NURS 6521N Week 10 Discussion
NURS 6521N Week 10 Discussion
Week 10: Women’s and Men’s Health/Infections and Hematologic Systems, Part II
Bacterial and viral infections may spread through the direct contact of bodily fluids such as blood or through vectors, who help to spread infections via the blood. When you think of infections and the hematologic system, what comes to mind?
Infectious diseases, such as malaria, dengue, or other hemorrhagic fevers are some examples of infections that impact the hematologic system. However, disorders of the hematologic system, such as anemia or blood clotting factor disorders, can also have a deleterious effect on a patient’s health and well-being. As an advanced practice nurse, you will need to understand the different types of pharmacotherapeutics used to treat infections and disorders of the hematologic system as you work to enhance patient-centered approaches for safe, quality, and effective care. NURS 6521N Week 10 Discussion
This week, you will examine infections and hematologic disorders, as well as the types of drugs used to treat aspects of these disorders or health systems.
Learning Objectives- NURS 6521N Week 10 Discussion
Students will:
- Evaluate patients for treatment of complex health issues
- Evaluate patients for treatment of infections
- Evaluate patients for treatment of hematologic disorders
- Analyze patient education strategies for the management and treatment of complex comorbidities
Learning Resources
Required Readings (click to expand/reduce)
Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.
- Chapter 46, “Anticoagulant and Antiplatelet Drugs” (pp. 372–388)
- Chapter 47, “Drugs for Deficiency Anemias” (pp. 389–396)
- Chapter 50, “Estrogens and Progestins: Basic Pharmacology and Noncontraceptive Applications” (pp. 425–436)
- Chapter 51, “Birth Control” (pp. 437–446)
- Chapter 52, “Androgens” (pp. 447–453)
- Chapter 53, “Male Sexual Dysfunction and Benign Prostatic Hyperplasia” (pp. 454–466)
- Chapter 70, “Basic Principles of Antimicrobial Therapy” (pp. 651–661)
- Chapter 71, “Drugs That Weaken the Bacterial Cell Wall I: Penicillins” (pp. 662–668)
- Chapter 75, “Sulfonamides Antibiotics and Trimethoprim” (pp. 688–694)
- Chapter 76, “Drug Therapy of Urinary Tract Infections” (pp. 695–699)
- Chapter 78, “Miscellaneous Antibacterial Drugs” (pp. 711–714)
- Chapter 79, “Antifungal Agents” (pp. 715–722)
- Chapter 80, “Antiviral Agents I: Drugs for Non-HIV Viral Infections” (pp. 723–743)
- Chapter 82, “Drug Therapy of Sexually Transmitted Diseases” (pp. 763–770)
This article presents recommendations on the diagnosis, treatment, and monitoring of hypogonadism in men. Reflect on the concepts presented and consider how this might impact your role as an advanced practice nurse in treating men’s health disorders.
This article provides an update on treatments on Vasomotor symptoms (VMS), genito-urinary syndrome of menopause (GSM), sleep disturbance, sexual dysfunction, and mood disturbance that are common during the menopause transition.
Document: Final Exam Study Guide (PDF)
Required Media (click to expand/reduce)
Laureate Education (Producer). (2019h). Pathopharmacology: Pharmacology and immunological disorders: Improvements in medications and drug administration [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 8 minutes.
Nurse Manager, Bette Nunn discusses how technology has improved the practice of administering drugs and created new and improved drug therapies. The importance of using technology as well as a patient’s knowledge of their own drug history is also discussed. NURS 6521N Week 10 Discussion
Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders
To Prepare for NURS 6521N Week 10 Discussion
- Review the resources for this module and reflect on the different health needs and body systems presented.
- Review your peers case studies from Week 9.
- Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected. NURS 6521N Week 10 Discussion
Photo Credit: Getty Images
By Day 6 of Week 10
Read a selection of your colleagues’ responses from Week 9 and respond to at least two of your colleagues on two different days who were assigned a different patient case study, and provide recommendations for alternative drug treatments to address the patient’s pathophysiology. Be specific and provide examples. NURS 6521N Week 10 Discussion
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
Example Approach to Discussion- NURS 6521N Week 10 Discussion
The patient is a 68 yo male, in the hospital with community acquired pneumonia for three days. His PMH shows
COPD, HTN, hyperlipidemia, and diabetes. He is on empiric antibiotics, Ceftriaxone 1G IV every day, and Azithromycin
500 mg IV every day. He has improved in three days, has decreased oxygen requirements. He is not eating, with
complaints of nausea and vomiting. He is allergic to Penicillin. He is 5’8″ tall, and weight is 195.8 pounds.
To start, he is diabetic and not eating. So he would need to be on an insulin drip, with frequent blood sugars,
as well as an IV for caloric intake. A dietician consult, may be helpful. NURS 6521N Week 10 Discussion
We need to be certain the patient’s blood pressure is under control while being treated in the hospital.
When treating infection, the therapeutic objective is to produce maximal antimicrobial effects while causing
minimal harm to the host. Three principal factors must be considered (1) Identity of infecting organism (2) drug
sensitivity of the infecting organism (3) host factors, such as site of infection (Rosenthal & Burchum, 2018).
Without being aware of exactly what organism is invading this patient, I would not consider changes for that
reason, until results are back. Empiric therapy was started right away., to begin treating the patient. Community
acquired pneumonia is often caused by S. pneomoniae, Mycoplasma spp., Haemophilus influenzae, Staphyl-
ococcus aureus (Rosenthal & Burchum 2018).
The first drug of choice for Haemophilus is Cefotaxine or Ceftiriaxone. This patients is already receiving Cefttiriaxone,
or Rocephin. It is used for respiratory tract infections, bacterial otitis media, as well as gonorrhea and pelvic
inflammatory disease. This patient may also have this STD happening. It is not to be given at the same time as any
calcium, and his dose is correct at 1G IV every day. NURS 6521N Week 10 Discussion
The other medication he is on is Azithromycin 500 mg IV every day. Azithromycin can treat various types of bacterial
infections, such as bronchitis or pneumonia, as well as sexually transmitted diseases, including syphilis and
gonorhea. The use of azithromycin (1G) in combination with parenteral Ceftriaxone is widely recommended as first-line
treatment for gonorrhea (Mensforth & Ross, 2019). NURS 6521N Week 10 Discussion
Both if his current meds. can treat respiratory infection, pneumonia, as well as STD’s. Keeping him on these would be
beneficial. When the results of testing of organisms comes back, perhaps we would need to make antibiotic
changes to cover this. Attempting to control the nausea and vomiting, using Zofran PRN, getting the pt. back to some
intake will be helpful. He will continue to need close monitoring of blood sugars. NURS 6521N Week 10 Discussion
C.A,P. is the leading cause of infection-disease related to death in the US, with deaths largely occurring in
hospitalized patients. At highest risk are children under the age of 5, the elderly, and those individuals with
comorbitities (Kleppin, 2020). This pt. is 68 years old, and does have other health problems.
I would want this pt. to speak to a dietician for his HTN, hyperlipidemia, and diabetes. A diabetes educator
would also be helpful, perhaps with some written diet instructions for him to take home. We need to make sure
he is doing blood sugar tests at home. If the pt. does have an STD, teaching needs to be done on safe sex
practices, both for him and his partner. I would also need to make sure the HTN is treated in aftercare, as well
as the hyperlipidemia. NURS 6521N Week 10 Discussion
References
Kleppin S., (2020. Community-acquired pneumonia: Treatment options for adults. Journal of infusion nursing.
Volume43 (4), p. 187-190. doi: 10.1097/NAN.0000000000000378
Mensforth, S. & Ross, J.D.C., (2019). Should we still use azithromycin for gonorrhea treatment? Sexual Health.
Vol. 16, Iss. 5. DOI: 10.1071?SH19016
Rosenthal, L.D., & Burchum, J.R. (2018). Lehne’s pharmacotherapeutics for nurse practitioners and physician
assistants. Elsevier. NURS 6521N Week 10 Discussion
Submission and Grading Information- NURS 6521N Week 10 Discussion
Grading Criteria- NURS 6521N Week 10 Discussion
To access your rubric:
Week 9 Discussion Rubric
Post by Day 3 of Week 9 and Respond by Day 6 of Week 10
To Participate in this Discussion:
Week 9 Discussion
Rubric Detail – NURS 6521N Week 10 Discussion
Select Grid View or List View to change the rubric’s layout.
Name: NURS_6521_Week9_Discussion_Rubric
Grid View
List View
Excellent Good Fair Poor
Main Posting
45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.
Supported by at least three current, credible sources.
Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. NURS 6521N Week 10 Discussion
At least 75% of post has exceptional depth and breadth.
Supported by at least three credible sources.
Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 35 (35%) – 39 (39%)
Responds to some of the discussion question(s).
One or two criteria are not addressed or are superficially addressed.
Is somewhat lacking reflection and critical analysis and synthesis. NURS 6521N Week 10 Discussion
Somewhat represents knowledge gained from the course readings for the module.
Post is cited with two credible sources.
Written somewhat concisely; may contain more than two spelling or grammatical errors.
Contains some APA formatting errors.
0 (0%) – 34 (34%)
Does not respond to the discussion question(s) adequately.
Lacks depth or superficially addresses criteria.
Lacks reflection and critical analysis and synthesis. NURS 6521N Week 10 Discussion
Does not represent knowledge gained from the course readings for the module.
Contains only one or no credible sources.
Not written clearly or concisely.
Contains more than two spelling or grammatical errors.
Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness
10 (10%) – 10 (10%)
Posts main post by day 3
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
Does not post by day 3
First Response
17 (17%) – 18 (18%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Responds fully to questions posed by faculty. NURS 6521N Week 10 Discussion
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives. NURS 6521N Week 10 Discussion
Communication is professional and respectful to colleagues. .
Responses to faculty questions are fully answered, if posed.
Response is effectively written in standard, edited English.
15 (15%) – 16 (16%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Responds fully to questions posed by faculty.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Communication is professional and respectful to colleagues. .
Responses to faculty questions are fully answered, if posed.
Response is effectively written in standard, edited English.
13 (13%) – 14 (14%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
0 (0%) – 12 (12%)
Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited.
Second Response
16 (16%) – 17 (17%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Responds fully to questions posed by faculty.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Communication is professional and respectful to colleagues. .
Responses to faculty questions are fully answered, if posed.
Response is effectively written in standard, edited English.
14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English. NURS 6521N Week 10 Discussion
12 (12%) – 13 (13%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed. .
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
0 (0%) – 11 (11%)
Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited.
Participation
5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days
Total Points: 100
Name: NURS_6521_Week9_Discussion_Rubric. NURS 6521N Week 10 Discussion