Additive CNS depression with other CNS depressants including alcohol‚ antihistamines‚ antidepressants‚ opioid analgesics‚ clozapine‚ and other sedative/hypnotics including other benzodiazepines. Smoking may metabolism and decrease effectiveness. Nursing implications: Anxiety: Assess degree and manifestations of anxiety and mental status (orientation‚ mood‚ behavior) prior to and periodically throughout therapy. Toxicity and Overdose: If overdose occurs‚ flumazenil (Romazicon) is the antidote Hydroxyzine
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Patient Desire Desires 0 pain‚ will accept 1-2 on 0-10 pain scale. Has incision pain of 2-3 between drsg changes‚ which is controlled by two Percocet‚ has a 6 during changes. Scenario K.C. 43 y.o. female 280 lb‚ I&D of renal abscess 2nd post op day. Being d/c’d home where daughter will do drsg changes. What is Pain? According to (Lewis‚ 2011) The International Association for the Study of Pain (IASP) defines pain as “an unpleasant sensory and emotional experience associated with actual or
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B R CAS E ST U D Y AND COMMENTARY Should Maher give his star performer star rewards—or risk her leaving? Six commentators offer expert advice. Growing Pains by Robert D. Nicoson • Reprint 96408 Waterway’s CEO is rethinking his compensation policies. Maybe he should be rethinking his business strategy. H B R CAS E ST U D Y Growing Pains by Robert D. Nicoson COPYRIGHT © 1996 HARVARD BUSINESS SCHOOL PUBLISHING CORPORATION. ALL RIGHTS RESERVED. “I’m challenged and motivated where I am‚ and
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Nursing Diagnosis(ND): Ineffective breathing pattern Related to (R/T): The patient has decreased lung compliance. As Evidenced By (AEB): The patient having dyspnea and abnormal ABGs Desired Patient Outcomes(Goals) Nursing Interventions Rationales Evaluation STG: Patient will: Patient will exhibit signs of effective breathing pattern before end of Nursing shift. 1. Nurse will monitor patient’s prescribed oxygen therapy. 2. Nurse will titrate oxygen to keep oxygen greater than ninety
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THE NURSING PROCESS: NURSING CARE PLAN NURSING DIAGNOSIS 2 (Problem; Etiology; Signs & Symptoms) P Decreased Cardiac Output R/T E Atrial Fibrillation and Mechanical Ventilation AEB S – Client on mechanical ventilation. Albumin 1.1 – 2/4/14 – low osmolality in blood – third spacing. Atrial Fibrilation Sluggish Pupil response Blood pressure 97/39 Heart Rate 54 Peripheral pulses diminished PLANNING ____________________________________________________________________________________
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Introduction Acute lymphoblastic leukemia (ALL) is a fast-growing cancer of the white blood cells. Lymphocytes are a type of white blood cell that the body uses to fight infections. In ALL‚ the bone marrow makes lots of unformed cells called blasts that normally would develop into lymphocytes. However‚ the blasts are abnormal. They do not develop and cannot fight infections. The number of abnormal cells (or leukemia cells) grows quickly. They crowd out the normal red blood cells‚ white blood cells
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Viany Reyes November 08‚ 2011 Dr. Dunaway Neuronal signaling in muscle contraction is triggered when an action potential reaches the neuromuscular junction. At this junction‚ acetylcholine (ACh) is the main neurotransmitter. Packaged in vesicles‚ ACh fuses with the neuron’s membrane and is released into the synaptic cleft. ACh diffuses toward the motor end plate and bind to the neurotransmitter receptor on it. The muscle fiber is then triggered to produce an action potential of its own
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Acute Stress Response Michelle Miller Liberty University May 6‚ 2012 Abstract Acute stress disorder and post-traumatic disorder are related in many of their symptoms‚ however acute stress disorder happens immediately following a traumatic event and never lasts more than a month. Acute stress disorder also shows signs of dissociation‚ which is associated with daydreaming or spacing out. Post-traumatic stress disorder victims have similar symptoms to acute stress disorder; however the symptoms
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Effect of Stimulus Frequency on Skeletal Muscle Contraction Lab Report Pre-lab Quiz Results You scored 25% by answering 1 out of 4 questions correctly. 1. During a single twitch of a skeletal muscle Your answer : a. calcium is not released from the sarcoplasmic reticulum. Correct answer: b. maximal force is never achieved. 2. When a skeletal muscle is repetitively stimulated‚ twitches can overlap each other and result in a stronger muscle contraction than a stand-alone twitch. This phenomenon
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ACUTE INFANT TORTICOLLIS Estee Abrams MA-E One of the rarest acute conditions in infants is Acute Infant Torticollis . The Latin phrase Torticollis meaning “twisted neck”‚ uniquely presenting in newborn up to four to six months of age. Comparatively‚ acute infant torticollis does not favor boys over girls‚ effecting them equally‚ with less than 100 new cases presenting each year in the U.S. Although this condition may look painful to the child‚ they usually do not feel pain. With early intervention
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