Classroom Participation Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature. All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above. Initial Response Instructions:
Scenario
You are seeing a 58-year-old African-American male who presents to the clinic for a routine follow-up. The patient has a past medical history of hypertension, and GERD. He is currently taking amlodipine 5mg daily and famotidine 40mg daily. He denies smoking or nicotine use, drinks alcohol about once a month, and has a cup of coffee once a day He had lab work complete prior to his visit showing: Total Cholesterol: 210; HDL: 44 Triglycerides 120; LDL 142 His vitals are as follows: BP: 166/94, HR: 84; RR: 18; O2: 96% on room air, and T: 98.4; Height: 70 inches, Weight: 220 pounds Upon examination today his lung sounds are clear and heart rhythm is regular. He has just a trace of edema to both lower extremities, but skin is pink and dry. No other abnormalities are noticed on exam. Discussion Prompt Please develop a discussion post that responds to each of the following prompts. Where appropriate your discussion needs to be supported by scholarly resources. Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post: Provide your diagnosis. Discuss how you would manage the patients current medication regimen and provide a rationale supported by scholarly reference for your treatment plan. Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription). Describe the patient education you would provide in relation to your treatment plan. Provide your plan for follow-up and/or referral (if indicated) Please be sure to validate your opinions and ideas with citations and references in APA format.

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