1.How have yourattitudes changed about selecting appropriate medications based on patientpresentation and unique patient factors?

2.How confident do youfeel about selecting an appropriate pharmaceutical agent for a patient with aspecific diagnosis in the primary care setting? What resources are needed, ifany, to help you feel more confident?

3.How has yourunderstanding changed about determining the therapeutic effects, adverseresponses, and side effects of drug therapy?

4.Reflect on your preparednessto write appropriate prescriptions according to evidence-based practiceguidelines. What resources are needed, if any, to help you feel more prepared?

5.How do you feel aboutyour ability to identify and respond to legal and ethical issues related tosafe prescribing practices? What resources are needed, if any, to help you feelmore prepared?

6.Reflect on yourpreparedness to determine whether pharmacologic therapy is appropriate for anindividual patient? What resources are needed, if any, to help you feel moreprepared?

NOTES: Carefulconsiderations are required when prescribing antibiotic treatment. Antibioticsare powerful agents that have contributed immensely to society; however,consideration must be given to ensure the benefits outweigh the risk of adverseeffects to the patient. Increased resistance may result from overuse andoverprescribing. Rising rates of anti-microbial resistance have led to thedecreased use of antibiotics. Antivirals and antifungals are widely used tohelp prevent and manage infectious diseases. These agents have made asignificant impact on morbidity and mortality throughout the world. Antiviralmedications provide important adjunctive therapy to the influenza vaccine inthe control of influenza. Antifungal agents also make important contributionsby killing or stopping dangerous fungi growth in the body. NPs are on the frontlines of the obesity epidemic and can assist patients in reaching theirhealthcare goals through effective strategies for the prevention and managementof obesity.  STDs can have severe health consequences and pose adisproportionate burden in select populations. Emphasis will be placed onParkinson’s Disease (PD), Alzheimer’s Disease (AD), and seizure disorders. theNP must be familiar with treatment regimens to address the primary care needsof patients with these conditions. There is not a specific algorithm to treatevery person. Patients are unique individuals whose needs requiretheprescriber to consider symptoms, age, physical health indications, andlifestyle when choosing amedication. Ethical and legal considerations informpractice. The NP must be aware of state regulations governing NP scope ofpractice prescribing decision. Commonly used CAM products include herbs,vitamins, supplements, and homeopathy. Meditation, yoga, and acupuncture arejust a few of the commonly used CAM practices. 

Reference

Rosenthal, L. & Burchum, J.(2021). Lehne’spharmacotherapeutics for advanced practice nurses and physician assistants (2nded.). Elsevier.


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