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What is your clinical decision making and rationale on pharmaceutical management?

May 24, 2022
Christopher R. Teeple

Week 4 Discussion 1: Cardiovascular Disorders
Value: 100 points
Due: Create your initial post by Day 3 and reply to at least two of your classmates by Day 7.
Gradebook Category: Discussions
Initial Post
Select your group in the starter threads of this discussion. Within your group, choose one of the discussion questions to respond to and post your name as a reply to that question, indicating that you will work on that question this week (first come, first served so that all students in your group have a different question to respond to). Post the initial response to the question by Day 3.
Reply Posts
By Day 7, reply to at least two of your classmates in your group.
Please refer to the Grading Rubric for details on how this activity will be graded.
Group B
Question chosen is # 5
This is the question i chose to answer
You are managing an 87-year-old male with a hypertensive urgency. What is your clinical decision making and rationale on pharmaceutical management? What aspects are important to consider when making decisions on drug choice? At what point would you adjust/change your initial treatment plan?
Answer each section of question few paragraphs with scholarly peer reviewed references
Needs at least 3 -4 references
Recommended Readings/Resources
Amsterdam, E. A., Wenger, N. K., Brindis, R. G., Casey, D. E., Ganiats, T.G., Holmes, D. R., Jaffe, A. S., Jneid, H., Kelly, R. F., Kontos, M. C., Levine, G. N., Liebson, P. R., Mukherjee, D., Peterson, E. D., Sabatine, M. S., Smalling, R. W., & Zieman, S. J. (2014). 2014 AHA/ACC guideline for the management of patients with non-ST elevation acute coronary syndromes: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Journal of American College of Cardiology, 64(24). E139–e228.
Benken, S. T. (2018). Hypertensive emergencies (PDF). In CCSAP 2018 book 1: Medical issues in the ICU. American College of Clinical Pharmacy
Gerhard-Herman, M. D., Gornik, H. L., Barrett, C., Barshes, N. R., Corriere, M.A. Drachman, D. E., Fleisher, L. A., Fowkes, F. G. R., Hamburg, N. M., Kinlay, S., Lookstein, R., Misra, S., Mureebe, L., Olin, J. W., Patel, R. A. G., Regensteiner, J. G., Schanzer, A., Shishehbor, M. H., Stewart, K. J., … & Walsh, M. E. (2016). 2016 AHA/AC guideline on the management of patients with lower extremity peripheral artery disease: Executive summary: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation, 135(12), e686–e725.
James, P. A., Ortiz, E., Oparil, S., Carter, B., Cushman, W., Dennison-Himmelfarb, C., Handler, J., Lackland, D, LeFevre, M., MacKenzie, T., Ogedegbe, O., Smith, S. C. Jr., Svetkey, L. P., Taler, S. J., Townsend, R. R., Wright, J. T. Jr., Narva, A., & Ortiz, E. (2014). 2014 Evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the Eighth Joint National Committee (JNC 8). Journal of the American Medical Association, 311(5), 507–520.
O’Gara, P. T., Kushner, F. G., Ascheim, D. D., Casey, D. E., Chung, M. K., de Lemos, J. A., Ettinger, S. M., Fang, J. C., Fesmire, F. M., Franklin, B. A., Granger, C. B., Krumholz, H. M., Linderbaum, J. A., Morrow, D. A., Newby, L. K., Ornato, J. P., Ou, N., Radford, M. J., Tamis-Holland, J. E., … Zhao, D. X. (2013). 2013 ACCF/AHA guideline for the management of ST elevation myocardial infarction. Journal of the American College of Cardiology, 61(4).
Salgado, D. R., Silva, E., & Vincent, J. L. (2013). Control of hypertension in the critically ill: A pathophysiological approach. Annals of Intensive Care, 3(1), 7.
Yancy, C. W., Jessup, M., Bozhurt, B., Butler, J., Casey, D. E., Jr., Colvin, M. M., Drazner, M. H., Filippatos, G. S., Fonarow, G. C., Givertz, M. M., Hollenberg, S. M., Lindenfeld, J., Masoudi, F. A., McBride, P. E., Peterson, P. N., Warner Stevenson, L., & Westlake, C. (2017). 2017 ACC/AHA/HFSA focused update of the 2013 ACCF/AHA guideline for the management of heart failure: A report of the American College of Cardiology/ American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. Circulation, 136(6), e137–e161.

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