Discussion 1

Submit your answers to the 6 questions. With high-level scholarly reference in APA form within the last 5 years.

 

 

A 70-year-old woman is in your office complaining of recently having trouble maintaining her balance after taking diazepam (valium). She occasionally takes diazepam when she feels anxious and has trouble sleeping. She has a 15-year history of taking diazepam.

 

Question 1. Explain the cause of this patient’s difficulty in maintaining her balance?

 

Question 2. Diazepam experiences a significant first-pass effect. What is the first-pass effect, and how can first-pass metabolism be circumvented?

 

A 75-year-old woman develops symptoms of a cold and buys an over-the-counter cold medication at the grocery store. The medication contains diphenhydramine, acetaminophen, and phenylephrine. She takes the recommended adult dose but soon after taking the medication she becomes very confused and disoriented.

 

Question 3. What is likely causing the signs of confusion?

 

A 26-year-old woman who has never been pregnant is seeking preconception care as she is planning to pursue pregnancy in a couple of months. Currently, she has no symptoms to report and on review of body systems, there were no concerns. Her past medical history is significant for a history of rheumatic fever as a child. She subsequently underwent valve replacement with a mechanical heart valve. She is followed by a cardiologist who has already evaluated her cardiac function and she has received clearance from her cardiologist to pursue pregnancy. Records from her cardiologist include a recent cardiac echocardiography report that reveals a normal ejection fraction indicating normal cardiac function.

 

She has no alterations in her daily activities related to her heart. She has no other significant medical or surgical history. She is a non-smoker, drinks occasionally but has stopped as she is attempting to conceive, and does not use any non-prescription drugs.

 

Current Medications: Her current medications include only prenatal vitamins, which she has begun in anticipation of pregnancy, and warfarin. She has no known drug allergies.

 

Vital Signs: On examination, her pulse is 80 beats per minute, blood pressure is 115/70 mm Hg, respiratory rate is 18 breaths per minute, and she is afebrile.

Measurements: Weight = 152 pounds, Height = 5′5 ″, BMI= 25.29

 

Question 4. How is warfarin metabolized? Does warfarin cross the placental barrier?

 

Question 5. Explain the hepatic drug metabolism of children 1 year and older. How do they compare with the hepatic drug metabolism of infants and adults?

 

Question 6. Explain protein binding in the neonate.

"Order a similar paper and get 15% discount on your first order with us
Use the following coupon
"FIRST15"

Order Now

Discussion 1

In your initial post of at least 200-250 words, briefly summarize the national government’s education policies. Explain the main pros and cons in the debate about these policies. Evaluate them from two perspectives: 

  • The policies’ effectiveness in improving the quality of U.S. elementary and secondary education. (Justify your assessment by clearly explaining your definition of “effectiveness” and how it should be measured or determined.)
  • Their consistency with the constitutional framework of federalism. (Justify your assessment by clearly explaining your interpretation of American federalism’s constitutional framework and why federal education policies are or are not consistent with it.)

Fully respond to all parts of the question. Write in your own words. Support your position with APA citations to two or more of the assigned resources required for this discussion. Please be sure that you demonstrate understanding of these resources, integrate them into your argument, and cite them properly.

"Order a similar paper and get 15% discount on your first order with us
Use the following coupon
"FIRST15"

Order Now