NURS 6384 Pharmacotherapeutics
Summer 2022
Please review all uploaded documents, PowerPoints and links to answer all questions clearly. This is a critically thinking research paper. Provide a plagiarism report with at least 4 references used from with 5 years from 2022 including hyperlink used. All work must be done in APA 7th edition format.
Unit 4 RESEARCH case study Assignment
Unit 4 ย Due June 26th by 11:59 pm
Read Chapters 15, 16, 25, 28, 39, 44
View each of the chapter PowerPoints to highlight important chapter themes
View the following videos
ยท https://www.youtube.com/watch?v=eZBtQ0rDnG4
ยท https://www.youtube.com/watch?v=bdi5w49D78U
ยท https://www.youtube.com/watch?v=LtlodYLm8fc
Submit your case study answers as a word document to the Unit 4 drop box. The case study answers should be detailed and demonstrate analytical and critical thinking skills. Please follow the directions within the case study folder.
Case study #1
Chief Complaint
Tired all the time; heavy menses
History
A 44-year-old female presents with a complaint of being tired and having low energy. She is a G3P3 mother of a 15 year old, a 13 year old, and a 10 year old. She is 5 feet tall and weighs 145 pounds. Her blood pressure is 116/78 mm Hg and her heart rate is 82. Past medical history is unremarkable except for a history of heavy menses, which Susan reports seem to be getting heavier. Her menses are
regular and last 5 or 6 days. Her husband of 18 years had a vasectomy, so she does not use any hormonal birth control. Screening for depression is negative. Susan gets regular exercise, mostly walking. She walks every weekend with her friends, usually a 6 to 8 mile walk. Susan is concerned because she is noticing that she is short of breath going up even small hills and needs to rest after she gets back from her walks. Susan considers her diet well rounded. She has been trying to lose weight, so she has cut back on high-fat foods such as meat. She eats mostly fish and chicken for her protein. She drinks two glasses of skim milk a day and eats a lot of salad to fill her up. Her salads are made with iceberg lettuce and tomatoes. She does not take any medications. She does not take a multivitamin.
Assessment
Complete blood count (CBC) indicates a white blood cell (WBC) count of 9.6, red blood cell count (RBC) of 4.6, hemoglobin (Hgb) 11.1, hematocrit (Hct) 34%, mean corpuscular volume (MCV) 84, mean corpuscular hemoglobin concentration (MCHC) 31, and red blood cell distribution width (RDW) 14.5%, and platelets and WBC differential are unremarkable. Ferritin level is 13. Thyroid studies are within normal limits.
1. What would be the initial management plan?
2. What is the ongoing monitoring plan for a patient with anemia?
3. What are specifics for patient education regarding her treatment?