bladder contraction urinary retention (Antispasmodic) Bronchial dilation Ipratropium (Atrovent)↓ bronchial secretions↓ salivationContraindicated hx glaucoma | Treat Peptic ulcer/ GI hypersecretionIrritable bowel disease (diarrhea)Bronchospasms‚ COPD‚ IncontinenceParkinson DiseaseGiven Preoperatively to decrease salivation and GI secretions to prevent aspiration | Known drug allergyNarrow angle glaucomaMyasthenia gravisAcute cardiovascular instabilityGI or GU tract obstruction | ↑ heart rate CNS
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Smoking - effects on your body Summary Nicotine is the addictive drug in tobacco smoke that causes smokers to continue to smoke. Addicted smokers need enough nicotine over a day to �feel normal� � to satisfy cravings or control their mood. How much nicotine a smoker needs determines how much smoke they are likely to inhale‚ no matter what type of cigarette they smoke. Along with nicotine‚ smokers also inhale about 7‚000 other chemicals in cigarette smoke. Many of these chemicals come from burning
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$5‚411.63 Grouper Version Used: 31-10/13 Full Update Hospital : 01.0077 x $5‚026.09 = $5‚064.79 Reduced Update Hospital: 01.0077x$4‚726.10 = $4‚762.49 Case #2 Male 72yo 01-Home ICD-9-CM Code Code Description Principal Diagnosis 491.21 Acute exacerbation of COPD Secondary Diagnosis 428.0 Congestive Heart Failure 790.29 Borderline Diabetes Mellitus 401.9 Hypertension 414.00 Arteriosclerotic Heart Disease Principal Procedure None Total Charges $3‚794.25 DRG _0192‚ CHRONIC OBSTRUCTIVE PULMONARY
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Management of mild to moderate pain & inflammation 2. ALAXAN IBUPROFEN PARACETAMOL Analgesics (Non-Opioid) & Antipyretics Relief of mild to moderately severe pain of musculoskeletal origin 3. AMBROLEX AMBROXOL Cough & Cold Preparations Acute exacerbations of chronic & asthmatic bronchitis‚ bronchial asthma & bronchiectasis 4. ARTHRO - - - 5. ASCOF FORTE Vitex negundo L. LAGUNDI LEAF Cough & Cold Preparations Relief of cough due to common colds & flu 6. ASPILET ASPIRIN Anticoagulants‚ Antiplatelets
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movement‚ intercostals recession. 2. Listen – wheeze 3. Measure – obs‚ peak flow‚ sputum colour and consistency COPD Chronic‚ progressive and irreversible‚ Exaserbations with or without infection ‚ element of reversibility. Possible C0 2 retainers. PC – increased SOB HPC – started with a cough which developed into chest wheeze and tightness PMH ? COPD ( inc previous exacerbations) normal levels of exercise tolerance. DH – inhalers‚
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cough the most important first step is to decide whether the acute cough is potentially life threatening (Pneumonia‚ Severe Exacerbation of Chronic obstructive pulmonary disorder (COPD)‚ Pulmonary embolism (PE)‚ or Heart Failure) or not (Upper respiratory infection (URI)‚ Lower respiratory infection (LRI)‚ Asthma‚ Bronchiectasis‚ Upper Airway Cough Syndrome (UACS)‚ and COPD). Pratter et al. (2006) found that in managing patients with subacute cough the first step is to determine whether or not the
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Your Addiction Is Literally Killing Me Janet P. Santos Health Behavior: PU505 November 21‚ 2012 Professor Oguegbu Your Addiction Is Literally Killing Me Janet P. Santos Health Behavior: PU505 November 21‚ 2012 Professor Oguegbu Abstract More than 70 million individuals‚ aged 12 years and older have fallen prey to the deadly disease of addiction to Tobacco Abuse in the United States of America (National Institute of Drug Abuse (NIDA)‚ 2012). While this does account for a tremendous
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Name of Drug | | Mechanism of Action | Indication | Adverse Effect | Special Consideration | Nursing Responsibility | Rationale | Generic Name:AcetylcysteineBrand Name:(Fluimucil)Classification:MucolyticAntidote | Dosage:200mgFrequency:Route:Oral (diluted in ½ glass of water) | Splits links in the mucoprotein contained in respiratory mucus secretion‚ decreasing the viscosity of the mucus. | Mucolytic adjuvant theraphy for abnormal‚ viscid or inspissated mucus secretion in acute and chronic bronchopulmonary
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supplemental oxygen. Mild to moderate hypoxemia is a common arterial blood gas finding. Hypocapnia and respiratory alkalosis may occur due to the high respiratory rate of an acute asthma exacerbation‚ but prolonged or severe symptoms may cause hypercapnia and metabolic acidosis (Karwat‚ 2002). Chest radiography is often normal; however‚ findings can encounter hyperinflation of the lungs with flattened diaphragm if there is obvious air trapping with the diagnosis of asthma. A CXR may be obtained
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at the site of injury would be noted with an open chest injury. (653) 2. A nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which of the following would the nurse expect to note on assessment for this client? * A hyperinflated chest noted on the x-ray Rationale: Clinical manifestations of COPD include hypoxemia‚ hypercapnia‚ dyspnea on excretion and at rest‚ oxygen desaturation with exercise‚ and the use of accessory muscles
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