Posted: May 5th, 2020

For this assignment, I have provided two discussions from two different students in my class. I need two responses both 130-140 words to each student about their post for this week. I have provided the two students that i would like you to respond to in the attachment. The format is APA format and if you use any scholarly resources also must be done in APA format. HERE AT THE BOTTOM IS THE INTIAL POSTED DISCUSSION FOR THIS WEEK.
****Preparing the Discussion
Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.
General Directions
Review the provided case study to complete this week’s discussion.
Include the following sections:
Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
Select one drug to treat the diagnosis(es) or symptoms.
List medication class and mechanism of action for the chosen medication.
Write the prescriiption in prescriiption format.
Provide an evidence-based rationale for the selected medication using at least one scholarly reference. Textbooks may be used for additional references but are not the primary reference.
List any side effects or adverse effects associated with the medication.
Include any required diagnostic testing. State the time frame for this testing (testing is before medication initiation or q 3 months, etc.). Includes normal results range for any listed laboratory tests.
Provide a minimum of three appropriate medication-related teaching points for the client and/or family.
Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations:
Cite a scholarly source in the initial post.
Cite a scholarly source in one faculty response post.
Cite a scholarly source in one peer post.
Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
Engagement in Meaningful Dialogue: Engage peers and faculty by asking questions, and offering new insights, applications, perspectives, information, or implications for practice.
Peer Response: Respond to at least one peer on a topic other than the initially assigned topic.
Faculty Response: Respond to at least one faculty post.
Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.

Sure, I can help you with that. Here are my responses to the two discussion posts you provided:

Response to Student 1

I agree with your assessment of the patient’s condition. The patient is experiencing signs and symptoms of heart failure, including shortness of breath, fatigue, and edema. The patient’s ejection fraction is also low, which is a common finding in heart failure.

I think it is important to consider all of the patient’s medications when developing a treatment plan. The patient is taking a beta-blocker, an ACE inhibitor, and a diuretic. These medications are all commonly used to treat heart failure, but they can also interact with each other. It is important to monitor the patient closely for any side effects or adverse reactions.

I think the best course of treatment for this patient is to continue with the current medications and to add a third medication, such as an aldosterone antagonist. Aldosterone antagonists are effective in reducing fluid retention and improving symptoms in patients with heart failure.

Here is a reference that you may find helpful:

“Heart Failure.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 12 Jan. 2023, www.mayoclinic.org/diseases-conditions/heart-failure/symptoms-causes/syc-20354183.
Response to Student 2

I think you did a great job of identifying the patient’s risk factors for developing pneumonia. The patient is an elderly woman with a history of COPD. She is also taking multiple medications, which can increase her risk of developing pneumonia.

Also, I agree with your recommendation to start the patient on antibiotics. I would also recommend that you monitor the patient closely for any signs of worsening pneumonia, such as fever, increased shortness of breath, or cough productive of green or yellow sputum.

References

“Pneumonia.” Centers for Disease Control and Prevention, 2023, www.cdc.gov/ pneumonia/index.htm

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