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

Despite costs associated with performance appraisal, it is one way

Overview Despite costs associated with performance appraisal, it is one way health care organizations can ensure that only competent, qualified personnel care for patients. Some management experts have recommended that performance appraisals be eliminated from the work setting. Directions: Do you agree with these experts? Why or why not? Be

Week 3 Assignment – Managing a Health Care Crisis Overview

Week 3 Assignment – Managing a Health Care Crisis Overview This assignment asks you to review a real-world scenario to assess your ability to outline the appropriate actions of someone in managerial epidemiology. Scenario The situation at the regional Good Health Hospital has become overwhelming since the outbreak of COVID-19.

Install your own copy of Kali and demo the tool

Install your own copy of Kali and demo the tool Zenmap from Kali and show your demo with your own screenshots. Submit the report to this link. If you are using the new Kali, you and Zenmap is not installed, either you install it manually or use anyone of the

Developing your Capstone Project Research Methodology on Gender in White

Developing your Capstone Project Research Methodology on Gender in White Collar Crime Before you begin go to :http://libguides.usc.edu/writingguide/methodology Your methodology should contain the following parts or answer the following questions: What type of study are you proposing? What variables will you be measuring? What is your hypothesis? What types of

Complete a VRIO or Value Chain analysis, a PESTLE analysis,

Complete a VRIO or Value Chain analysis, a PESTLE analysis, and a Five Forces model for an organization. Prepare a 3-6-page executive report that analyzes the internal and external environments of the organization and recommends a course of action based on the analysis. Introduction AFI, VRIO, and value chain are

COVID is a pandemic that has impacted the operations and

 COVID is a pandemic that has impacted the operations and budget of correctional agencies throughout the country. Increased medical, staffing, and housing issues have been static in managing their institutions. Management struggles in finding solutions to solve these issues.  If you were the Correctional Administrator of an institution impacted by

Before responding to this discussion, please make sure to review

  Before responding to this discussion, please make sure to review Robin Lakoff’s article in your learning resources. In 1973 Lakoff wrote this article about how women use language in comparison to men.  She found that there were phonological differences and also differences in lexicon and syntax. Compared to men,

Music- Find a piece or two of instrumental or acoustic

Music- Find a piece or two of instrumental or acoustic music. Ideally the music should be slow in tempo and enjoyable to listen to. Find a quiet place and listen to your music. you should be alone and not working on anything else.  After you do this for 30 mins

Overview: Imagine you are a supervisor at a criminal justice

 Overview: Imagine you are a supervisor at a criminal justice agency. Administration has just approved your proposal to adopt the usage of body cameras.  Administration has further tasked you with the responsibility of relaying this information to the department. Lastly, you have to publicly announce the change to  the surrounding

What concrete situations in your workplace might give rise to ethical

For this assessment, fulfill the management task and create an audio-visual presentation that applies a professional code of ethics to common workplace situations. Submit your work as a narrated visual presentation in the courseroom submission box. You may develop a series of annotated PowerPoint slides, for example, using Adobe Connect

A Literature Review Table provides a succinct overview of each

  A Literature Review Table provides a succinct overview of each article. The table is especially useful when synthesizing the information from the articles into your Literature Review, as the main elements are clearly identified.  Complete the  Literature Review Table using the articles identified from your literature search that will

Overview of Quantitative Methods Quantitative methods have been the traditional

   Overview of Quantitative Methods Quantitative methods have been the traditional hallmarks of scientific inquiry.  From an early age, we are all aware of the mathematical rigors involved in quantitative analyses. In the discipline of criminal justice, researchers utilize a variety of statistical tools with which to analyze empirical data.

Nutrition Labeling Project 100 points (25% of final grade) The

   Nutrition Labeling Project  100 points (25% of final grade) The purpose of this project is to orient students to the regulations governing food and nutrition labeling in the United States. Each student will be required to locate a product for sale in the market today to examine the labeling

Reply to my peers Peer 1 What medication would you

Reply to my peers Peer 1 What medication would you first prescribe to this patient? SSRI’s are commonly the initial drug of choice for patients with depression and many of the anxiety disorders (Woo et al., 2020). These drugs demonstrate equal efficacy to the nonspecific SNRI’s with a safe and

Read National Council of State Boards of Nursing. Nursing Pathways

  Read National Council of State Boards of Nursing. Nursing Pathways for Patient Safety 1st ed. St. Louis: MO: Elsevier Saunders. 9780323065177. · Chapter 1 Pages 1-29  Research the Institute of Medicine Competencies http://qsen.org/competencydomains/teamwork-and-collaboration/  Select and discuss one of  the 5 QSEN(Quality and Safety Education for Nurses  competencies;)    Rubric:  

In this assignment, you are to critically read and evaluate

   In this assignment, you are to critically read and evaluate a scholarly article’s strengths, weaknesses, and contributions to the study field. Learning how to critique a journal article has several benefits, including preparing you for publishing in the future and keeping you current on the literature in your field