Shock Shock is a syndrome characterized by decreased tissue perfusion and impaired cellular metabolism. This results in an imbalance between the supply of and demand for oxygen and nutrients. The exchange of oxygen and nutrients at the cellular level is essential to life. When a cell experiences a state of hypoperfusion‚ the demand for oxygen and nutrients exceeds the supply at the microcirculatory level. Classification of Shock The four main categories of shock are * cardiogenic‚: *
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I.INTRODUCTION The illegal or harmful use of drugs is a major threat to the world and to future generations. Drugs are substances that are becoming more common in our communities as each day goes by. The demand for drugs is also increasing daily. People need to act and play a part in the combating of drugs starting in their own homes. Every individual needs to be aware of the consequences of drug abuse and to help spread the word starting at young ages. All parts of local and world communities
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Module 6. Depression/Delirium/Dementia Mary Shelkey‚ RN‚ PhD Editor: Conchita Rader‚ MA‚ RN Staff Development Partners Edition Instructor Guide EXPECTED STAFF (Cognitive) COMPETENCIES 1. Describe the prevalence of depression in older adults. 2. Use an assessment instrument for depression in older adults (see Module 5. Cognitive / Mental Status Assessment of Older Adults) 3. Discuss symptoms and treatment strategies for depression
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ADN 253 FINAL STUDY GUIDE 1. Describe the pathophysiology‚ assessment‚ signs and symptoms‚ nursing diagnosis‚ medical and nursing interventions for the patient with MODS. Pathophysiology • Progressive impairment of 2 or more organ systems • Caused by immune system’s uncontrolled inflammatory response to a severe illness or injury o Inflammatory response: cytokines and chemokines out of control ▪ Peripheral vasodilation = hypotension ▪ Capillary
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Clinical Research of Medications Reference: Mosby’s 2013 Nursing Drug reference Drug Name Generic and Trade Classification and Indication for Use Route‚ Dose Frequency Both ordered and recommended Drug Action Side Effects Nursing Implications Assessment to be done Morphine Page 822-824 Opioid analgesic Recommended Subcut/IM- 5-10mg q4hr PO- 10-30mg q4hr prn Depresses pain impulse transmission at the spinal cord level by interacting with opioid receptors Drowsiness Dizziness Confusion Head
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History and Approaches (2-4%) Psychology is derived from physiology (biology) and philosophy Early Approaches Structuralism – used INTROSPECTION (act of looking inward to examine mental experience) to determine the underlying STRUCTURES of the mind Functionalism – need to analyze the PURPOSE of behavior Approaches Key Words Evolutionary – Genes Humanistic – free will‚ choice‚ ideal‚ actualization Biological – Brain‚ NTs Cognitive – Perceptions‚ thoughts Behavioral – learned‚ reinforced Psychoanalytic/dynamic
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PHYSICAL EVIDENCE MANUAL OREGON STATE POLICE FORENSIC SERVICES DIVISION Preference The purpose of this handbook is to educate our customer in the Criminal Justice System regarding the services provided by the Oregon State Police Forensic Services Division‚ and the recommended methods of documenting‚ collecting and preserving physical to ensure the best analysis results. The value of properly collected physical evidence followed by examination and interpretation by the forensic laboratory
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CARDIOVASCULAR Dsyrhythmias * Etiology * Disturbances in automaticity – initiation of impulse is altered * Disturbances in conduction – alteration in the speed the impulse travels * Reentry of impulses – cardiac tissue is depolarized multiple times by the same impulse * Speed‚ distance and location can be changed or affected (blockages cause change in heart rhythm) * Risk factors * Cardiovascular disease‚ MI * MI – death of tissue – no electricity
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Hospice medical care for dying patients : The New Yorker Page 1 of 15 ANNALS OF MEDICINE LETTING GO What should medicine do when it can’t save your life? by Atul Gawande AUGUST 2‚ 2010 Modern medicine is good at staving off death with aggressive interventions-—-and bad at knowing when to focus‚ instead‚ on improving the days that terminal patients have left. • Ql ara Thomas Monopoli was pregnant with her first child when her doctors learned that she was going to die. It O started
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Unit 5 Notes Chapter 41 Diuretics Drugs that increase urinary output Two major applications Treatment of hypertension Mobilization of edematous fluid to prevent renal failure Introduction to Diuretics Figure 41-1 How diuretics work – mechanism of action Blockade of sodium and chloride reabsorption Site of action Proximal tubule produces greatest diuresis Adverse effects Hypovolemia Acid-base imbalance Electrolyte imbalances Figure 41-2 Classification of diuretics Four major categories
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