Assignment: Heart Failure Case Study
Assignment: Heart Failure Case Study
Introduction
By the end of this assignment, you will be able to:
Apply principles of pharmacokinetics and pharmacodynamics in the selection of drugs to treat the cardiovascular system. (CO1)
Compare and contrast pharmacologic agents for the management of cardiovascular issues. (CO3)
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Evaluate possible drug-drug or drug-food interactions that could occur with a prescribed heart failure therapy. (CO5)
Develop a patient education strategy relevant to a prescribed heart failure therapy. (CO6)
This case was derived from Chapter 4 in the following text:
Arcangelo, V.P., Peterson, A.M., Wilbur, V., and Reinhold, J.A. (2017). Pharmacotherapeutics for advanced practice (4th ed.). Philadelphia, PA: Lippincott.
Assignment Guidelines
This case study presents a 62-year-old male patient with Heart Failure Class II. Use the provided information, along with content from the course, to answer the questions.
Please write following APA format and cite your references using APA style.
Note: Do not close the case study without first submitting your answers. Answers will not be saved.
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Heart Failure Case Study
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Heart Failure Case Study Alternative Version
Heart Failure Case Study
I.W., aged 62, is a male who is new to your practice. He is reporting shortness of breath on exertion, especially after climbing steps or walking three to four blocks. His symptoms clear with rest. He also has difficulty sleeping at night (he tells you he needs two pillows to be comfortable).
He tells you that 2 years ago, he suddenly became short of breath after hurrying for an airplane. He was admitted to a hospital and treated for acute pulmonary edema. Three days before the episode of pulmonary edema, he had an upper respiratory tract infection with fever and mild cough. After the episode of pulmonary edema, his blood pressure has been consistently elevated. His previous physician started him on a sustained-release preparation of diltiazem 180 mg/d. His medical history includes moderate prostatic hypertrophy for 5 years, adult-onset diabetes mellitus for 10 years, hypertension for 10 years, and degenerative joint disease for 5 years. His medication history includes hydrochlorothiazide (HydroDIURIL) 50 mg/d, atenolol (Tenormin) 100 mg/d, controlled-delivery diltiazem 180 mg/d, glyburide (DiaBeta) 5 mg/d, and indomethacin (Indocin) 25 to 50 mg three times a day as needed for pain. While reviewing his medical records, you see that his last physical exmination revealed a blood pressure of 160/95 mm Hg, a pulse of 95 bpm, a respiratory rate of 18, normal peripheral pulses, mild edema bilaterally in his feet, a prominent S3 and S4, neck vein distention, and an enlarged liver.
Diagnosis: Heart Failure Class II
Answer the following questions. Include two references, cited in APA style.
List specific goals of treatment for I.W.
What drug(s) would you prescribe? Why?
What are the parameters for monitoring the success of your selected therapy?
Discuss specific patient education based on the prescribed therapy.
Describe one or two drug–drug or drug–food interactions for the selected agent(s).
List one or two adverse reactions for the selected agent(s) that would cause you to change therapy.
What would be the choice for the second-line therapy?
What over-the-counter or alternative medications would be appropriate for this patient?
What dietary and lifestyle changes should be recommended for I.W.?
You will receive two points for each correct answer and two points for using correct grammar and spelling and providing references cited in APA style.
Submission
At the end of the case study, select Printable Summary. Follow the directions to save your answers using either Firefox or Chrome.
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Submit your assignment and review full grading criteria on the Assignment 5.1: Heart Failure Case Study page.
| Case Study Rubric | ||
|---|---|---|
| Criteria | Ratings | Pts |
| Content
view longer description |
5 to >4 pts
Exceeds Expectations Follows all directions, answers all questions thoroughly with examples from experience or literature where appropriate.4 to >3 pts Meets Expectations Follows almost all directions, answers all questions well. Provides some examples from experience or literature where appropriate.3 to >2 pts Nearly Meets Expectations Follows some directions. Answers some questions. Examples from experience or literature where appropriate are lacking.2 to >0 pts Does Not Meet Expectations Major directions and questions are overlooked. Answers that are provided may not be supported with examples from experience or literature.0 pts Not Submitted Case Study not submitted. |
/ 5 pts |
| Grasp of Significance
view longer description |
5 to >4 pts
Exceeds Expectations Projects thorough knowledge and critical understanding of the significance of assignment to professional development as an FNP.4 to >3 pts Meets Expectations Projects knowledge and understanding of the significance of assignment to professional development as an FNP.3 to >2 pts Nearly Meets Expectations Projects some knowledge and understanding of the assignment to professional development as an FNP.2 to >0 pts Does Not Meet Expectations Projects little knowledge and understanding of the assignment to professional development as an FNP.0 pts Not Submitted Case Study not submitted. |
/ 5 pts |
| Evidence and Documentation
view longer description |
5 to >4 pts
Exceeds Expectations Provides thorough explanation of rationales and skillfully selects resources to substantiate.4 to >3 pts Meets Expectations Provides sound explanation of rationales and selects resources to substantiate.3 to >2 pts Nearly Meets Expectations Provides explanations of rationales. Selects some resources to substantiate.2 to >0 pts Does Not Meet Expectations Explanations of rationales are lacking. Little or no resources are used to substantiate.0 pts Not Submitted Case Study not submitted. |
/ 5 pts |
| Terminology
view longer description |
5 to >4 pts
Exceeds Expectations Uses appropriate terminology correctly throughout the entire assignment.4 to >3 pts Meets Expectations Mostly uses appropriate terminology correctly throughout the entire assignment.3 to >2 pts Nearly Meets Expectations Some terminology in the assignment is used incorrectly.2 to >0 pts Does Not Meet Expectations Most or all of the terminology in the assignment is used incorrectly.0 pts Not Submitted Case Study not submitted. |
/ 5 pts |
| Structure and Mechanics
view longer description |
5 to >4 pts
Exceeds Expectations Contains no spelling or grammatical errors. Follows APA formatting criteria. No APA errors.4 to >3 pts Meets Expectations Few grammatical or spelling errors are noted in posts. Closely follows APA guidelines and format with only minor errors.3 to >2 pts Nearly Meets Expectations Errors in spelling and grammar evidenced in posts. Some errors in APA citations or paper format.2 to >0 pts Does Not Meet Expectations Utilizes poor spelling and grammar. Does not follow APA guidelines or format.0 pts Not Submitted Case Study not submitted. |
/ 5 pts |
| Total Points: 0 | ||
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