NUR-635 Topic 2 DQ 2 • Online Nursing Essays

If your last name starts with A through M: Case 1 Adrenergic Antagonist. If your last name starts with N through Z: Case 2 Adrenergic Agonist. 

Case 1 Adrenergic Antagonist Deb is a 32-year-old female who struggles to maintain her blood pressure. Deb is currently using lifestyle modifications to decrease her blood pressure. She is not interested in taking antihypertensives. Upon completing her medication reconciliation, you determine she consistently uses pseudoephedrine for nasal congestion. You suspect this pseudoephedrine is contributing to the patient’s hypertension. Use the guidelines and relevant literature in your topic Resources to discuss the following: 

Based on the JNC-8 guidelines in the topic Resources, list the various blood pressure goals. Include when pharmacologic intervention is needed. Describe the non-pharmacologic approach (lifestyle modifications) to treat hypertension. Based on the mechanism of action of pseudoephedrine, describe how this can contribute to Deb’s hypertension and congestion relief. Compare and contrast the difference between phenylephrine and pseudoephedrine. Include modes of action, efficacy, and other relevant information in your response. What may be an alternative to adrenergic agonist when treating congestion in hypertension, explain your rationale? 

Case 2 Adrenergic Agonist Daniel, a 23-year-old male, is nervous for performing at his concert tonight. His friend offers him propranolol as treatment because it is considered relatively safe. More than 2 days a week but not daily, Daniel suffers from asthma symptoms that require an inhaler. Use the guidelines and relevant literature in your topic Resources to discuss the following: 

Based on the asthma guidelines, how would categorize Daniel’s asthma?  Summarize the diagnostic criteria associated with social anxiety disorder.  Describe the mechanism of action of propranolol and how it differs from metoprolol.  Compare and contrast the difference in propranolol and albuterol’s effect on the lungs.  Explain your rationale for discouraging the use of propranolol in this patient (e.g., pathophysiology and guideline recommendations).  

Participate in follow-up discussion by reviewing the case discussed by classmates that is different than the one assigned to you. American Association of Colleges of Nursing Core Competencies for Professional Nursing Education  This assignment aligns to AACN Core Competencies 1.2, 2.2, 2.5. 4.2, 6.4, 9.2 Submitted on: Sep 11, 2023, 6:58 PM VIEW DQ RESPONSE MH Marco Hernandez Sep 11, 2023, 10:08 PM Unread