nr 667 vise call notes nr 667 vise study guide latest update institution chamberlain college of nursing course nr 667 nr667
Written for
NR 667
All documents for this subject (81)
Seller
Follow
HIGHSCORE
Reviews received
Content preview
NR 667 VISE Call 2021
Fnp Capstone Practicum And Intensive
(Chamberlain University)
, OMoARcPSD|15594445
1. Hypertension
Presentation: Most are not symptomatic, Occipital Headaches, headache on awakening in am, burry vision,
Diagnostic studies: EKG, fasting lipid profile, fasting blood glucose, CBC, CMP, and urinalysis.
Diagnosis: > 140/90 mm Hg start on B/P medication.
Non-pharmacologic Management:
• Lifestyle modifications: diet and exercise 30 minutes aerobic exercise 5 days per week.
• Limit alcohol
• stop smoking
• stress management.
Pharmacologic Management:
• hydrochlorothiazide (HCTZ) 25 mg/day
• ALTERNATIVE Amlodipine besylate 5 mg /day. I
• lisinopril 10mg/day complicated HTN
Follow up:
• 2-4weeks
Referral:
• Cardiology if EKG is normal
2. Hyperlipidemia
Presentation:
• Xanthomata (lipid deposits around the eyes)
• Corneal Arcus prior to age 50 years
Diagnostics:
• lipid profile
• Glucose,
• UA and creatinine (for detection of nephrotic syndrome which can induce dyslipidemia),
• TSH (for detection of hypothyroidism)
• CMP
Diagnosis: Pt with LDL >= 190mg/dL
Non-pharmacologic Management:
• Lifestyle Modification; diet and exercise.
Pharmacologic Management:
• Atorvastatin 10mg once a day
• Alternative Welchol 625 mg tab daily once a day.
Follow up: 6-8
Refer: Nutritionist
3. Diabetes type
2 Presentation:
• Polydipsia, Polyuria, Polyphagia,
• agitation,
• nervousness,
• obesity,
• fatigue
• blurry vision
Diagnostics: EKG, CBC, CMP, LIPIDS< Microalbuminuria, TSH, A1C
Diagnosis:
• Hgb A1C >or equal to 6.5%
• Fasting glucose>126mg/dl and confirmed on a different day
Non-pharmacologic Management:
• Monitor Blood glucose at home and diary
• Lifestyle modification: diet and Exercise
• avoid alcohol
• avoid smoking
Pharmacologic Management:
• Metformin 500mg twice a day.
• Actos 15 mg daily
• Levemir 10 units once a day
Follow up:
, • 2-4 weeks
Referral:
• Ophthalmologist
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HIGHSCORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
