Diabetes Specialist Nurses Diabetes Specialist nurse helps people self-manage their diabetes. Patients with type 2 diabetes usually see both a practice nurse at their local GP’s in addition to a diabetes specialist nurse who will provide additional support and advice. A diabetes specialist nurse has accountability for prescribing common medicines for people with diabetes. Managing diabetes isn’t always easy and your needs may change over time as the condition progresses. Services are tailored to
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Pharmacology |1. |A client is taking hydromorphone (Dilaudid) PO q4h at home. Following surgery‚ Dilaudid IV q4h PRN and butorphanol tartrate | | |(Stadol) IV q4h PRN are prescribed for pain. The client received a dose of the Dilaudid IV four hours ago‚ and is again | | |requesting pain medication. What intervention should the nurse implement? | | |A.
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ALLEFRIN Chlorpheniramin maleate Properties: Allefrin (Chlorpheniramine maleate) has a very good therapeutic efficacy as histamine antagonizing agent with a very low incidence of side effects. It is one of the best effective antihistamines‚ although administered in a very low dosage which is far below any that are toxic. Its medical actions are due to the following pharmacological properties: a. It antagonizes the action of histamine on the plain muscles of the bronchioles‚
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of changes that can damage multiple organ systems‚ causing them to fail.(1) When accompanied by evidence of hypoperfusion or dysfunction of at least one organ system‚ this becomes “severe sepsis”. Finally‚ where severe sepsis is accompanied by hypotension or need for vasopressors‚ despite adequate fluid resuscitation‚ the term “septic
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high fever reaching 40 degrees Celsius‚ muscle and joint pains and rashes. In more serious cases‚ vomiting‚ diarrhea‚ and mouth and nose bleeding may be observed. In the Critical Phase‚ pleural effusion‚ ascites‚ gastrointestinal bleeding‚ and hypotension are observed. These causes the patient to have blood colored urine and excrement. As for the Recovery Phase‚ for those who underwent a stronger strain of Dengue virus‚ seizures and altered level of consciousness will be seen. But‚ if the patient
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of presenting symptoms such as if he observes any blood in his stool‚ gets tired easily‚ or feels pain in abdominal area. Vital signs are taken because the signs of GI bleeding can manifest via abnormality of vital sign such as tachycardia and hypotension due to volume depletion (Buttaro et al.‚ 2013). A through physical examination is performed including auscultation‚ percussion‚ and palpitation on all abdominal quadrants. 2. Investigating his medication regimen including over-the-counter medications
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ARF Case Study Acute Renal Failure Case Study Directions: Please carefully read the following case study and answer the following questions in typed format. The resources that you will need to complete this case study include your textbook and drug book. Please include in text citations. This independent assignment is worth 25 points. Ann Hayes‚ age 68‚ initially was admitted to the hospital for elective surgical repair of an abdominal aortic aneurysm. Her surgery was documented
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Nursing Considerations for Mr. J.’s Visit to the E.R. Mr. J. is an 84 year old man who was admitted to the hospital for assessment after a fall. His physical assessment indicated multiple contusions to the face and shoulder‚ an unkept appearance and possible malnourished state. While a CAT scan and x-ray showed no fractures or bleeding‚ the fact that the patient had head trauma was most alarming. Traumatic injury to the head could lead to a hemorrhagic stroke or cerebrovascular accident‚ could
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mask. d. Notify the anesthesia care provider (ACP) immediately. ANS: B A slight drop in postoperative BP with a normal pulse and warm‚ dry skin indicates normal response to the residual effects of anesthesia and requires only ongoing monitoring. Hypotension with tachycardia and/or cool‚ clammy skin would suggest hypovolemic or hemorrhagic shock and the need for notification of the ACP‚ increased fluids‚ and highconcentration oxygen administration. DIF: Cognitive Level: Analyze (analysis) REF: 356 TOP:
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local anesthetics – the type used in epidurals – rapidly cross the placenta. When used for epidural blocks‚ anesthesia can cause varying degrees of maternal‚ fetal‚ and neonatal toxicity which can result in the following side effects: hypotension‚ urinary retention‚ fecal and urinary incontinence‚ paralysis of lower extremities‚ loss of feeling in the limbs‚ headache‚ backache‚ septic meningitis‚ slowing of labor‚ increased need for forceps and vacuum deliveries‚ cranial nerve palsies
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