A patient comes to your ER very confused, he doesn’t speak English and has no insurance. Initial blood work comes back showing some of his blood chemistry is at extremely high levels – he is in kidney failure, needs dialysis and you suspect he has been off and on hemodialysis for several years. As a hospital, you realize this patient is likely to have a long and expensive stay. Can you refer him to the outpatient dialysis unit down the street or do you have to admit the patient? His neighbor brought him to the ER and brought the patient’s […]
1- What is the current state or condition of the childhood obesity, and how is it affecting the specific community? 2- What approach might you use to address childhood obesity? How will it contribute to improving the community’s health? 3- Based on the research needs identified, what are the broader goals of your research? Keep in mind that goal statements should be broad and abstract, describing a state or condition you hope to achieve.
J.A., a 19 year-old, unrestrained driver, was involved in a motor vehicle incident on I-90. He arrived in the Emergency Department in full spinal immobilization and a hard cervical collar. His Glasgow Coma Scale was 15 (normal). His blood pressure is 94/60, pulse 128, respirations 30. His respirations are shallow and chest excursion is paradoxical. The left side of J.A.’s chest moves inward during inspiration and outward during expiration. Breath sounds are diminished throughout the chest. Crepitus is found on palpation. J.A. complains of dyspnea and chest pain and demands to remove his cervical collar. . What is the most […]
Fluid, Electrolyte, and Acid-Base Balance A new graduate nurse is assigned to work with a preceptor in the Emergency Department. It is a very busy day and it seems as if every patient, regardless of chief complaint, has an issue with fluid, electrolyte, and/or acid-base balance. Patient 1: The first patient the nurse sees is a 37-year-old landscaper who is brought to the ED after collapsing on a job at the local country club. He is slightly confused but is able to state that he feels dizzy and weak. His skin is flushed, dry, and with poor turgor. He has […]
A 7 month old was brought to the emergency room due to difficulty breathing.Examination revealed wheezing due to bronchitis a fever of 102 F slightly blue lips lethargie and loss of appetite. A chest X ray revealed no signs of pneumonia. A specific virus was suspected and a rapid test for that virus yielded a positive result.The virus is a negative sense single stranded RNA virus. It has spherical fors that are 150-200 nanometers in size and filamentous forms that are 50 nanometers in size. The surface of the virus has F snd G lipoproteins. The virus also makes a […]
During steps two and three, the N a + − K + pump is phosphorylated and changes conformation. Phosphorylation is the covalent addition of a phosphate group to a molecule. In the case of N a + − K + pump phosphorylation, the added phosphate group comes from an ATP molecule previously bound to the pump. The phosphorylation of the pump and the hydrolysis of ATP occur simultaneously as the phosphate group (P) is transferred.
A practitioner orders magnesium sulfate to be infused at 4 g in 20 minutes as a loading dose, followed by a maintenance intravenous infusion of 2 g/hour. 1. Identify the guidelines that must be followed when administering magnesium sulfate intravenous piggy-back. 2. Explain the expected therapeutic effect of magnesium sulfate to the patient. 3. List maternal-fetal assessments that should be done on a regular basis during the infusion of magnesium sulfate. 4. Identify the signs of magnesium sulfate toxicity 5. State the interventions that must be instituted if magnesium sulfate toxicity occurs.