M.S. is a 35-year-old female who came into urgent care at Kaiser Permanente Riverside. She presented with a sore ankle that was causing her problems after accidently twisting it by missing a step in going down a set of stairs. The only prior medical history that M.S. has is a history of asthma that is currently managed with appropriate medications. Even though she has a history of asthma, she reports smoking cigarettes and often drinks alcohol. She also reported not having a very healthy diet. Upon examination of M.S. ankle, it is concluded that she minors sprained. During normal examination, her vitals signs are obtained which showed a respiratory rate of 16, pulse of 100, temperature 97.2OF, blood pressure of 151/91, pulse oximetry of 99%. Since it was noted that her blood pressure and heart rate where both high, it is assessed on the opposite arm and it showed a blood pressure…
Cow’s milk allergy (CMA) is one of the major causes of food hypersensitivity in children. The clinical features of CMA express as immediate symptoms, ranging from mild local reactions to life-threatening anaphylaxis., which may involve the skin (eg, urticaria and eczema), respiratory tract (eg, asthma and rhinoconjuctivitis), gastrointestinal tract (eg, vomiting, diarrhea, and colic), or systemic anaphylactic shock. Cow's milk contains more than 25 different proteins that are among the best characterized food allergens. Among these proteins only whey proteins alpha-lactalbumin, beta-lactoglobulin, bovine serum albumin (BSA), and lactoferrin, as well as the four caseins, have been identified as allergens. A study evaluated cow's milk allergens…
The reporting party (RP) stated her 94 year old mother Connie Pineira DOB: 1/20/22 is a resident of the facility. Subsequently the resident in independent requires little or no assistance. The resident resides in her own room and uses a walker for mobility. According to the RP the resident is able to keep and self-administer her medications. Consequently the resident's medication Lorazepam (Ativan) is constantly being stolen. The RP disclosed the medication is prescribed for agitation and anxiety. On one occasion the medication went missing and the RP and 2 other friends searched the entire room and were unable to locate the medication. Walking into the front office the RP informed the administrator she was going to contact the local Police…
assay of paracetamol-codeine combination drug as well as estimation of the amount of constituents in…
A medication that could be used instead of hydrochlorothiazide (HCTZ) is chlorthalidone. Current data and evidence suggests that HCTZ is equal to or secondary to chlorthalidone (Allan, Ivers, & Padwal, 2012). Compared to HCTZ, chlorthalidone has both a longer duration and half-life (Cooney, Milfred-LaForest, & Rahman, 2015). Chlorthalidone has also been found to be more vigorous in lowering blood pressure (Cooney et al., 2015). Chlorthalidone works by inhibiting the sodium-chloride co-transporter found in the luminal membrane of the distal convoluted tubule of the ascending loop of Henle (Cooney et al., 2015). Chlorthalidone potentially causes a stronger inhibition of carbonic anhydrase compared to HCTZ leading to a lower intracellular pH and cell volume (Cooney et al., 2015). The recommended dosage for chlorthalidone is 12.5 to 25 mg, with dosage consideration for the elderly (Cooney et al., 2015). For this patient I would start him on chlorthalidone to help lower his blood pressure. Given that he is an older patient, I would want to start him on 12.5 mg initially to prevent hypotension and other adverse effects.…
Zyrtec is a fast-acting allergy medicine that maintains its effect for 24 hours after a single dose.…
Zyrtec is a fast-acting allergy medicine that maintains its effect for 24 hours after a single dose.…
The solutions had no affect on pulsation rate because of the negative change in rate of beats per minute (table 1.1). The alternative hypothesis is supported by the data found in the experiment sample. However there is an error due to the sample size is not large enough to apply to the population of blackworms. Overall there were no significant in the changes of pulsation rates that would conclude that the drugs had an affect. The graph’s 1.3 and 1.4 determine there was no affect on the pulsation rates.…
Digoxin – this is used to slow and steady the heart. The pulse should be checked before it is given and if the pulse dips below 60 beats per minute advice should be given.…
No I would not diagnose Mrs. Anderson with a substance use disorder. Percocet is an opioid. Under the opioid use disorder the DSM-V states that you must have to significant impairment or distress. Mrs Anderson. Mrs. Anderson states she only take opioids when it acts up and until she feels better. The DSM-V states that the drug is usually taken in larger amounts or over a longer period than it was intended. This is the only symptom that I noticed. The clinician states that her injury should be be getting better but Mrs. Anderson clams that its not. She can usually go without it for 3 or four days. This shows us that she is able to control her use. She does not crave it. She has not put herself in harm due to her use. She states she takes her…
A toxic disease occurs from ingesting, inhaling or getting in contact with a poisonous substance. Acetaminophen is the active ingredient in medications used to treat pain and fever in people. Acetaminophen can be toxic to dogs and cats, but cats are more susceptible to acetaminophen toxicity than dogs are. Once swallowed, acetaminophen reaches the blood stream within 30 minutes; toxic effects are rapid and damage the liver and red blood cells.…
In the year 1929 the United States was on the verge of a huge change in the economy. The United States was getting out of the mentality of war from the fighting in World War I. Wall Street just had a massive collapse and millions of people were out of their jobs. On October 29, 1929 The stock market crashed and this was the beginning of what would be known as “The Great Depression”. This depression caused so much hardship for the American people and the countries that would do trade with the United States.…
The purpose of this lab was to determine the effect of disinfectants and antiseptics on bacterial growth. By observing the effects of 5 different inhibitors including alcohol, bleach, soap solution and distilled water, it was determined what antiseptic or disinfectant was able to best inhibit this kind of bacterial growth. Nutrient Agar was poured into a Petri dish with four quadrants and then a pipette was used to place bacterial culture on top. Using forceps, a filter disc was dipped into each inhibitor and then into a separate quadrant of the Petri dish. The lid of the Petri dish was taped on using masking tape and then…
|and for whom the client has given express consent for them to be informed. It is important to keep confidential as some records may |…
Zyrtec is a fast-acting allergy medicine that maintains its effect for 24 hours after a single dose.…