NURSING NR 603 Week 3 assignment final with complete solution

NURSING NR 603 Week 3 assignment final with complete solution Week 3 assignment final What Leads Demonstrate the ST Depression? Is Lorene Hypertensive per ACA 2017 Guidelines? Compare the ACA guidelines to JNC 8 guide ...

NURSING NR 603 Week 3 assignment final with complete solution Week 3 assignment final What Leads Demonstrate the ST Depression? Is Lorene Hypertensive per ACA 2017 Guidelines? Compare the ACA guidelines to JNC 8 guidelines and discuss what treatment you recommend for her BP and why. ACA 2017 Guidelines JNC 8 guidelines What is the Primary diagnosis causing Lorene's chest pain? Include ICD 10 codes Acute Coronary Syndrome (I24.9). What other secondary diagnoses does Lorene have that should be addressed? Diabetes Mellitus Type 2 (E11.9). Diabetes mellitus, occurs when there is impairment of, beta cell synthesis or release of insulin, or Hyperlipidemia, (E78.5). Design a treatment plan and discuss how each intervention is applicable to Lorene's case Referrals/Follow up Diagnostic tests Medications 1). RX: Hydrochlorothiazide 12.5 mg oral tablet, Take 1 tablet by mouth daily. Dispense # 30. Refill 2 2). RX: Amlodipine 5 mg oral tablet, Take 1 tablet by mouth daily. Dispense # 30. Refill 2 4). RX: Atorvastatin 10mg, Take 1 tab daily. Dispense #30. Refill 2 5). RX: Aspirin EC 81 mg tablet, take 1 tablet by mouth daily. Dispense: #30, Refill 3 a Education: Patient instructed on lifestyle modification to include regular exercises to daily activities and eat a healthy diet to facilitate weight loss Discussed type 2 diabetes mellitus and hyperlipidemia diagnosis. Discussed diagnostic repeat labs to confirm and manage diagnosis Reviewed all medications and encourage to take as prescribed and monitor for adverse effects Encourage to monitor blood sugar levels and record twice daily Discussed the importance of managing diagnosis effectively to prevent possible complications Discussed referrals to specialist to help manage DM2 Discussed when to seek for medical emergency (American Heart Association, 2018). References American Diabetes Association. (2018). Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes. Retrieved from http://care.diabetesjournals.org/content/41/Supplement_1/S13 American Heart Association (AHA). (2018). What Your Cholesterol Levels Mean. Retrieved from http://www.heart.org/en/health-topics/cholesterol/about-cholesterol/what-your-cholesterol-levels-mean Armstrong, C. (2014). JNC 8 Guidelines for the Management of Hypertension in Adults. AMERICAN FAMILY PHYSICIAN, 90(7), 503–504. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edswsc&AN=000342718900015&site=eds-live&scope=site Avital, M., & Oji, B. (2018). Acute Coronary Syndrome. CINAHL Nursing Guide. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=nup&AN=T701550&site=eds-live&scope=site Buttaro, T., Trybulski, J., Bailey, P. & Sandberg-Cook, J. (2013). Primary care A Collaborative Practice, 4th edition. Mosby, St Louis Missouri. Carrera-Boada, A., & Martínez-Moreno, M. (2013). Pathophysiology of diabetes mellitus type 2: beyond the duo “insulin resistance-secretion deficit.” Nutricion Hospitalaria, 28 Suppl 2, 78–87. https://doi-org.chamberlainuniversity.idm.oclc.org/10.3305/nh.2013.28.sup2.6717 Centers for Diseases Control and Prevention (CDC). (2017). Knowing Your Risk: High Cholesterol. Retrieved from https://www.cdc.gov/cholesterol/risk_factors.htm Pippitt, K. and Marlana, L. (2016). Diabetes Mellitus: Screening and Diagnosis. Am Fam Physician. 2016 Jan 15;93(2):103-109. Retrieved from https://www.aafp.org/afp/2016/0115/p103.html#afp20160115p103-t2 Rubenfire, M. (2018). 2017 Guideline for High Blood Pressure in Adults. Retrieved from https://www.acc.org/latest-in-cardiology/ten-points-to-remember/2017/11/09/11/41/2017-guideline-for-high-blood-pressure-in-adults Switaj,L., Christensen, R., & Brewer, M. (2017). Acute Coronary Syndrome: Current Treatment. Am Fam Physician. 2017 Feb 15;95(4):232-240. Retrieved from https://www.aafp.org/afp/2017/0215/p232.html Shemirani, H., & Nayeri-Torshizi, E. (2015). Electrocardiographic characteristics of posterior myocardial infarction in comparison to angiographic findings. ARYA Atherosclerosis, 11(1), 30–35. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=101163626&site=eds-live&scope=site Williams, S. K., Ravenell, J., Seyedali, S., Nayef, S., & Ogedegbe, G. (2016). Hypertension Treatment in Blacks: Discussion of the U.S. Clinical Practice Guidelines. Progress in cardiovascular diseases, 59(3), 282-288.