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.
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Reference Guide for Pharmacy Technician Exam Krisman REFERENCE GUIDE FOR PHARMACY TECHNICIAN EXAM EDITION 2014-2015 (Covers an updated 2013-PTCB Blue Print) MANAN SHROFF www.pharmacyexam.com 1 Reference Guide for Pharmacy Technician Exam Krisman This reference guide is not intended as a substitute for the advice of a physician. Students or readers must consult their physicians about any existing problem. Do not use any information in this reference guide for any kind
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pathophysiology‚ etiology and treatment Sepsis has been defined as a suspected or proven infection that has entered the blood stream‚ and has the clinical manifestations of what has been termed the systemic inflammatory response (e.g.‚ fever‚ tachycardia‚ hypotension‚ and elevated white blood cell count termed leukocytosis) (Dellacroce‚ 2009‚ p. 17). Sepsis can be a result of any infection in the body that has triggered this systemic inflammatory response. Often times especially in the elderly it might be a
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This is the case study of Mr. Jones‚ a 65 year old male‚ who was admitted to the emergency department with persistent cough and episodes of chest pain over the last five days. He appeared to be experiencing worsening dyspnoea‚ fever and feeling unwell. It was also noted that he had a poor urine output over the last 24 hours. An indwelling catheter was inserted which only obtained 20 mLs of amber urine. Mr. Jones clinical assessment revealed that his Glasgow Coma Score was 11/15. He was opening
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Renin= constricts ACE= dilates -ADH: reabsorbs H2O Fluid Imbalances: dehydration/fluid overload -specific gravity: >1.030 urine is concentrated -daily weights -I/O HYPOVOLEMIA Dehydration S/S: -thirst -rapid‚ weak pulse -low BP‚ orthostatic hypotension -dry skin/mucous membranes -skin tenting: adult-chest‚ infant-belly button -decreased urine output -increased temperature -MAP= 65-70 -fatigue‚ lethargy‚ restlessness -cracked tongue‚ sunken eyes Causes of fluid deficit: -insensible loss (through
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and anxiety • Decrease in the output of urine • Confusion • Feeling of weakness in general • Paleness in skin • Rapidness in breathing • Moist skin and increased sweating • Falling unconscious Hypovolemic shock can result in orthostatic hypotension‚ which means there can be lowered blood pressure. The person feels dizzy and might even lose consciousness. Hypovolemia can hinder the amount of blood that the heart pumps to the organs. This indicates that there are many signs related to the heart
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Pediatric Early Warning Score Training Manual PREPARED BY: Joel Taller Basabe CN/ICU EWS PROJECT MANAGER Learning Objectives: • Be able to recognise that children deteriorate more rapidly than adults. • Be able to calculate a Paediatric Early Warning Score • To be aware of responsibilities when a trigger score is met • Be able to complete the age appropriate observation chart. Introduction The Paediatric Early Warning Score (PEWS)
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seizure disorders. -Side effects: seizures‚ *dizziness‚ *headache‚ anxiety‚ ataxia‚ confusion‚ drowsiness‚ euphoria‚ insomnia‚ restlessness‚ tremor‚ weakness‚ blurred vision‚ glaucoma‚ nystagmus‚ hypertensive crisis‚ *arrhythmias‚ edema‚ orthostatic hypotension‚ *diarrhea‚ *weight gain‚ abdominal pain‚ anorexia‚ *constipation‚ *dry mouth‚ liver enzyme elevation‚ nausea‚ vomiting‚ dysuria‚ *sexual dysfunction‚ urinary incontinence‚ urinary retention‚ rashes‚ pruritis‚ hypoglycemia -Nursing implications:
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Pheochromocytoma‚ a rare condition caused by a tumor in the adrenal medulla affecting the chromaffin cells‚ results in an excess production of catecholamines (epinephrine and norepinephrine) and metanephrines. The most immediate effect of this condition is severe hypertension‚ but other symptoms (such as headache‚ palpitations and excessive generalized sweating) can also appear. If left untreated‚ pheochromocytoma may lead to hypertensive encephalopathy‚ cardiomyopathy‚ diabetes mellitus and even
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to a reflex that‚ when triggered‚ gives rise to vasodilation and bradykardia (1) Orthostatic syncope occurring when the autonomic nervous system is incapacitated resulting in a failure of vasoconstrictor mechanisms and thereby in orthostatic hypotension (1) Cardiac arrhythmias causing a decrease in cardiac output (1) Structural heart disease causing syncope when circulatory demands outweigh the impaired
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