A 60-year-old male patient is admitted with chest pain to the telemetry unit where you work. While having a bowel movement on the bedside commode, the patient becomes short of breath and diaphoretic. The ECG waveform shows bradycardia.

What other assessment findings should you anticipate?

Why does this patient probably have bradycardia?

Does this dysrhythmia need treatment?

Why or why not?

What intervention would you implement first?

What is the drug treatment and dosage of choice for symptomatic bradycardia?

How does this drug increase heart rate?

This assignment is to be completed using APA format. Please use complete sentences to answer the questions. Ensure that you are using correct grammar. In additions, support your answers by using your textbooks, scholarly journals, and credible Internet sources. All citations must be in APA format. The body of your submission must be at least 350 words.

Hopefully you have seen how advances in science and technology have shaped and generated careers in the healthcare field. For this assignment please think about the career you are planning to pursue (this may change by the end of the course but that’s ok – just base your answer on what you are thinking of pursuing as of now). Write at least a paragraph (4-6 sentences makes up a paragraph; no more then 2 paragraphs total) describing at least two historical advancements or individuals from history (not family members) that you believe have been most influential in shaping your potential career. For example, if you are going to be a microbiologist in a hospital laboratory you may choose Dr. Koch’s postulates and the microscope as two of the major breakthroughs that influenced your field/career. Depending upon the degree of your familiarity with your intended career, these choices may take a bit of outside research. The advancements or individuals may be ones mentioned in the lecture or something or someone entirely different. In any case, you should be certain they are clearly relevant to your intended profession.

Be sure to include information on who/what the discovery/advance was and when it occurred/when the person lived or made their mark on the field. It should be clear from reading your post why this person or advance is important to your future career.

A 41-year-old male presents to the doctor’s office you work at complaining of a sore throat and headache. Upon examination, he is diagnosed with a virus that is currently prevalent in the area he works. He is told to rest and drink liquids until the virus has run its course. He becomes irate and tells you he wants an antibiotic.

1. How could you explain to him why he does not need an antibiotic?
2. What are some alternatives you could consider for a patient who demands an antibiotic?

Instructions: It is a discussion post so 1 page to 1 1/2 pg is good enough. Apa format. Must have 3 references.

Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders.

Generalized Anxiety Disorder is a psychological condition that affects 6.1 million Americans, or 3.1% of the US Population. Despite several treatment options, only 43.2% of those suffering from GAD receive treatment. This week you will review several different classes of medication used in the treatment of Generalized Anxiety Disorder. You will examine potential impacts of pharmacotherapeutics used in the treatment of GAD. Please focus your assignment on FDA approved indications when referring to different medication classes used in the treatment of GAD.

To Prepare:

• Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
• Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
• Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
• Think about a personalized plan of care based on these influencing factors and patient history with GAD.

 Post a discussion of pharmacokinetics and pharmacodynamics related to anxiolytic medications used to treat GAD. In your discussion, utilizing the discussion highlights, compare and contrast different treatment options that can be used. 

• Add references to your posts and be aware that TURNITIN IS ON.
• The purpose of the discussion is to elevate the level of knowledge regarding disease symptom management.  
• Discussion Questions:  MENTION THE CONTEXT YOU WILL BE DISCUSSING AND DEVELOP YOUR POINTS. 

A patient who has Parkinson’s disease takes levodopa and carbidopa. The patient reports experiencing tremors between doses. The primary care NP should:

a. add amantadine.

b. increase the dose of levodopa.

 c. discontinue the carbidopa.

d. add entacapone.

       2. 

A patient who takes levodopa and carbidopa for Parkinson’s disease reports experiencing freezing episodes between doses.The primary care NP should consider using:

a. selegiline.

b. apomorphine.

c. modified-release levodopa.

d. amantadine.

       3.

A 65-year-old patient is diagnosed with Parkinson’s disease. The patient has emphysema and narrow-angle glaucoma. The primary care NP should consider beginning therapy with:

a. ropinirole hydrochloride.

b. selegiline.

c. carbidopa/levodopa.

d. benztropine.