The presentation must include information about the:
Drug pharmacology, pharmacokinetics
Brand name
Generic name
Dosing
Indications for use
Side effects
Contraindications
Pregnancy class
You must also perform a cost analysis of the drug.
Provide a patient case study on a patient in which you would utilize the drug you have selected and include at least two peer-reviewed evidence-based studies related to the drug.
Describe the appropriate patient education.
What is your role as a Nurse Practitioner for prescribing this medication to this patient on your case study presentation?
Describe the monitoring and follow-up.
Sample solution
Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell.
In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.
God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.
Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.
To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.
References
Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.
Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies, 4(8), 487.
Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.
Sample Answer
Sample Answer
Case Study Presentation: Utilizing Lisinopril for Hypertension Management
Drug Information:
– Brand Name: Zestril, Prinivil
– Generic Name: Lisinopril
– Pharmacology: Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that works by inhibiting the conversion of angiotensin I to angiotensin II, a potent vasoconstrictor. This leads to vasodilation, reduced aldosterone secretion, and decreased sodium and water retention, resulting in lower blood pressure.
– Pharmacokinetics: Lisinopril is absorbed well after oral administration, with peak plasma concentrations reached in about 7 hours. It is mainly excreted unchanged in the urine.
– Dosing: The typical starting dose of lisinopril for hypertension is 10 mg once daily, with adjustments based on individual patient response.
– Indications for Use: Lisinopril is indicated for the treatment of hypertension, heart failure, and post-myocardial infarction.
– Side Effects: Common side effects include dizziness, cough, hypotension, hyperkalemia, and renal impairment.
– Contraindications: Lisinopril is contraindicated in patients with a history of angioedema related to previous ACE inhibitor use, severe renal impairment, and pregnancy.
– Pregnancy Class: Lisinopril is classified as Pregnancy Category D.
Cost Analysis:
A cost analysis of lisinopril compared to other antihypertensive medications such as losartan and amlodipine shows that lisinopril is a cost-effective option, with generic formulations available at lower prices. The cost may vary based on the dosage strength and quantity prescribed.
Patient Case Study:
Patient: Ms. A, a 55-year-old female with a history of hypertension.
Clinical Presentation: Ms. A presents with uncontrolled hypertension despite lifestyle modifications.
Treatment Plan: Initiate lisinopril 10 mg once daily for blood pressure management.
Peer-Reviewed Studies:
1. Study 1: A randomized controlled trial comparing lisinopril with other antihypertensive agents demonstrated its efficacy in reducing blood pressure and cardiovascular events.
2. Study 2: A systematic review of ACE inhibitors, including lisinopril, highlighted their role in improving cardiovascular outcomes in hypertensive patients.
Patient Education:
1. Medication Adherence: Educate the patient on the importance of taking lisinopril as prescribed to achieve optimal blood pressure control.
2. Monitoring: Instruct the patient to monitor blood pressure regularly at home and report any significant changes or side effects to the healthcare provider.
3. Lifestyle Modifications: Emphasize the need for a healthy diet, regular exercise, weight management, and smoking cessation to complement the effects of the medication.
Nurse Practitioner Role:
As a Nurse Practitioner prescribing lisinopril to Ms. A, my role involves conducting a thorough assessment, selecting an appropriate treatment plan, educating the patient on medication use and monitoring parameters, and ensuring follow-up care to optimize treatment outcomes.
Monitoring and Follow-Up:
1. Initial Follow-Up: Schedule a follow-up visit within 1-2 weeks to assess blood pressure response and monitor for side effects.
2. Ongoing Monitoring: Regularly monitor blood pressure, renal function, potassium levels, and symptoms of dizziness or cough during routine visits.
3. Long-Term Follow-Up: Adjust the dosage as needed based on patient response and provide continuous support for medication adherence and lifestyle modifications.
In conclusion, lisinopril is a valuable antihypertensive medication that plays a crucial role in managing hypertension and reducing cardiovascular risk. By integrating evidence-based practice, patient education, and diligent monitoring into the care plan, Nurse Practitioners can effectively prescribe and manage lisinopril therapy to improve patient outcomes and enhance overall cardiovascular health.
