Posted: September 21st, 2022

NURS 6521 Week 1 Discussion: Pharmacokinetics and Pharmacodynamics

NURS 6521 Week 1 Dialogue: Pharmacokinetics and Pharmacodynamics

As a sophisticated apply nurse helping physicians within the analysis and therapy of issues, it is very important not solely perceive the influence of issues on the physique, but additionally the influence of drug remedies on the physique. The relationships between medication and the physique could be described by pharmacokinetics and pharmacodynamics. Pharmacokinetics describes what the physique does to the drug via absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the physique. When deciding on medication and figuring out dosages for sufferers, it’s important to think about particular person affected person components that may influence the affected person’s pharmacokinetic and pharamcodynamic processes. These affected person components embrace genetics, gender, ethnicity, age, conduct (i.e., food plan, vitamin, smoking, alcohol, illicit drug abuse), and/or pathophysiological adjustments resulting from illness. On this Dialogue, you replicate on a case out of your previous scientific experiences and think about how a specific affected person’s pharmacokinetic and pharmacodynamic processes altered his or her response to a drug.

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To arrange for NURS 6521 Week 1 Dialogue: Pharmacokinetics and Pharmacodynamics:
Assessment this week’s media presentation with Dr. Terry Buttaro, in addition to Chapter 2 of the Arcangelo and Peterson textual content, and the Scott article within the Studying Sources. Think about the ideas of pharmacokinetics and pharmacodynamics. A few of these affected person components are genetics, gender, race, age, conduct (similar to food plan, vitamin, smoking, ingesting an excessive amount of alcohol, or utilizing unlawful medication), and pathophysiological adjustments attributable to the illness. On this Dialogue, you may take into consideration a case out of your previous scientific work and take into consideration how a affected person’s pharmacokinetic and pharmacodynamic processes modified how she or he reacted to a drug.

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To prepare for the Week 1 Dialogue of NURS 6521: Pharmacodynamics and Pharmacokinetics:
Assessment this week’s media presentation with Dr. Terry Buttaro, Chapter 2 of the Arcangelo and Peterson textual content, and the Scott article within the Studying Sources. Take into consideration how pharmacokinetics and pharmacodynamics work.

Mirror in your experiences, observations, and/or scientific practices from the final 5 years. Choose a case from the final 5 years that entails a affected person whose particular person variations in pharmacokinetic and pharmacodynamic components altered his or her anticipated response to a drug. When referring to your affected person, ensure that to make use of a pseudonym or different false type of identification. That is to make sure the privateness and safety of the affected person.

Think about components that may have influenced the affected person’s pharmacokinetic and pharmacodynamic processes similar to genetics (together with pharmacogenetics), gender, ethnicity, age, conduct, and/or attainable pathophysiological adjustments resulting from illness.

Take into consideration a personalised plan of care primarily based on these influencing components and affected person historical past in your case examine.

With these ideas in thoughts:

By Day Three

Publish an outline of the case you chose. Then, describe components that may have influenced pharmacokinetic and pharmacodynamic processes of the affected person from the case you chose. Lastly, clarify particulars of the customized plan of care that you’d develop primarily based on influencing components and affected person historical past in your case.

By Day 6

Learn a collection of your colleagues’ responses and reply to a minimum of two of your colleagues on two completely different days by suggesting further affected person components that may have interfered with the pharmacokinetic and pharmadynamic processes of the sufferers of their case research. As well as, counsel how the non-public care plan may change if the age of the affected person have been completely different and if the affected person had a comorbid situation similar to renal failure, coronary heart failure, or liver failure.

Project: Moral and Authorized Implications of Prescribing Medicine
What kind of drug do you have to prescribe primarily based in your affected person’s analysis? How a lot of the drug ought to the affected person obtain? How usually ought to the drug be administered? When ought to the drug not be prescribed? Are there particular person affected person components that might create issues when taking the drug? Do you have to be prescribing medication to this affected person?

These are among the questions you may think about when deciding on a therapy plan for a affected person. As a sophisticated apply nurse prescribing medication, you might be held accountable for folks’s lives every day. Sufferers and their households will usually place belief in you due to your place. With this belief comes energy and duty, in addition to an moral and authorized obligation to “do no hurt.” It will be significant that you’re conscious of present skilled, authorized, and moral requirements for superior apply nurses with prescriptive authority. On this Dialogue, you discover moral and authorized implications of eventualities and think about easy methods to appropriately reply.

State of affairs 1:

As a nurse practitioner, you prescribe medicines to your sufferers. You make an error when prescribing remedy to a 5-year-old affected person. Slightly than dosing him appropriately, you prescribe a dose appropriate for an grownup.

State of affairs 2:

A buddy calls and asks you to prescribe a medicine for her. You may have this autonomy, however you don’t have your buddy’s medical historical past. You write the prescription anyway.

State of affairs Three:

You see one other nurse practitioner writing a prescription for her husband who shouldn’t be a affected person of the nurse practitioner. The prescription is for a narcotic. You may’t determine whether or not or to not report the incident.

State of affairs four:

Throughout your lunch break on the hospital, you learn a journal article on pharmacoeconomics. You consider a few sufferers who’ve not too long ago talked about their monetary difficulties. You marvel if among the costly medication you’ve got prescribed are sufficiently managing the sufferers’ well being circumstances and enhancing their high quality of life.

To Put together

Assessment the Sources for this module and think about the authorized and moral implications of prescribing prescribed drugs, disclosure, and nondisclosure.
Assessment the situation assigned by your Teacher for this Project.
Search particular legal guidelines and requirements for prescribing prescribed drugs and for addressing remedy errors to your state or area, and replicate on these as you Assessment the situation assigned by your Teacher.
Think about the moral and authorized implications of the situation for all stakeholders concerned, such because the prescriber, pharmacist, affected person, and affected person’s household.
Take into consideration two methods that you simply, as a sophisticated apply nurse, would use to information your ethically and legally accountable decision-making on this situation, together with whether or not you’d disclose any remedy errors.
By Day 7 of Week 1

Write a 2- to Three-page paper that addresses the next:

Clarify the moral and authorized implications of the situation you chose on all stakeholders concerned, such because the prescriber, pharmacist, affected person, and affected person’s household.
Describe methods to deal with disclosure and nondisclosure as recognized within the situation you chose. You’ll want to reference legal guidelines particular to your state.
Clarify two methods that you simply, as a sophisticated apply nurse, would use to information your determination making on this situation, together with whether or not you’d disclose your error. You’ll want to justify your clarification.
Clarify the method of writing prescriptions, together with methods to reduce remedy errors.
Reminder: The Faculty of Nursing requires that each one papers submitted embrace a title web page, introduction, abstract, and references. The Faculty of Nursing Writing Template with Directions supplied on the Walden Writing Heart affords an instance of these required components (out there at https://academicguides.waldenu.edu/writingcenter/templates/normal#s-lg-box-20293632). All papers submitted should use this formatting.

Submission and Grading Info

To submit your accomplished Project for Assessment and grading, do the next:

Please save your Project utilizing the naming conference “WK1Assgn+final identify+first preliminary.(extension)” because the identify.
Click on the Week 1 Project Rubric to Assessment the Grading Standards for the Project.
Click on the Week 1 Project hyperlink. Additionally, you will be capable of “View Rubric” for grading standards from this space.
Subsequent, from the Connect File space, click on on the Browse My Laptop button. Discover the doc you saved as “WK1Assgn+final identify+first preliminary.(extension)” and click on Open.
If relevant: From the Plagiarism Instruments space, click on the checkbox for I comply with submit my paper(s) to the International Reference Database.
Click on on the Submit button to finish your submission.
Grading Standards

To entry your rubric:

Week 1 Project Rubric

Examine Your Project Draft for Authenticity

To examine your Project draft for authenticity:

Submit your Week 1 Project draft and Assessment the originality report.

Submit Your Project by Day 7 of Week 1

To take part on this Project:

Week 1 Project

What’s Coming Up in Module 2?

Picture Credit score: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Photos

Within the subsequent module, you’ll study the influence of adjustments in pharmacokinetic and pharmacodynamic processes on affected person drug remedy for cardiovascular issues and the forms of medication prescribed to sufferers with respiratory issues.

Wanting Forward: Week 2 Project

In Week 2, your Teacher will assign you a case examine associated to Project 1 by Day 1 of the week. Please ensure that to Assessment the “Course Bulletins” space of the course to confirm your assigned case examine. Please plan forward to make sure you have time to Assessment your case examine and Studying Sources so as to full your Project on time.

Picture Credit score: Getty Photos/iStockphoto

Subsequent Week

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