CASE PRESENTATION Patient’s Personal Details Registration Number : HK00033285 Sex : Male Race : Cina Age : 76 years old Date of Admission : 28.09.12 Chief Complain Renal function damaged during follow up under Tenom Hospital for 2/7 ago. History of Present illness Noted having refractory hyperkalemia secondary to CKD. Loss of appetite. Headache. Weight loss without trying to lose weight. No chest pain. No SOB (Shortness of Breath) No vomiting No
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Health Prevention September 15‚ 2013 Health Prevention Health promotion according to World Health Organization‚ “Is the process of enabling people to increase control over‚ and to improve their health. It moves beyond a focus on individual behavior towards a wide range of social and environmental interventions.” In this assignment I have chosen three articles talking about the different health promotions. I will start with my article on teen suicide and primary prevention‚ then stroke
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Unit – ASM34 1.1 - Identify current legislation guidelines policies and protocols relevant to the administration of medication. The Medicines Acts 1968 and various amendments cover the legal management of medication. While care staffs are not expected to have detailed knowledge of the legislation‚ they do need to be aware of the legal difference between types of drugs and the legal framework that allows them to handle medicines on
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Poly-Pharmacy Polypharmacy refers to the effects of taking multiple medications at the same time to manage coexisting health problems‚ such as diabetes and hypertension. Polypharmacy has become a huge problem with patients being prescribed too many medications by multiple providers. If no one provider knows the entire medication picture of the patient’s there is a risk of drugs badly interacting with one another. Polypharmacy is a problem especially among older adults and has become a common issue
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STROKES‚ TIA & GLASGOW COMA SCALE By Maricel Cruz-Bustamante Stroke Facts Strokes are the 3rd leading cause of death in developed countries. (4th in the U.S.) Nearly 800‚000 Americans have a stroke each year. 1 American dies from stroke every 4 minutes. Stroke related healthcare cost = Approx. $70 billion per year. (American Stroke Association‚ 2014) What is a Stroke? A stroke is a “Brain Attack” Occurs when blood flow to an area of the brain is cut off. Brain cells
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Calcinosis cutis is rare condition signified by calcium deposition in skin and subcutaneous tissues. In all cases of calcinosis cutis‚ insoluble compounds of calcium are deposited within the skin due to local and/or systemic factors. These calcium salts consist primarily of hydroxyapatite crystals or amorphous calcium phosphate. It is commonly seen in blacks‚ and no apparent gender predilection is noted (6‚7) From the pathogenesis point of view‚ the condition is classified as metastatic‚ dystrophic
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Chapter 39 Diuretics Open-Book Quiz‚ Chapter 39 1. Three uses of diuretics include treatment of hypertension‚ mobilization of edematous fluid‚ and used to prevent renal failure. 2. Aldosterone is the principal mineralocorticoid of the adrenal cortex; it stimulates reabsorption of sodium from the distal cortex. 3. Most diuretics share the same basic mechanism of action: they block sodium and chloride reabsorption. The greatest diuresis is produced by those drugs whose site of action
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Chapter 38: Nursing Management: Vascular Disorders Test Bank MULTIPLE CHOICE 1. When discussing risk factor modification for a 63-year-old patient who has a 5-cm abdominal aortic aneurysm‚ the nurse will focus discharge teaching on which patient risk factor? a. Male gender b. Turner syndrome c. Abdominal trauma history d. Uncontrolled hypertension ANS: D All of the factors contribute to the patient’s risk‚ but only hypertension can potentially be modified to decrease the patient’s risk for further
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2-3 hours Volume of distribution - 118 litres PROTEIN BINDING : Dexmedetomidine is 95% protein bound to albumin. Protein bound fraction decreases with hepatic impairment. Dexmedetomidine does not displace phenytoin‚ propranolol‚ warfarin‚ digoxin and theophylline from plasma proteins. METABOLISM : Biotransformation occurs in the liver to inactive metabolites. Metabolism occurs by N-methyl glucuronidation in the liver and the glucuronide metabolites are excreted in the urine. Hence
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My patient was a 70year old retired home help who presented with a history of fast heart beat (Fibrillation in her own words) of 15years. It is imperative to use open ended questions during such discussions in order to encourage patients to speak freely (Patton‚ 1987). At all times‚ verbal and non-verbal cues are vital when attending to patients; I listened carefully and maintained close eye contact with my patient. The key to effective information gathering is good listening skills (Duffy‚ 1999)
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