Student answer 2 pharm

Score an A in this assignment. Get an original solution.  
Description of the patient case: 
The patient is a 26-year-old Male, who presented to our ER for worsening right elbow bursitis. The patient was seen in the ER 2 days prior for the same issue, underwent a drainage procedure with documented removal of only 1cc, and was started on PO Keflex. Fluid was also sent for culture. Since the last time in the ER, the patient reported worsening pain and spreading redness around the elbow. The patient also reported some intermittent numbness and tingling in the fingers of the right hand.  The patient decided to come back in due to concerns about a possible worsening infection.  The patient denied any fevers/chills or other systemic symptoms.  The patient denied tobacco or alcohol use. 
Factors that might have influenced the pharmacokinetic and pharmacodynamic processes of the patient
The patient was not responding to the trial of oral antibiotics.  Keflex 500mg PO QID instructed to take one tablet by mouth four times a day for 5 days.  Once inpatient, the patient was started on IV vancomycin.  Following the initial dose of Vancomycin 1.5gm IV loading dose, he had a mild vancomycin infusion reaction with a pruritic rash on the abdomen that resolved with PO Benadryl dose.  Following doses of vancomycin were tolerated better with Benadryl pre-treatment and slowing infusion rate.
One factor to consider in this case was the rate of the IV infusion.  “Red Man Syndrome” is used to describe the adverse effect of vancomycin infusion.  This anaphylactoid reaction is caused by vancomycin degranulation of mast cells and basophils resulting in histamine release independent of IgE (Rivera & Ryan, 2022).  Another factor that may be worth noting is gender.  According to Alvarez-Arango et al. (2021), White patients were found more likely to experience Red Man Syndrome than non-White patients.  Red Man Syndrome was also identified as more likely to affect male rather than female patients (Alvarez-Arango et al., 2021).  
A personalized plan of care
According to Rosenthal & Burchum (2021), one patient may experience adverse effects from a medication, while others may not.  Asking the patient to report symptoms during and after the initiation of medication can help with identifying adverse reactions and implementing a plan to treat symptoms.  In assessing the risk-to-benefit ratio of medication, one must consider the severity of the side effects (Rosenthal & Burchum, 2021).  In this case, vancomycin 1gm IV q12hrs (15mg/kg dosing) was continued.  The infusion rate was extended to 120 minutes.  The patient was also pretreated with Benadryl 50mg by mouth to prevent infusion reaction.
                                                                                                       References:
Alvarez-Arango, S., Michelle, O. S., Sequist, T. D., & Burk, C. M. (2021). Vancomycin infusion reaction — moving beyond “Red man syndrome”. The New England Journal of Medicine, 384(14), 1283-1286. doi:https://doi.org/10.1056/NEJMp2031891
Rivera, C. G., & Ryan, K. L. (2022). Call to Pharmacists: End Use of “Red Man Syndrome.” Annals of Pharmacotherapy, 56(1), 102–103. https://doi.org/10.1177/10600280211021417
Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.

Psychopathology

Score an A in this assignment. Get an original solution.   
:  Factors That Influence the Development of Psychopathology
In many realms of medicine, objective diagnoses can be made: A clavicula is broken.  An infection is present. TSH levels meet the diagnostic criteria for hypothyroidism. Psychiatry, on the other hand, deals with psychological phenomena and behaviors. Can these, too, be “defined objectively and by scientific criteria (Gergen, 1985), or are they social constructions?” (Sadock et al., 2015).
Thanks to myriad advances during recent decades, we know that psychopathology is caused by many interacting factors. Theoretical and clinical contributions to the field have come from the neural sciences, genetics, psychology, and social-cultural sciences. How do these factors impact the expression, classification, diagnosis, and prevalence of psychopathology, and why might it be important for a nurse practitioner to take a multidimensional, integrative approach?
To Prepare:

Review      this week’s Learning Resources, considering the many interacting factors      that contribute to the development of psychopathology.
Consider      how the theoretical perspective on psychopathology impacts the work of the      PMHNP.

Main Assignment
Explain the biological (genetic and neuroscientific); psychological (behavioral and cognitive processes, emotional, developmental); and social, cultural, and interpersonal factors that influence the development of psychopathology.
Learning Resources
adock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.

Chapter      1, Neural Sciences
Chapter      2, Contributions of the Psychosocial Sciences
Chapter      3, Contributions of the Sociocultural Sciences
Chapter      4, Theories of Personality and Psychopathology
Chapter      31.17c, Child Psychiatry: Other Conditions: Identity Problem 

https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2018-03400-001&site=eds-live&scope=site&authtype=shib&custid=s6527200
https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2018-03401-006&site=eds-live&scope=site&authtype=shib&custid=s6527200
https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2018-03401-004&site=eds-live&scope=site&authtype=shib&custid=s6527200
https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2018-03400-002&site=eds-live&scope=site&authtype=shib&custid=s6527200

NRNP 6531: Advanced Practice Care of Adults Across the Lifespan

Score an A in this assignment. Get an original solution.  Post a summary of your expectations of this course. Also, include a brief explanation of your strengths and challenges as they relate to nursing practice competencies when working with adults. Describe any career goals or objectives this course may help you accomplish in the Family Nurse Practitioner (FNP)   Use your research to support your explanations by providing credible and scholarly sources.  

Pain Care Plan for Nursing

Score an A in this assignment. Get an original solution.  Mr. Gordon, a 52 year-old client who was admitted to the hospital following an MVC (motor vehicle crash). He suffered rib fractures and has a laceration along his right thigh. Mr. Gordon states that his pain is 9 on a 0 – 10 scale (0 being no pain, 10 being the worst). In addition his vital signs are: BP 150/88, HR 105, RR 22, SpO2 95% on RA (room air), T 98.6 degrees Fahrenheit taken orally. 
Long term and Short term goals?

SBAR AND COMMUNICATION

Score an A in this assignment. Get an original solution.   
Students are required to identify a research article that demonstrates the importance of communication when giving or receiving handoff report or calling a provider. The research article will be summarized in a paragraph. The APA reference will be provided. Students will be required to write a SBAR format regarding a patient you meet in clinical or a made-up scenario. 

Read carefully due at 11 pm 08/31/2022 a must

Score an A in this assignment. Get an original solution.  
To Prepare:

Review practice agreements in your state.
Identify whether your state requires physician collaboration or supervision for nurse practitioners, and if so, what those requirements are.
Research the following:

How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) Psych in your state?
What is the application process for certification in your state?
What is your state’s board of nursing website?
How does your state define the scope of practice of a nurse practitioner?
What is included in your state practice agreement?
How do you get a DEA license?
Does your state have a prescription monitoring program (PMP)?
How does your state describe a nurse practitioner’s controlled-substance prescriptive authority, and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?