Hello there! Want a discount? Grab 5% OFFon your first order!
originalresearchpapers.com logo
Hello there! Want a discount? Grab 5% OFF on your first order!
originalresearchpapers.com logo

You have a 58 year old African American male that is coming Nursing Assignment Help

You have a 58 year old African American male that is coming in for a follow-up visit after recently having a Myocardial infarction which was successfully treated via angioplasty.  He was started on Metoprolol for his consistently elevated high blood pressure during his hospital stay.  His primary diagnoses include: 

  • Coronary Artery Disease
  • Type 2 diabetes controlled with Metformin 1,000 mg BID and HgA1C of 6.7.
  • Asthma- Mild Intermittent- with no recent episodes of wheezing. Albuterol INH as needed.
  • All other pertinent labs Within Normal Limits

First consider what clinical guidelines noted below can help us choose the best medication treatment for this patient with diabetes, CAD, Asthma and Hypertension. 

Joint National Committee JNC 8 – https://thepafp.org/website/wp-content/uploads/2017/05/2014-JNC-8-Hypertension.pdf  

National Center for Biotechnology Information – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092891/table/T1/?report=objectonly 

American Heart Association – https://www.ahajournals.org/doi/epub/10.1161/HYPERTENSIONAHA.120.15026 

IHS Division of Diabetes https://www.ihs.gov/sites/diabetes/themes/responsive2017/display_objects/documents/algorithms/AlgorithmHypertension.pdf 

Please answer each questions citing your response from evidence based clinical guidelines.  Your response should not be post as “I would recommend”. Example of appropriate reference: The 2020 international Society of Hypertension Global Hypertension Practice Guidelines – recommend the use of selective ß1-receptor agonists in patients diagnosed with coronary heart disease and or heart failure ( Unger, T, et al, 2020). 

Reference:  Unger T;Borghi C;Charchar F;Khan NA;Poulter NR;Prabhakaran D;Ramirez A;Schlaich M;Stergiou GS;Tomaszewski M;Wainford RD;Williams B;Schutte AE; (n.d.). 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension (Dallas, Tex. : 1979). Retrieved August 1, 2022, from https://pubmed.ncbi.nlm.nih.gov/32370572/  

  1. Metoprolol is selective for which adrenoceptor? ( pharmacodynamics)
  2. What effects do agents such as metoprolol have on the cardiovascular system? ( pharmacodynamics)
  3. In which organ is metoprolol primarily metabolized? (Pharmacokinetics)
  4. Why would a provider be cautious when ordering a Beta Blocker in a patient with Asthma?

5- Professional Reflection

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Discuss what you learned regarding community treatment Nursing Assignment Help

Discuss what you learned regarding community treatment options. What scenarios can you envision having to use any of them? How would you morally, ethically, and legally navigate a patient who you deem appropriate for residential treatment but who is refusing?https://www.mediafire.com/file/ivz86r5pgl4dvvn/Community_Base+Resources.pptx/file https://www.mediafire.com/file/e45414qmzm6z6b8/2018_Hoyt+et+al._Preliminary+evaluation+of+treatment+outcomes+at+a+mil+intensive+outpatient+program.pdf/file https://www.nami.org/About-Mental-Illness/Treatment/Getting-Treatment-During-a-Crisis https://www.goodtherapy.org/learn-about-therapy/modes/residential-treatment

Purpose: Understand and describe the observation, Nursing Assignment Help

Purpose:   Understand and describe the observation, assessment, and teaching cycle used to plan curriculum and activities for young children. (WSCC) II. Curriculum – Environment 2.j, Professional Development and Leadership- Professionalism 3.a Skill:   To plan and implement an integrated curriculum study based on the interests and needs of the children, making certain that

This week, students explored the roles and responsibilities Nursing Assignment Help

This week, students explored the roles and responsibilities of a leader when managing or preparing for emergent situations. This might include dangerous weather, active shooters, threats, bombs, pandemics, or dozens of other situations. Consider your reading and personal experiences and answer the following questions. What are the major roles in

Based on Chapter 18, discuss the most common Claims and Nursing Assignment Help

Based on Chapter 18, discuss the most common Claims and Benefits Administration problems, their repercussions, and how to identify and rectify them. Based on Chapter 19, reflecting on the existence of relevant and emerging statutes, including Fraud Enforcement Recovery Act and the Patient Protection and Affordable Care Act, on health

WU An Evaluation of The Dilemma at Benevento Foods Essay Nursing Assignment Help

AN EVALUATION OF THE DILEMMA AT BENEVENTO FOODS: UNDERSTANDING CAUSE AND EFFECT AND RECOMMENDATIONS FOR IMPROVEMENT For this Assignment, you will continue to evaluate the same scenario from the previous week (Benevento Foods). For this evaluation, you will use systems thinking tools to perform a root cause analysis and examine

Please compose a power point presentation that will include Nursing Assignment Help

Please compose a power point presentation that will include the following components: the paper is attached  Topic Background Problem Statement Research Design Data Collection What you anticipate to find Why it is important https://www.mediafire.com/file/3g4f1rafk35uclq/Literature+Review+-+Healthcare+Access+Disparities+in+Underserved+Communities.+(3)+(1)+(1)+(2)+(1)+(2).docx/file https://www.mediafire.com/file/b9crdpvr3itw02n/IMG_2627.jpg/file    This link is a pic of the rubric 

Reaction Action Paper Pick one of the articles Part 1 Nursing Assignment Help

                                                                        Reaction Action Paper Pick one of the articles Part 1 Describe the article.  1.      Theory 2.      Population 3.      Method/Analysis 4.      Results 5.      Limitations Part 2 Your reaction to article 1.      Is the article/framework sound? 2.      Are there better/different methods that could be used to better answer the research question?

1)After discussion with your preceptor discuss how Nursing Assignment Help

1)After discussion with your preceptor discuss how leadership and economic models of a healthcare facility optimize EBP to improve patient outcomes.  2)Discuss the highlights of your strategic plan and any modifications that need to be made.  What additional information do you need to complete your capstone project paper and what

Overview Healthcare laws and policies play a major role in Nursing Assignment Help

Overview Healthcare laws and policies play a major role in the healthcare industry. The various regulatory bodies protect the public from several health risks and provide numerous programs for public health and welfare. Together, these regulatory agencies protect and regulate public health at every level. It is essential for healthcare

You deserve a bonus!

Subscribe and get regular bonuses and discounts.