Hydrochlorothiazide (Darcy and Shannon)

Hydrochlorothiazide

WHO: Hypertensive patient, Heart Failure patient, Renal Failure patient, Liver cirrhosis patient, someone taking glucocorticoids, or someone on estrogen therapy.

WHAT: Thiazide Diuretic, Anti-hypertensive

It works by increasing the excretion of sodium and water by stopping sodium reabsorption in the distal tubule of the nephron. It also encourages the excretion of chloride, potassium, hydrogen, magnesium, phosphate, calcium, and bicarbonate. May also cause arterioles to dilate.

HOW:  Adult dose: 12.5-100mg/day, given over 1-2 doses. Can be given up to 200mg/day.  Given by mouth.

Safety: Watch for electrolyte imbalances. Monitor BP, I&O, assess edema, watch for skin rash and Stevens-Johnson syndrome.  Allergy Warning: Assess for allergy to sulfonamides.

WHEN: It is generally given daily, but may be given every other day. Give when blood pressure is too high or there is edema present. Also, give in the morning to prevent disrupting sleep cycle.

WHERE: Can be used in the acute care setting or at home.

WHY: Treatment for edema and hypertension.

Renal GU Drug Review: Oxybutynin

Who? Patients with overactive bladder (or OAB caused by nerve disorders in children, such as Spina Bifida),have symptoms of bladder instability, neurogenic bladder disfunction

What? Class: Muscarinic receptor antagonist. Antispasmodic.

When? Ranges from once daily or three times a day. It should be taken at the same time every day.

Where? Chronic home medication

why? Increases maximum urinary bladder capacity and increases the volume to first detrusor contraction and delays initial desire to void. It helps decrease muscle spasms of the bladder and the frequent urge to urinate caused by these spasms.

How? 5mg PO tid, max: 5 mg qid. Elderly: 2.5 PO mg bid-tid. Do not chew or crush the extended release tablets

 

Kaitlin Priebe, Lauren Franke, Yosemite Olivo

Protected: Cozaar (Drug Review)

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Renal GU Drug Review!

Please find out and post about:

Who?  (Who gets it or what disease process)

What? (Class? Pharmokinetics? How does it work)

When? (Frequency)

Where? (Chronic home med – Acute care – both?)

Why?(Reason – Action)

How? (Dose, Route, Safety)

Trying this post again

Still learning how to work this, did it work this time? keeping my fingers crossed!

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What is representation?

what is representation?

Political Representation

Reflection on Representation

 

 

Assignment 1 Pols 300: Reflecting on Representation

Representation can be seen in many different ways. For me, it’s the idea that political actors are representing what the people desire while taking in consideration of minority groups. Saying that, I believe they need to follow through with what they were elected to do. The Stanford Encyclopedia gives the example definition as, “to make present again”[1]. The job of a representative is to represent the opinions and concerns of their constituents, or people that vote for them. Representatives are the elite and their pay is very generous, this is one reason their motives may be questioned. Reading this article it made me realize the different ways we can see representation. To me whether or not the people have trust in their representatives is one example. Many voters will not continue to support a representative unless they feel that their concerns are being represented. The voters trust their representative until they make a move that provides them the excuse not to. A representative may make a move that isn’t in the best of the people but in the best interest of themselves. This can be considered as substantive representation. It’s described as the activity of the representative and whether their actions are in the interests of those being represented. Andrew Rehfield argues that there should be a separation between what we see as a Delegate and a Trustee. I couldn’t agree more. With the separation it would allow political scientists to see the ways which representatives are partial delegates and partial trustees. Depending on their actions they would be placed in a narrower category. A delegate is to reflect the interest of the voters and groups in society. They are held accountable with how their actions benefit those people that put them in office. A trustee on the other hand is held accountable with how their actions influence the over-all well being of the country. One main job for representatives is to be in charge of promoting democratic consistency. As stated in the Stanford Encyclopedia reading by Young, the democratic representation is a dynamic process meaning that it moves between movements of accountability and authorization[2]. The citizens are then allowed to authorize their representatives and hold them accountable. This made me thinking a different way. By doing so we evaluate how a representative would be able to do the task we demand and if they are a good representation of our voice. A representative must build the trust from the community even from the disadvantaged groups. This can be achieved by building relationships with the community.

Another point that was brought us as reading was the idea that descriptive representation can end up suppressing other voices because stronger voices are being added. This becomes a problem for many representatives who have to represent many different views. The representative has to realize the diversity within the constituents and how representing one group may come at the expense of another. Descriptive representation is whether a legislatures membership reflects the diversity of backgrounds and interests in society[3] This made me really question all the groups, mainly minorities that are not getting their voices heard because their representatives are siding with the citizens that are going to benefit them more. A good member of congress should be able to gather with other representatives of diverse representation and discuss public policy.

[1] Dovi, Suzanne. “Political Representation.” Stanford University

[2] Dovi, Suzanne. “Political Representation.” Stanford University

[3] Davidson, Roger H., and Walter J. Oleszek. “Being There: Hill Styles and Home Styles.”

Assignment 1 — Original + Revision

Erik Jon Brenner

Sept. 8, 2015

*Revised* POLS 300  Assignment 1 : Reflecting on Representation

The concept of democracy in American politics heavily relies on proper representation of the people. Because democracy is defined as a system of government run by it’s whole population, representation is the major link between people and power. My personal idea of proper political representation is when groups of people have elected a leader, by a free, fair and open election, and who is accountable for them, hears what they have to say, and acts upon the needs of the people not for his or her own benefit, but rather the true benefit of the people. There are different levels of representation and varying degrees. An example of “good” representation would be when a group, minority or majority, has representation that covers all the multiple traits of their unique social distinction. Factors that comprise the groups traits range from: age, gender, socio-economic and educational status. More and different factors may be necessary for different groups but these seem to be the most common factors that affect every type of group in politics today. Naturally, If the group is seeking more group cohesion and representation especially when competing against other groups, they would elect someone who is similar to themselves. This poses a potential problem however. Just ‘looking’ like the constituents they represent does not legitimize their effectiveness in manufacturing policies that actually help the people being represented. A candidate or representative that represents a group based on what they actually do is an example of a ‘substantive’ leader. It is important to have substantive representation for groups and it is a major factor in defining what ‘good’ representation is. In my opinion, the highest and truest form of representation is acquiring a healthy balance of descriptive and substantive traits in a leader when representing a group. Ultimate transparency and accountability are also necessary traits for political actors who are representing constituents.

In a world of varying political theories and agendas it is difficult to make sense of everything. However, it is the representative’s job, and arguably their primary interest, to seek out what is necessary in order for who they represent to flourish. Instead of listing ideas or activities a member of congress does in order to represent their constituents, I will list what I believe is a more pragmatic ideology. Concrete behavior of a representative, and perhaps the most obvious is to actually meet face to face with their constituents and the various types and groups of people within and respond to letters from constituents that are sent to the representatives like we saw for Harold “Biz” Johnson. Attending seminars of matters that groups find important and to speak publicly at those events. How will the representative be able accomplish their job of delegating without knowing about, experiencing and listening to the very people they represent? I believe the best behavior a member of congress can engage in is taking the needs and wants from the various constituents and doing everything they can, within the legislative process and without bias towards one group, to represent them. Members of congress must also know when to act more as a delegate with utter transparency versus when to introduce their own judgement or experience, and act more as a trustee. “Any adequate theory of representation must grapple with these contradictory demands” (Dovi 2011) We will not know when we have reached proper and true representation. The reason is because not everyone will be happy or feel represented, mostly due to constituents opposing viewpoints and stances on matters. However, in my opinion, it is the representatives job to seek the most fair and balanced views of his or her constituents and do everything within their power to represent those views.

/ / / *REVISED* / / /

*Revised* POLS 300  Assignment 1 : Reflecting on Representation

The concept of democracy in American politics heavily relies on proper representation of the people. Because democracy is defined as a system of government run by it’s whole population, representation is the major link between people and power. My personal idea of proper political representation is when groups of people have elected a leader, by a free, fair and open election, and who is accountable for them, hears what they have to say, and acts upon the needs of the people not for his or her own benefit, but rather the true benefit of the people. There are different levels of representation and varying degrees. An example of “good” representation would be when a group, minority or majority, has representation that covers all the multiple traits of their unique social distinction. Factors that comprise the groups traits range from: age, gender, socio-economic and educational status. More and different factors may be necessary for different groups but these seem to be the most common factors that affect every type of group in politics today. Naturally, If the group is seeking more group cohesion and representation especially when competing against other groups, they would elect someone who is similar to themselves. This poses a potential problem however. Just ‘looking’ like the constituents they represent does not legitimize their effectiveness in manufacturing policies that actually help the people being represented. A candidate or representative that represents a group based on what they actually do is an example of a ‘substantive’ leader. It is important to have substantive representation for groups and it is a major factor in defining what ‘good’ representation is. In my opinion, the highest and truest form of representation is acquiring a healthy balance of descriptive and substantive traits in a leader when representing a group. Ultimate transparency and accountability are also necessary traits for political actors who are representing constituents.

In a world of varying political theories and agendas it is difficult to make sense of everything. However, it is the representative’s job, and arguably their primary interest, to seek out what is necessary in order for who they represent to flourish. Instead of listing ideas or activities a member of congress does in order to represent their constituents, I will list what I believe is a more pragmatic ideology. Concrete behavior of a representative, and perhaps the most obvious is to actually meet face to face with their constituents and the various types and groups of people within and respond to letters from constituents that are sent to the representatives like we saw for Harold “Biz” Johnson. Attending seminars of matters that groups find important and to speak publicly at those events. How will the representative be able accomplish their job of delegating without knowing about, experiencing and listening to the very people they represent? I believe the best behavior a member of congress can engage in is taking the needs and wants from the various constituents and doing everything they can, within the legislative process and without bias towards one group, to represent them. Members of congress must also know when to act more as a delegate with utter transparency versus when to introduce their own judgement or experience, and act more as a trustee. “Any adequate theory of representation must grapple with these contradictory demands” (Dovi 2011) We will not know when we have reached proper and true representation. The reason is because not everyone will be happy or feel represented, mostly due to constituents opposing viewpoints and stances on matters. However, in my opinion, it is the representatives job to seek the most fair and balanced views of his or her constituents and do everything within their power to represent those views.

Dovi, Suzanne, “Political Representation”, The Stanford Encyclopedia of Philosophy (Spring 2014 Edition), Edward N. Zalta (ed.), URL = <http://plato.stanford.edu/archives/spr2014/entries/political-representation/>.