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NRNP 6552 Advanced Nurse Practice In Reproductive Health Care Discussion

NRNP 6552 Advanced Nurse Practice In Reproductive Health Care Discussion

Hypertension in Women

High blood pressure, often known as hypertension, is a frequent illness where the blood’s long-term force against the walls of the arteries is so great that it may eventually result in health issues like heart disorders (Mills et al., 2020). Hypertension is usually considered when the blood pressure is above 140/90, and in severe cases when the pressure is above 180/120. Symptoms of hypertension include abnormal heart rhythms, headaches in the early mornings, ear buzzing, nosebleeds, and vision abnormalities (Mills et al., 2020)NRNP 6552 Advanced Nurse Practice In Reproductive Health Care Discussion. In severe hypertension cases, patients may feel symptoms such as chest pain, fatigue, anxiety, confusion, nausea, vomiting, and trembling of the muscles.

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Diagnostic tests include the measurement of blood pressure where results above 140/90 are considered hypertension while results above 180/120 are considered severe hypertension.  Electrocardiogram (ECG) is the gold standard for the assessment of hypertension. It is a fast and painless test that measures the electrical activity of the heart (Mandras et al., 2020). Also, an echocardiogram that utilizes sound waves to produce images of the heart and chest radiography are used to assess more signs of heart diseases. Other diagnostic tests include urinalysis and blood tests such as blood sugar levels, cholesterol tests, and CBC among others depending on the signs and symptoms (Peixoto, 2019). The common treatment for hypertension includes Angiotensin-converting enzyme (ACE) inhibitors such as lisinopril, calcium channel blockers such as amlodipine, diuretics such as hydrochlorothiazide, and Angiotensin II receptor blockers (ARBs) such as candesartan and losartan (Butalia et al., 2018)NRNP 6552 Advanced Nurse Practice In Reproductive Health Care Discussion.

Methyldopa, labetalol, and nifedipineare are the most common hypertension medications for women of reproductive age (Boffa et al., 2019). Although angiotensin-converting enzyme (ACE) inhibitors are considered the most effective in the management of hypertension, they are contraindicated during the second and third trimesters of pregnancy due to their increased risk of fetal renal damage. The woman should be counseled to adhere to an appropriate diet which includes consuming a diet rich in whole grains, fruits, vegetables, low-fat dairy products, less saturated fat and cholesterol, less salt, and quitting smoking and alcohol consumption (Boffa et al., 2019)NRNP 6552 Advanced Nurse Practice In Reproductive Health Care Discussion.

References

Boffa, R. J., Constanti, M., Floyd, C. N., & Wierzbicki, A. S. (2019). Hypertension in adults: Summary of updated NICE guidance. BMJ, l5310. https://doi.org/10.1136/bmj.l5310

Butalia, S., Audibert, F., Côté, A., Firoz, T., Logan, A. G., Magee, L. A., Mundle, W., Rey, E., Rabi, D. M., Daskalopoulou, S. S., & Nerenberg, K. A. (2018). Hypertension Canada’s 2018 guidelines for the management of hypertension in pregnancy. Canadian Journal of Cardiology, 34(5), 526-531. https://doi.org/10.1016/j.cjca.2018.02.021

Mandras, S. A., Mehta, H. S., & Vaidya, A. (2020). Pulmonary hypertension: A brief guide for clinicians. Mayo Clinic Proceedings, 95(9), 1978-1988. https://doi.org/10.1016/j.mayocp.2020.04.039

Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews Nephrology, 223–237. https://doi.org/10.1038/s41581-019-0244-2

Peixoto, A. J. (2019). Acute severe hypertension. N Engl J Med, 381, 1843-1852. https://doi.org/10.1056/NEJMcp1901117 NRNP 6552 Advanced Nurse Practice In Reproductive Health Care Discussion

Discussion: Health Conditions and Implications for Women

Some health issues, including heart disease, depression, and autoimmune disease, present more frequently in women than in men. Others, including ovarian cancer and pregnancy issues, are obviously exclusive to the female population. Nurse practitioners focused on women’s healthcare become well-versed in these health issues and apply their expertise to helping to screen for and offer care for patients with these conditions.

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For this Discussion, you will select a specific women’s health issue. You will research this issue, and share common symptoms, recommended diagnostic tests, and common treatments.

To prepare:

  • Review the Learning Resources for this week and consider the different types of women’s health issues.
  • Choose one of the women’s health issue from the following list and once you have selected an issue, search the Walden Library and/or the Internet regarding the health issue symptoms, diagnostic tests, and common treatments:
    • Osteoporosis
    • Bladder Issues
    • Pre-diabetes
    • Thyroid
    • Hypertension
    • Seizure Disorders
    • Psychiatric Disorders

Part 1: By Day 3

Based on the issue you chose, post a description and explanation of common symptoms, recommended diagnostic tests, and common treatments. Be specific and provide examples. Use the evidence from your search of the literature to support your explanation of the woman’s health issue you chose NRNP 6552 Advanced Nurse Practice In Reproductive Health Care Discussion

Part 2: By Day 5

Next, based off the one women’s health issue you picked listed below, post your responses to the following questions that corresponds to your women’s health issue.

  • Osteoporosis – What are your options for primary prevention? How would you educate someone on the treatment?
  • Bladder Issues – What exactly are the symptoms? What about Interstitial cystitis (IC) and pelvic pain?
  • Thyroid – What symptoms occur in women? What can you discern from that? What about infertility?
  • Pre-diabetes – Are there menstrual irregularities? What types of medication are they taking? What about pregnancy plans?
  • Hypertension – What medications are appropriate for a woman of reproductive age? Should you counsel the woman on appropriate dieting?
  • Seizure Disorders – What special implications do you need to consider in this particular population?
  • Psychiatric Disorders – Specify the types of disorders i.e., anxiety/depression/substance abuse/eating disorders NRNP 6552 Advanced Nurse Practice In Reproductive Health Care Discussion

Read a selection of your colleagues’ responses.

By Day 7

Respond to at least two of your colleagues’ posts on two different days and provide additional insight that might be useful and appropriate for the issue addressed. Use your learning resources and/or evidence from the literature to support your position.

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Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Submission and Grading Information

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