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Week 6 - Discussion 1

Week 6 - Discussion 1

Q Respond to this discussion question by midnight, Day 3 of the online week. Participate on 2 additional days for participation credit. The minimum requirement is 4 responses (initial + 3 responses) on 3 different days. You do not have to respond to every student but you should be active in 3-6 threads as well as being responsive to comments made on your own initial post. Responses need to be substantive and thorough. They should offer new insight, reasoning, or critical and analytical thoughts. One or two sentences is not a substantive response. You are required to use correct spelling and grammar. Check your spelling before submitting. Professional nurses are expected to demonstrate professional conduct at all times. It is acceptable to disagree with your peers but your interactions must remain professional. You can't just log in, post one day and be done. I'm looking for quality posts that further the discussion. Think of this as a discussion we may have in the classroom setting, except we are doing it online over the course of a week. The requirements for discussions will be very similar throughout the 11 weeks; you will be expected to generate initial posts and respond to classmates throughout the week. You need an overall discussion average of 74% to pass this course. A grade of 0 will be earned for each week a student does not post. Late submissions will not be accepted for grading. Any submissions outside of the assigned unit week will not be counted. Note: This is a Post First forum. Students must first post a topic before they are allowed to view or reply to other student’s posted topics. Once you make your first post, your classmate posts will appear and you can respond as directed below. Read the assigned pages in the book and listen to the online lectures. Then prepare your response to questions below for one of the sets of questions below. Note: Use the assigned textbook as your resource and you must cite in APA format to support your response. If you have any questions about participation requirements please post your question on the Course Questions Forum All topics will be on the exam as well as other topics listed in the syllabus. It will be helpful to read and participate in all scenarios below. If your last name starts with A-I you are assigned these questions Set 1 Your patient was recently diagnosed with congestive heart failure and the physician will order a potassium wasting diuretic, either furosemide or hydrochlorothiazide. Answer the following questions regarding these drugs. 1. What is the action of these drugs? 2. What can they be used on? 3. What side effects could we expect to see? How will these two drugs excrete and retain electrolytes? 4. What are the interactions of the potassium wasting diuretics? 5. What teaching will be included for the patient taking either of these drugs? 6. What is the difference between these two drugs? 7. How does the osmotic diuretic compare with these drugs? _____________________________________________________________________________________________________________ If your last name starts with J-S you are assigned these questions Set 2 The patient is diagnosed with hypertension and will be prescribed a K sparing diuretic, an ACE inhibitor or an angiotensin II receptor blocker. Answer the following questions regarding these drugs. 1. How do all of the ACE inhibitors end? The angiotensin II receptor blockers? What are the drug names you need to use as your prototype drug for these two drug classes on your list? 2. What is the difference in the way the ACE inhibitors work compared to the angiotensin II receptor blockers? 3. How does the K sparing diuretic work? 4. What are the side effects/adverse reactions of these drugs? 5. What will the nurse monitor while the patient is on any of these drugs? 6. What teaching needs to be included to the patient when taking these drugs? 7. How will we know that these drugs are effective? ____________________________________________________________________________________________________________ If your last name starts with T-Z you are assigned these questions Set 3 The patient with hypertension is being evaluated for medications to maintain the blood pressure in normal ranges. Answer the following questions regarding these drugs. 1. There are 5 drugs used for hypertension noted on your drug class this week (not including the diuretics). What are the drug names and classes of the hypertensives from your list for this week? 2. How do the beta blockers work? Compare that with the way the alpha blockers work. 3. Why would a physician order one of the drug classes over the other? 4. What are the interactions for each of these drug classes? 5. What teaching needs to be included with each of these drugs? 6. What cultural considerations need to be reviewed prior to ordering an antihypertensive for a patient? 7. In the African American population, what drugs can be given as monotherapy? What drugs need to have a diuretic given with them to be effective? What is a concern with our Asian population?

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The drugs furosemide and Hydrochlorothiazide acts as a diuretic as increases the urination process which lowers the blood pressure (Fallahzadeh, 2017).These medicines can be used in the treatment of edema due to fluid retention, Congestive heart failure, Kidney disease, Hypertension (Fallahzadeh, 2017).• The side of Hydrochlorothiazide are; Rapid heart rate, vision problem, dry mouth • The side effects of furosemide are; vomiting, Nausea, Stomach cramping, Diarrhea, Constipation (Fallahzadeh, 2017).