THIS IS NOT A TRADITIONAL P A P E ER. IT IS A BLOG/PRESENTATION THAT IS 1500-2000 WORDS!!

THIS IS NOT A TRADITIONAL P A P E ER. IT IS A BLOG/PRESENTATION THAT IS 1500-2000 WORDS!!

THIS IS NOT A TRADITIONAL P A P E ER. IT IS A BLOG/PRESENTATION THAT IS 1500-2000 WORDS!!

PLEASE FOLLOW RUBRIC IN ATTACHED FILES!!

PLEASE FOLLOW RUBRIC IN ATTACHED FILES!!

PLEASE FOLLOW RUBRIC IN ATTACHED FILES!!

In this Blog, you will have the opportunity to teach your peers about a specific substance use and/or addiction/impulse control disorder. A Blog is a conversational, informal written piece on a topic. Your faculty will assign you a particular illness and the approved treatment for the illness to create a presentation to share with your peers.

Construct a Blog post, not to exceed 1,500–2,000 words, written for a PMHNP provider audience to post in the Discussion area.

Although you are not required to respond to colleagues, collegial discussion is welcome. Also, it will be important for you to read your peers’ Blog posts in order to learn about all of the medications on the assigned list.

 illness and the approved treatment for the illness –

• Alcohol Use Disorder
  • Acamprosate
  • Naltrexone
  • Disulfiram
  • Phenobarbital (seizure control due to alcohol withdrawal)
  • Chlordiazepoxide

Post your Blog response by doing the following:

• Identify the substance or addiction with discussion on pertinent diagnostic criteria for the use disorder.
• Identify the street names of the substance for the use disorder.
• Describe how someone can use or abuse the substance (oral, smoke, IV, etc.).
• Describe the symptoms of someone under the influence of this substance.
• Describe the symptoms of someone under the withdrawal of this substance.

After describing the substance, discuss the treatment recommendations by doing the following:

• Identify the first-line treatment options.
• Identify the FDA-approved medications for the substance.

Note: If there are no FDA-approved medications, describe any evidenced-based, clinically acceptable off-label medications to treat the illness.

• Identify the proposed mechanisms of action for the medication to treat the illness.
• Describe the common side effects of the medication.
• Describe how the patient should take the medication.
• Identify any baseline and/or ongoing tests and assessment(s) needed when taking the medication.
• Describe the non-pharmacologic intervention recommendations.

This Assignment requires a minimum of three (3) peer-reviewed, evidence-based scholarly references outside of course Learning Resources.

Note: You will need to include the APA formatting citation of all references used with a Reference list.

250 words, APA style, it needs a reference not a bibliography

 Question: Does my patient have significant aortic stenosis? 

 A 72 year-old woman with a history of CHF presents with several weeks of gradually progressive dyspnea on exertion (DOE). At her baseline, she is able to walk several blocks, but now feels winded. She denies chest pain, palpitations, syncope/near syncope, cough, orthopnea, or PND. She states she is compliant with her medications and diet. She has had a recent functional study that showed minimal ischemia.  

Meds

aspirin
digoxin 0.125 qd
lisinopril 20 mg qd
furosemide 20 mg qd
KCl 10 mEq qd

PE

HR 90, regular
PB 134/70

Labs

chem 7:
Na 132
K 5
Cl 94
HCO3 30
BUN 18
Cr 1.3
CBC: notable for Hgb 14 g/dL (Hct 43%)

CV

RRR, normal S1 and S2
No S3 but has S4
2/6 mid-peaking systolic murmur at the LUSB that radiates to the carotids.

PMI is mildly enlarged and sustained

Neck

Carotid pulse is brisk.
JVP flat
Positive abdominojugular reflux

CXR

Xray shows cardiomegaly and mild vascular redistribution

ECG

Unchanged with an incomplete LBBB pattern

Clinical Diagnosis

Worsening of her congestive heart failure (positive AJR, enlarged and sustained PMI, cardiomegaly, and vascular redistribution).

Clinical Questions

Is this patient’s worsening CHF due to significant aortic stenosis? 

Please elaborate why you think it may be aortic stenosis according to patient’s symptoms and how do you assess each symptom.