Gastro/GI Interventions for GERD = low fat‚ no etoh‚ milk‚ tabacco‚ peppermint‚ carb beverage‚ avoid eating 2hours before bed‚ no tight clothes‚ elevate HOB. Meds are h2 antagonists famotidine (Pepcid)‚ nizatidine (Axid) or ranitidine. Proton Pump inhibtor: - decrease gastric acid – Prevacid‚ Pilosec (omeprazole) Prokinetic agents: accelerate Gastric emptying – i.e Reglan BMI = kg/ height ^2 or lbs x 703/height^2 Stoma assessment = check size‚ color‚ drainage‚ skin‚ should be shiny‚ moist
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Lupus is a complicated and unpredictable disease‚ no two cases are alike. Each individual person with lupus acquire different symptoms that affect so many different organs. A mild case of lupus effects the skin or joints‚ the severity of the disease can vary from person to person. The skin is often “a characteristic red skin rash- the so called butterfly or malar rash- may appear across the nose‚ cheeks‚ hands and other areas exposed to the sun. Because many people with lupus are sensitive to sunlight
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Case Study #2 Ambar Alvarez California State University – San Marcos NURS 312 Pharmacology and Pathophysiology Alham Abuatiq. PhD. MSN.RN July 30‚ 2017 Case Study# 2 1. Heart failure (HF) is a syndrome that involves dysfunction of the cardiac muscle‚ it occurs with “any of disorders that damage or overwork the heart muscle” (Karch‚ 2017 p.751). Some of the disorders that may lead to HF are: coronary artery disease‚ cardiomyopathy‚ hypertension‚ and valvular heart disease (Karch‚ 2017).
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Ÿ -1A patient who starts chemotherapy for a solid tumor may develop tumor lysis syndrome (TLS) How is it treated? (838): --Prevent it by recognizing the patient population who is at risk and initiating prophylactic measures before antineoplastic therapy begins -Hydration: maintain urinary output of 150 mL/hour. Should begin 24 to 48 hours before treatment before and at lest 72 hours after treatment. -Diuretics: may be used to promote the excretion of phosphate and uric acid.
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Chapter 31: Nursing Management: Hematologic Problems Test Bank MULTIPLE CHOICE 1. A 62-year old man with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. The nurse would expect the patient’s laboratory findings to include a. a hematocrit (Hct) of 38%. b. an RBC count of 4‚500‚000/µL. c. normal red blood cell (RBC) indices. d. a hemoglobin (Hgb) of 8.6 g/dL (86 g/L). ANS: D The patient’s clinical manifestations indicate moderate anemia‚ which is consistent with
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DRUGS TO TREAT CANCERS & DRUGS TO TREAT NAUSEA AND VOMITING OBJECTIVES 1. State the rationale for the use of antineoplastic agents in the treatment of cancer. Antineoplastic agents (cell cycle specific or cell cycle nonspecific) target rapidly growing cells – malignant cells rapidly divide (uncontrolled growth) and are unable to repair DNA damage. Also used as adjuvant for post-excision of tumor to prevent recurrence of cancer. 2. Outline the phases of the cell division cycle. G0 Phase:
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Maternity Health nursing Kholud Rajab Yousef is 29 years pregnant woman in her 32 gestational weeks‚ G: 8. P:4 admitted to antenatal wards at 6/12/2011 with complain of dizziness ‚ shortness of breath‚ palpitation and fatigue‚ she also have history of varicosities since 5 years ago‚ which cause acute pain in her legs. The pt. is on regular diet‚ not smoker‚ educational level is high school‚ she is house wife‚ her husband educational level is secondary school‚ he work as taxi driver ‚ he is
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complications of diphtheria‚ including death‚ are attributable to effects of the toxin. The toxin is responsible for the major complica¬tions of • myocarditis (The most frequent complications of diphtheria) • neuritis . • low platelet counts (thrombocytopenia) and • protein in the urine (proteinuria). The severity of the disease and complications are generally related to the extent of local disease. The toxin‚ when absorbed‚ affects organs and tissues distant from the site of invasion Vaccination
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medication including their effects and potential side effects Paracetamol Side effects of paracetamol are rare but can include erythematous or urticarial rashes‚ fever‚ nausea and mucosal lesions. Even more rarely‚ they can include eutropenia‚ thrombocytopenia and pancytopenia. Ferrous sulphate Possible side effects are allergic reaction e.g. itchy skin rash‚ swelling
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Upper airway obstruction condition in which sites of anatomic narrowing such as the hypo pharynx at the base of the tongue and the false and true vocal cords at the laryngeal opening are obstructed. Vasogenic edema an accumulation of fluid in the cerebrum that is typically caused by an increase in capillary endothelial cell permeability and usually occurs near a tumor. Ventilation-perfusion ratio (V/Q) the relationship between ventilation and blood flow in the lung that is measure by calculating
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