however fiancé does state that the patient has had a significant weight loss over the past two months Pathophysiology: Thyroid Storm Nursing Intervention Rationale Monitor BP lying‚ sitting‚ and standing (Note if widened pulse pressure) Orthostatic hypotension can occur as a result of peripheral vasodilation and decreased circulating volume Monitor Central venous pressure Direct measure of circulating volume and cardiac function 1) NSG Priorities a) Reduce metabolic
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Case Study 15 Scenario J.F. is a 50-year-old married homemaker with a genetic autoimmune defi ciency; she has suffered from recurrent bacterial endocarditis. The most recent episodes were a Staphylococcus aureus infection of the mitral valve 16 months ago and a Streptococcus mutans infection of the aortic valve 1 month ago. During this latter hospitalization‚ an ECG showed moderate aortic stenosis‚ moderate aortic insuffi - ciency‚ chronic valvular vegetations‚ and moderate left atrial enlargement
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Write an exhaustive drug information sheet for morphine. The information that should be included: 1- Name: generic‚ trade: According to drugs.com morphine’s trade names are Avinza‚ Kadian‚ MS Contin and the genetic name is morphine sulfate. 2- Pharmacotherapeutics: Burcham and Rosentheal (2016) describe the pharmacotherapeutics of morphine. It is used for moderate to severe acute or chronic pain; it relieves postoperative pain‚ chronic cancer pain‚ and other conditions. Morphine also helps reduce
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cardiovascular‚ gastrointestinal‚ and urinary complications. If the thoracic vertebrae experience any trauma‚ during assessment the patient may exhibit a loss of physical sensation‚ paraplegia or weakness in the legs‚ bradycardia‚ hypotension‚ or orthostatic hypotension. The patient may also experience hypoactive bowel sounds or paralytic ileus‚ abdominal distention‚ constipation‚ or uncontrollable bowels. In continuing‚ the patient may also display urinary signs and symptoms such as‚ urinary retention
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Dementia Simulation Prep- Complete before the Simulation Open Docucare and review patient Cora Smith Read the article: Belavic‚ J.M. ‚ (2009). Alzheimer’s disease: A tangle of the mind. Nursing Made Incredibly Easy.7 (5)‚ 26-33. 1 Describe the pathophysiology for Dementia. Mechanisms leading to dementia include neuron degeneration‚ compression‚ atherosclerosis‚ and trauma. Genetic predisposition is associated with the neurodegenerative diseases‚ including Alzheimer and Huntington diseases. CNS
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renal dysfunctions or metabolic disorders Medications affecting Surgery Anticoagulants like aspirin and NSAIDS should be discontinued 2 weeks Tranquilizers may cause hypotension and shock Antibiotics like aminoglycosides may intensify effects of anesthesia Diuretics may cause electrolyte imbalance antiHPN may cause hypotension Psychological
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Chapter 33: Nursing Management: Hypertension Test Bank MULTIPLE CHOICE 1. Which action will the nurse in the hypertension clinic take in order to obtain an accurate baseline blood pressure (BP) for a new patient? a. Deflate the BP cuff at a rate of 5 to 10 mm Hg per second. b. Have the patient sit in a chair with the feet flat on the floor. c. Assist the patient to the supine position for BP measurements. d. Obtain two BP readings in the dominant arm and average the results. ANS: B The patient
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Pharmacology Case Study (25 points) Hypertension What are some common nursing diagnoses for patients with HTN? (2.5 points) "Knowledge Deficit Related to lack of information about the disease” "Risk for Decreased Cardiac Tissue Perfusion" “Headache related to increase Cerebral Vascular Pressure” "Risk for Decreased Cardiac Output” After the diagnosis of HTN is confirmed with initial studies‚ what further evaluations are necessary? (2.5 points)
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patient to follow. Intake and output are measured. IV fluids and electrolytes are administered as prescribed‚ and oral fluid intake is encouraged when it is permitted. Vital signs are monitored hourly for signs of dehydration (tachycardia‚ orthostatic hypotension) along with assessment of breath sounds‚ level of consciousness‚ presence of oedema‚ and cardiac status. If the patient agrees with the diet plan and increases his fruit and vegetable intake this can highly optimise nutritional health‚ promote
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14. CHOLINERGIC AGONISTS AND CHOLINESTERASE INHIBITORS CHOLINERGIC AGONISTS Overview “muscarinic receptor agonists” cholinergic agonists are drugs that act on acetylcholine receptors‚ thus causing excitation of the parasympathetic autonomic nervous system there are 2 types of acetylcholine receptors 1) NICOTINIC RECEPTORS - are receptor-mediated ion channels - 3 types RECEPTOR TYPE MUSCLE TYPE GANGLION TYPE LOCATION - neuromuscular junction - sympathetic autonomic ganglia - parasympathetic autonomic
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