Evidence-based nursing practice is essential to the delivery of high-quality care that optimizes patients’ outcomes. Studies continue to show improved outcomes when best evidence is used in the delivery of patient care. (American Association of critical care nurses). In our medical surgical floor as per our organization we have a “shared governance council “under which we have multiple areas like patient quality and safety‚ clinical practice council‚ infection control‚ professional development and
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1. What is a COX-2 inhibitor? Why is it named so? How does it differ from COX-1 inhibitors? (3) COX-2 inhibitors are drugs used to treat inflammation. An example of a COX-2 inhibitor would be Celebrex. They are named COX-2 inhibitors because they inhibit cyclooxygenase-2 (COX-2) which is the enzyme responsible for inflammation. COX-2 inhibitors only affect inflammation while COX-1 would affect both inflammation and gastric acids in the stomach. COX-1 could lead to stomach issues with prolonged use
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For an example‚ within 24 hours of admission onto the floor‚ nurses must identify some type of deep vein thrombosis (DVT) prophylaxis provided to the patient per policy protocol. DVT prophylaxis is provided in the form of exercise‚ use of special devices or medication administration. This is because cardiovascular diseases are very prevalent among chronic disease
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There are broad ranges of Calpain Inhibitors in the body that are classified under the family of cytosolic calcium-regulated cysteine. The protein falls into the family of proteolysis enzymes and calcium-dependent and they are expressed ubiquitously in mammals amongst many other organisms. The elements roles include regulating various forms of cellular processes in the body. In addition‚ there is Calpain submembranous and cytoskeletal proteins‚ which contribute greatly to muscle protein degradation
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of many deaths. However‚ what is cardiovascular disease and what is a heart attack? A cardiovascular disease is defined as a disease of the heart or blood vessels. A heart attack is defined as a sudden and sometimes fatal occurrence of coronary thrombosis‚ typically resulting in the death of part of heart muscle. Heart attacks and heart disease can occur on both men and women. Ironically men tend to have a higher risk for heart attacks before the age of 55 compared to women. This happens because
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A cerebral hemorrhage (also spelled haemorrhage) is a subtype of intracranial hemorrhage that occurs within the brain tissue itself. It is alternatively called intracerebral hemorrhage (ICH). It can be caused by brain trauma‚ or it can occur spontaneously in hemorrhagic stroke. Non-traumatic intracerebral hemorrhage is a spontaneous bleeding into the brain tissue.[1] A cerebral hemorrhage is an intra-axial hemorrhage; that is‚ it occurs within the brain tissue rather than outside of it. The other
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In the article‚ Role of B-Color and Resolution Sonography Presets for the Diagnosis of Lower Extremity Deep Vein Thrombosis‚ a study was conducted by ARDMS- certified sonographers who used an L9-3 linear probe on 284 patients (older than 18 years old) to test three modalities of sonographic imaging to determine if they would help spot an acute DVT during a lower extremity venous duplex. The three modalities used for this test was 2D imaging‚ resolution preset and B-color preset. Other variables/factors
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Mrs X is an 84 year old British lady. She has type 2 diabetes‚ hypotension and she is also MRSA positive. She was admitted to her local hospital where she was diagnosed with acute coronary syndrome and pulmonary oedema‚ but has now been transferred from her local hospital to this current care setting because of this diagnosis. After admission patient Mrs X had an angiogram‚ via right femoral approach‚ which has shown multi vessel disease (LMS‚ LAD‚ LCX and RCA). She had a failed angiogram via right
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intraparenchymal brain hematoma‚ evacuation of the hematoma can be done to reduce very high intracranial pressure. In selected neonates with severe thrombophilic disorder‚ multiple cerebral or systemic emboli‚ or propagating cerebral venous sinus thrombosis (CVST) despite supportive therapy‚ anticoagulation with low molecular weight heparin (LWPH) or unfractioned heparin (UFH) may be considered. For long-term anticoagulation of children with a
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thoracic duct‚ and can be traumatic or nontraumatic. The most common cause of nontraumatic chylothorax is malignancy‚ with less common causes including LAM‚ sarcoidosis‚ tuberculosis‚ histoplasmosis‚ Castleman disease‚ Down syndrome‚ and venous thrombosis. The obstructive findings on spirometry‚ history of prior pneumothorax‚ and lack of known prior malignancy make LAM the most likely etiology.
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