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Week 5 discussion

Discussion Part I: Benefits of Clinical Experiences

Clinical experiences in acute care settings may differ
considerably from those in primary care settings. You likely have encountered
new situations during your acute care clinical experiences, such as using
unfamiliar assessment tools, interacting with patients who have unique needs,
and communicating with colleagues from multiple disciplines. For this
Discussion, consider how these experiences might benefit your future practice
as an advanced practice nurse in the acute care setting.

To prepare:

Reflect on this week’s clinical experiences (i.e., using a
new assessment tool, obtaining health information from a patient, evaluating a
patient who presents with symptoms that are new to you, etc.).

Consider how and why this experience might benefit your
future practice.

Post on or before Day 3 a description of at least one
clinical experience from this past week that might benefit you in your future
practice. Explain how and why this experience would benefit you as an advanced
practice nurse.

Read a selection of your colleagues’ responses.

Respond on or before Day 6 to two colleagues by sharing
additional insights or alternative perspectives.

Discussion Part II: Pharmacology

To Prepare:

Read the following articles to enhance your knowledge on commonly
prescribed medications:

Panchmatia, S. (2009). Nitrates: uses, actions and
prescribing rationale. Nurse Prescribing, 7(9), 404- 409.

Roush, G. C., Kaur, R., & Ernst, M. E. (2014). Diuretics:
a review and update. Journal Of Cardiovascular Pharmacology And Therapeutics,
19(1), 5-13. doi:10.1177/1074248413497257

All of the following groups of medications are commonly
prescribed in the acute care setting. Choose one of the topics below to discuss.
If it is a medication group, select a specific drug within that group. (This is
a good way to prepare for clinical practice, because you will get to know the
drugs you will prescribe for patients.). Focus your discussion on the hospital
or ICU setting and IV usage.

Atropine,

Ipratropium

Bromide,

Prostigmin,

Bumex,

Furosemide,

Nitroprusside,

Nitro,

Esomeprazole,

Pantoprazole,

Lanzoprazole,

Metoclopramide

Note: When sharing your initial post, select a topic that
has not yet been discussed. If all topics have been discussed, then you may
select that topic again, but select a different drug within the medication
group.

For this Discussion, address 1 of the following options.
Post by day 3:

Option 1: Post a description of a patient you have taken
care of (inpatient as an RN, or as an NP student) who has been prescribed the
medication you selected. Include the scenario, indication, dosing,
complications, and outcome. Then explain whether or not you would have ordered
the same drug and same dose.

Option 2: Conduct an evidence-based drug search on the drug
you selected and post an explanation of any possible issues. Are there any drug
interactions? Any black box warnings? To what type of patient would you
prescribe this medication?

Option 3: Post an explanation of the properties of the drug
you selected, including usages and dosing in the hospital or ICU. Describe a
patient to whom you would prescribe this medication.

Note: To be considered as one of your required responses,
your pharmacology rationale must include a supporting reference.

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