glucose with regular insulin (insulin will push K into cells). * *Kayexalate * *Administer calcium gluconate to protect the heart * *Renal dialysis may be required | * Na | * 135-145 | * Do not collect from arm with an infusing IV. Hyponatremia d/t D5W or hypotonic IV fluids | * Treatment: Restrict fluids (safer) * | * Ca * * * * * |
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Reflective essay on a case scenario - Rolfe reflective model Reflective Essay This reflective essay will adopt Rolfe ’s model of reflection‚ (Rolfe‚ G et al. 2001) which was derived from Borton ’s developmental model. (Boyd E et al. 1983) The scenario is presented as Appendix 1 and the patient has been anonymised as ‘Lee ’ in accordance with the NMC guidelines (NMC 2008) What? When analysed in overview‚ one can note that the main issues contained in this scenario are that a schizophrenic patient
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b DEPARTMENT OF NURSING NURSING CARE PLAN |Student Name: p |Age: 89 | |Course number: Basic Skills & Concepts of Nursing |
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Learning Outcomes Safe and Effective Care Environment 1 Assess the patient with a fluid or electrolyte imbalance for falls‚ especially older adults. 2 Use safety precautions to prevent injury or death when administering parenteral potassium-containing solutions. 3 Supervise the oral fluid therapy and intake and output measurement aspects of care delegated to unlicensed assistive personnel. Health Promotion and Maintenance 4 Teach healthy adults and patients how to prevent dehydration.
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Chest Tubes -continuous bubbling= air leak -bubbling with inspiration= okay -continuous bubbling in suction chamber= okay -up and down in water seal= okay Types of Insulin -Rapid Acting (lispro‚ humalog) -Onset= 5 minutes -Peak= 30 minutes -Short Acting (novolog‚ regular) -Onset= 30 minutes -Peak= 2 hours -Intermediate Acting (NPH) -Onset= 1 hour -Peak= 6-12 hours -Long Acting (Humulin) -Onset= 4 hours -Peak= 16-18 hours -Maslows= PhysiologicSafetyLove & BelongingEsteem
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Alcohol consumption is the most major causative factor which contributes to liver cirrhosis (Farrell& Dempsey 2011‚ p.1166). Therefore‚ it is significant to the nurse to have a good knowledge of test result and prescription medication relating to alcoholic cirrhosis. This assignment will explore a case study of Mr Chocolate‚ who presented to the hospital with sign and symptom of alcoholic cirrhosis. It will contain a brief describe about how cirrhosis result in Mr Chocolate’s signs and symptoms
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Levetiracetam Levetiracetam is probably a major breakthrough in the treatment of epilepsies. It is a highly effective‚ broad-spectrum‚ one of second generation AED with a unique mechanism of action. Chemical structure: Levetiracetam is a single enantiomer‚ (S)-α-ethyl-2-oxo-pyrrolidine acetamide. Its molecular formula is C8H14N2O2 and its molecular weight is 170.21. It is chemically unrelated to any of the other antiepileptic drugs. It is a white to off-white powder with a faint odor and bitter
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Hemolytic Uremic Syndrome (HUS)‚ is a referred to as a disease characterized by hemolytic anemia‚ caused by the destruction of red blood cells‚ acute kidney failure (uremia)‚ and a low platelet count (thrombocytopenia). Although‚ it mostly affects children‚ there have been cases of adults with this illness. The destroyed red blood cells block the filtering system in the kidneys‚ which can lead to a life-threatening kidney failure. HUS usually develops in children after five to 10 days of diarrhea
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Definition Congenital adrenal hyperplasia can affect both boys and girls. People with congenital adrenal hyperplasia lack an enzyme needed by the adrenal gland to make the hormones cortisol and aldosterone. Without these hormones‚ the body produces more androgen‚ a type of male sex hormone. This causes male characteristics to appear early (or inappropriately). About 1 in 10‚000 to 18‚000 children are born with congenital adrenal hyperplasia. Signs and Symptoms Girls will usually have normal
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GNT1 - Task One The case review presents a 73-year-old female patient who is brought to the emergency department after collapsing at her residence. Just prior to the incident‚ the patient is reported to have been acting “confused.” Upon arrival to the emergency department‚ the patient is having difficulty breathing with an increased respiratory rate and pulse. The nurse is unable to complete the initial examination before the patient becomes unresponsive and has increased work of breathing.
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