Week 9 Discussion
Discussion – Week 9
Discussion Part I: Assessment and Care of Patients With Adrenal and Urogynecologic Conditions
Many genitourinary (GU) disorders such as kidney disease start developing during adolescence (Johns Hopkins Children’s Center, 2010). This early onset of disease makes
it essential for you, as the advanced practice nurse caring for adolescent patients, to identify potential signs and symptoms. Although some adolescent GU disorders
require long-term treatment and management, other disorders such as urinary tract infections are more common and frequently require only minor interventions. In your
role with adolescent patients, you must evaluate symptoms and determine whether to treat patients or refer them for specialized care. For this Discussion, consider
potential diagnoses, treatment, and/or referral options for the patients in the following 3 case studies.
Case Study 1: Alicia is an 18-year-old female who is brought into urgent care by her mother. She is complaining of dizziness. She recently started to lift weights for
softball season. She has been healthy up to this point. Vitals are: temp 101.9°F, HR 120, RR 24, BP 90/54. She has lower extremity edema and decreased skin turgor. She
states that her shoulders, thighs, and lower back hurt. She is having trouble moving her arms and legs. She also complains of vague abdominal pain, with nausea and
vomiting. Labs came back with CK 10,000, uric acid 40 mg/dl, WBC 14.3, BUN:creatinine ratio 6:1, K 5.8. Urinalysis shows a presence of myoglobin of more than 25.
Review and select 1 of the 3 provided case studies. Analyze the patient information.
Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic
Consider strategies for educating patients and families on the treatment and management of the genitourinary disorder.
Please label each paragrah as Case Study: then second paragraph would be Differential diagnosis, then third paragraph : Treatment, then last paragraph would be
Education. Do the paper in paragraph form.
Second Discussion is pharmacology. The Drug that I have to do is KETAMINE: You can do 1 of the 3 options below:
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.