NURS 6521 Week7 assignment pharmacology concepts to musculoskeletal system disorders
SCENARIO 2
What are the errors (6 total) in the following prescriptions? Rewrite each prescription correctly.
methylphenidate (Concerta) 5 mg BID before breakfast and lunch #60 1 refill
pegloticase (Krystexxa) 8 mg IV infusion once per month #1 0 refill
Ubrelvy 200 mg po prn onset of migraine #12 1 refill
alprazolam (Valium) 0.5 mg po TID #90 0 refill
zolpidem 10 mg qhs #30 6 refills
NURS 6521 Week7 assignment pharmacology concepts to musculoskeletal system disorders
SCENARIO 2
The medication prescription contains the following errors: Methylphenidate (Concerta): 5 mg for BID for breakfast and lunch, 60 tabs, one refilled. The error entails the frequency of the medication. Concerta is an extended-release product and must only be taken once a day. Thus, the right prescription for Methylphenidate ER (Concerta) is 18 mg, 30 tabs, with one tab daily in the morning for ADHD (Zaric et al., 2023).
Secondly, the Pegloticase (Krystexxa) 8 mg IV infusion is administered once per month without a refill. The ambiguity of Pegloticase dosage should be taken every two weeks and not every month. For Pegloticase (Krystexxa) medication, the correct dosage is 8 mg IV infusion. Secondly, the drug should be administered where the patient has refractory gout, and the dosage will be 8 mg IV every two weeks (Man et al., 2023).
Thirdly was the prescription of a medication program of Ubrelvy 200 mg PO during the onset of migraine consisting of 12 tabs and one refill only. The reason for the medication error is overdosing. Treatment with Ubrelvy should not exceed 100 mg per dose. The recommended correct prescription of Ubrelvy would solely be 100 mg 12 tabs taken one tab PO at the onset of migraine and repeated once in 24 hours (Keenan et al., 2021).
GET A HUMAN-WRITTEN PAPER HERE
Further, the medication involving alprazolam (Valium) 0.5 mg PO TID and 90 tabs is incorrect. Firstly, a mistake in the name of the drug is Valium, which is diazepam and not alprazolam. Hence, in the case of an Alprazolam prescription, the dosage would be 0.5mg and 90 tabs, each administered orally three times a day for anxiety and no refill (Edinoff et al., 2021). Finally, there is the medication with the error Zolpidem 10 mg QID with 30 tabs and six refills. This is because of more refills on Zolpidem and would increase the likelihood of the patient developing drug dependency (Zaric et al., 2023). The correct prescription involves administering Zolpidem 10 mg, 30 tabs with a single tab taken daily before bedtime for insomnia and no refill.
References
Edinoff, A. N., Wu, N., Ghaffar, Y. T., Prejean, R., Gremillion, R., Cogburn, M., … & Kaye, A. D. (2021). Zolpidem: efficacy and side effects for insomnia.
Health psychology research
,
9
(1).
Keenan, R. T., Botson, J. K., Masri, K. R., Padnick-Silver, L., LaMoreaux, B., Albert, J. A., & Pillinger, M. H. (2021, April). The effect of immunomodulators on the efficacy and tolerability of pegloticase: a systematic review. In
Seminars in Arthritis and Rheumatism
(Vol. 51, No. 2, pp. 347-352). WB Saunders.
Man, K. K., Häge, A., Banaschewski, T., Inglis, S. K., Buitelaar, J., Carucci, S., … & Uebel-von Sandersleben, H. (2023). Long-term safety of methylphenidate in children and adolescents with ADHD: 2-year outcomes of the Attention Deficit Hyperactivity Disorder Drugs Use Chronic Effects (ADDUCE) study.
The Lancet Psychiatry
,
10
(5), 323-333.
Zaric Kontic, M., Dragic, M., Martinovic, J., Mihajlovic, K., Brkic, Z., Mitrovic, N., & Grkovic, I. (2023). Prolonged Alprazolam Treatment Alters Components of Glutamatergic Neurotransmission in the Hippocampus of Male Wistar Rats—The Neuroadaptive Changes following Long-Term Benzodiazepine (Mis) Use.
Pharmaceuticals
,
16
(3), 331.
NURS 6521 Week7 assignment pharmacology concepts to musculoskeletal system disorders
ASSIGNMENT
Submit your Assignment by Day 7 of Week 7 (Sunday night, 11:59 pm ET)
Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and health histories.
For your Week 7 assignment, evaluate drug treatment plans for patients with various disorders and justify drug therapy plans based on patient history and diagnosis.
To Prepare:
Review assignment rubric and case studies. Be sure to thoroughly answer ALL questions.
Explain the problem and discuss how you would address the problem.
When recommending medications, write out a complete prescription for each medication. A complete prescription includes the following information: drug, dose, route, frequency, duration (if applicable), quantity, # of refills and indication for use. An example of a complete prescription is as follows: lisinopril 10mg #30 tabs, take 1 tab PO once daily for high blood pressure, refills: 2.
Answer questions using your required learning resources, clinical practice guidelines, Medscape, etc.
Include at least three references to support each scenario and cite them in APA format. Please include in-text citations. You do not need an introduction or conclusion paragraph.
SCENARIO 1
Buspirone has a half-life of approximately 2 hours. If a patient takes 15 mg at 8 am, what will the blood level be at 2 pm? Can buspirone be given as an adjunct to antidepressant therapy? Name 3 antidepressants you might prescribe for patients with co-existing depression and anxiety (include
complete medication orders
) and include patient monitoring.
SCENARIO 2
What are the errors (6 total) in the following prescriptions? Rewrite each prescription correctly.
methylphenidate (Concerta) 5 mg BID before breakfast and lunch #60 1 refill
pegloticase (Krystexxa) 8 mg IV infusion once per month #1 0 refill
Ubrelvy 200 mg po prn onset of migraine #12 1 refill
alprazolam (Valium) 0.5 mg po TID #90 0 refill
zolpidem 10 mg qhs #30 6 refills
SCENARIO 3
Patient TL is experiencing symptoms of daily leg muscle weakness and feet cramping at night. He is currently on metformin 1000 mg po BID, Invokamet 50/500 mg BID with meals, atorvastatin 40 mg po daily and atomoxetine 40 mg po daily. Blood pressure is 118/78 and labs include: BG 90 mg/dL A1c 4.5% sCr 0.9 mg/dL eGFR 101 mL/min/1.73 m² total cholesterol 181 mg/dL LDL 95 mg/dL HDL 57 mg/dL TG 146 mg/dL B12 150 pg/mL CK 505 U/L What is your
working diagnosis
? What would you prescribe for TL and how would you improve his treatment? What would you monitor?
SCENARIO 4
When a person uses nicotine, it causes temporary feelings of relaxation and well-being. Nicotine binds to nicotinic receptors in the brain, augmenting the release of numerous neurotransmitters. Name at least three of these neurotransmitters. Patients may self-medicate ADHD, anxiety, and depression by smoking. Is there a medication that could treat ADHD, anxiety, depression, and provide smoking cessation? Write a complete medication order for this medication.
Does the patient need to quit smoking before starting treatment
?
NURS_6521_Week7_Assignment_Rubric
NURS_6521_Week7_Assignment_Rubric – NURS 6521 Week7 assignment pharmacology concepts to musculoskeletal system disorders
Criteria
Ratings
Pts
This criterion is linked to a Learning OutcomeScenario 1: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.
15 to >11.0 pts
Excellent
Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.
11 to >7.0 pts
Good
Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.
7 to >3.0 pts
Fair
Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.
3 to >0 pts
Poor
Medication selected is inappropriate or would not be provided based on patient unique characteristics.
15 pts
This criterion is linked to a Learning OutcomeScenario 1: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
3 pts
Complete
Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
0 pts
Poor
The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate.
3 pts
This criterion is linked to a Learning OutcomeScenario 1: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.
4 pts
Excellent
References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.
3 pts
Good
References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.
2 pts
Fair
References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.
0 pts
Poor
No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors.
4 pts
This criterion is linked to a Learning OutcomeScenario 1: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
3 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
2 pts
Good
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
1 pts
Fair
Contains several (3 or 4) grammar, spelling, and punctuation errors.
0 pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
3 pts
This criterion is linked to a Learning OutcomeScenario 2: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.
15 to >11.0 pts
Excellent
Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.
11 to >7.0 pts
Good
Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.
7 to >3.0 pts
Fair
Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.
3 to >0 pts
Poor
Medication selected is inappropriate or would not be provided based on patient unique characteristics.
15 pts
This criterion is linked to a Learning OutcomeScenario 2: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
3 pts
Complete
Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
0 pts
Poor
The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate.
3 pts
This criterion is linked to a Learning OutcomeScenario 2: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.
4 pts
Excellent
References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.
3 pts
Good
References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.
2 pts
Fair
References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.
0 pts
Poor
No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors.
4 pts
This criterion is linked to a Learning OutcomeScenario 2: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
3 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
2 pts
Good
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
1 pts
Fair
Contains several (3 or 4) grammar, spelling, and punctuation errors.
0 pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
3 pts
This criterion is linked to a Learning OutcomeScenario 3: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.
15 to >11.0 pts
Excellent
Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.
11 to >7.0 pts
Good
Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.
7 to >3.0 pts
Fair
Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.
3 to >0 pts
Poor
Medication selected is inappropriate or would not be provided based on patient unique characteristics.
15 pts
This criterion is linked to a Learning OutcomeScenario 3: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
3 pts
Complete
Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
0 pts
Poor
The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate NURS 6521 Week7 assignment pharmacology concepts to musculoskeletal system disorders.
3 pts
This criterion is linked to a Learning OutcomeScenario 3: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.
4 pts
Excellent
References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.
3 pts
Good
References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.
2 pts
Fair
References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.
0 pts
Poor
No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors.
4 pts
This criterion is linked to a Learning OutcomeScenario 3: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
3 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
2 pts
Good
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
1 pts
Fair
Contains several (3 or 4) grammar, spelling, and punctuation errors.
0 pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
3 pts
This criterion is linked to a Learning OutcomeScenario 4: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.
15 to >11.0 pts
Excellent
Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.
11 to >7.0 pts
Good
Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.
7 to >3.0 pts
Fair
Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.
3 to >0 pts
Poor
Medication selected is inappropriate or would not be provided based on patient unique characteristics.
15 pts
This criterion is linked to a Learning OutcomeScenario 4: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
3 pts
Complete
Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.
0 pts
Poor
The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate.
3 pts
This criterion is linked to a Learning OutcomeScenario 4: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.
4 pts
Excellent
References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.
3 pts
Good
References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.
2 pts
Fair
References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.
0 pts
Poor
No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors.
4 pts
This criterion is linked to a Learning OutcomeScenario 4: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
3 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
2 pts
Good
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
1 pts
Fair
Contains several (3 or 4) grammar, spelling, and punctuation errors.
0 pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
3 pts
Total Points: 100 NURS 6521 Week7 assignment pharmacology concepts to musculoskeletal system disorders
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