is found in many parts of the body and is able to get into the brain. zolpidem can also bring back brain function in people who are in a vegetative state because of a brain injury (Bouchette et al., 2022).

Excretion

Zolpidem leaves the body through the kidneys (Bouchette et al., 2022). The older people will have less clearance.

References

Bouchette, D., Akhondi, H., & Quick, J. (2022). Zolpidem. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK442008/

The American Geriatrics Society. (2019). American geriatrics society 2019 updated AGS beers criteria for potentially inappropriately medication use in older adults. The American Geriatrics Society, 67(4), 674-694. https://agingresources.org/wp-content/uploads/2019/08/2019-BEERS-critieria-update.pdf

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