By using proper body mechanics when walking, bending, lifting , and performing other daily activities, can prevent injuries and muscle strain. Body mechanics can be compared to posture in motion.
Determining proper body alignment?You can quickly determine if your body is in proper alignment by watching how you walk. Simply examine how your feet are placed while you move about your house. Your foot's line of advancement should, under ideal circumstances, make an angle of 4–7 degrees with a line drawn from the heel's center to your second toe.
Which four body mechanics principles are there?Posture, Base of support and center of gravity, muscle groups, and lifting method are the four elements of body mechanics.
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a 74-year-old woman complains of heaviness in her chest, nausea, and sweating that suddenly began about an hour ago. she is conscious and alert, but anxious. her blood pressure is 144/84 mm hg and her heart rate is 110 beats/min. she took two of her prescribed nitroglycerin (0.4-mg tablets) before your arrival but still feels heaviness in her chest. you should: a. recall that geriatric patients often take multiple medications and that interactions can occur with potentially negative effects. b. give her high-flow oxygen, avoid giving her any more nitroglycerin because it may cause a drop in her blood pressure, and transport. c. transport her at once and wait at least 20 minutes before you consider assisting her with a third dose of her prescribed nitroglycerin. d. assist her in taking one more of her nitroglycerin tablets, reassess her blood pressure, and contact medical control for further instructions.
You should keep in mind that older people frequently have slower absorption and excretion rates, which may call for adjusting a drug's dosage. Therefore, choice A is the right response.
Because they may be dealing with many illnesses or other health issues concurrently, adults 65 and older typically take more medications than adults in any other age group. For people who are confined to their homes or reside in remote places, managing various prescriptions can be costly, time-consuming, and challenging.
The existence of a concomitant condition, which is typical in the elderly, can also impact renal function. Older patients may need lower or less frequent dosages due to reduced medication clearance caused by decreased renal function.
We can therefore draw the conclusion that You should be aware of the fact that older individuals typically have slower rates of absorption and excretion, which may necessitate changing a drug's dosage.
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To stay safe during physical activity, Maggie holds her stretches for 15 seconds, keeps proper form, and drinks water before, during and after exercise. Today she tore a leg muscle at soccer practice. What could Maggie have done differently to prevent this injury?
Answer:
she could have drink water an hour before she had done her exercise. She shouldn't drink water during her exercise this could cause cramps. Since, she hadn't started her exercise dehydrated she had a great workout.
An elderly patient with a history of anticoagulant use presents after a fall at home that day. she denies any loss of consciousness. she has a hematoma to her forehead and complains of headache, dizziness, and nausea. what is the most likely cause of her symptoms?an elderly patient with a history of anticoagulant use presents after a fall at home that day. she denies any loss of consciousness. she has a hematoma to her forehead and complains of headache, dizziness, and nausea. what is the most likely cause of her symptoms?
The most likely cause of the patient's symptoms (headache, dizziness, and nausea) is a concussion.
What is a concussion?A concussion is a type of traumatic brain injury that can occur as a result of a fall or other impact to the head. It is characterized by symptoms such as headache, dizziness, and nausea, as well as possible loss of consciousness, confusion, and memory problems.
The patient's use of anticoagulants may increase the risk of bleeding in the brain after a head injury, so it is important to monitor her closely for any signs of worsening symptoms or neurological changes. It is also important to note that other potential causes of the patient's symptoms, such as a skull fracture or bleeding within the brain, should also be considered and ruled out as appropriate.
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what is CURE and how is it applied in the Profession
of Pharmacy ?
CURE stands for Collaborative, Objective, Unique, Respectful, and Engaging. It is a patient-centered communication method that is applied in the profession of Pharmacy.
The CURE is a patient-centered communication method that stands for Collaborative, Objective, Unique, Respectful, and Engaging. It is a system that emphasizes patient-centered care. The communication between the pharmacist and the patient is essential to good patient outcomes.
Collaborative - This refers to the communication between the pharmacist and the patient that is based on shared decision-making.
Objective - This means that the communication between the pharmacist and the patient is unbiased and data-driven. Unique - The pharmacist tailors the communication to the individual patient and their situation.
Respectful - The communication between the pharmacist and the patient is done in a manner that respects the patient’s preferences, values, and beliefs.
The pharmacist uses open-ended questions and active listening to engage the patient in the decision-making process. The CURE model can be applied in the profession of Pharmacy to improve patient care outcomes. By focusing on patient-centered care, the CURE model promotes communication that is respectful and engaging.
The CURE model can be used to develop effective communication between the pharmacist and the patient. The CURE model helps the pharmacist to understand the patient’s preferences, values, and beliefs. This allows the pharmacist to tailor their care to the patient’s needs. By doing this, the pharmacist can provide better care and improve patient outcomes.
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Which abbreviation represents a certified laboratory professional?
CCU
CLIA
MLS
RN
Answer:
CCU means Coronary Care Unit
CLIA means Clinical Laboratory Improvement Amendments
MLS means Medical Laboratory Scientist
RN Registered Nurse
Out of all those options MLS is the answer.
MRS BATRA - CASE OFSTRESS AND BURNOUT Mrs. Batra has been working in the administration department of a hosping in wasport with for the tast 20 years. She is highly dedicated to her job and has if very good rappoti with her superiors and eo-workers. About eight montls ngo, she was promoted into the thper ranks of management and was assigned to the supply department of the hospital as a manager. Everybody was happy for her and congratulated her on her promotion. The employees in this new department welcomed her and promised her all the cooperation. Mrs. Batra finds the job very challenging and psychologically rewarding. She is a very good manager and an interesting person. Everyone in her department likes to come to work because Mrs. Batra makes the day interesting. Since she became the manager absenteeism is down by over 20 per cent. She has very pleasant personality and is always available to help her subordinates. She is efficient, responsible and responds to all communication in timely manner. She attends all meetings fully prepared to discuss all issues under consideration. This she was at least until last month. During the last month, she seems to have changed considerably for the worse. Both her superiors and her subordinates find her behavior strange. She is not as polite and amicable as she used to be. Last week she missed a very important meeting of the top administrators. She was requested to research an issue and prepare the material to present at the weekly meeting. She did not do so.' She is often late to work and does not take much interest in the communication she receives from superiors and other departments and does not respond of the time. The Director of the hospital, Mr. Verma, noticed this change in her behavior early and has been covertly monitoring her behavior for the last three weeks. Early today, Mr. Verma had a talk with one of the in-house psychiatrists explaining Mrs. Batra's changing work behavior patterns. The psychiatrist, Dr. Rekhi suggested that perhaps she has been over-working herself and takes the job too seriously. Mr. Verma suggested t Dr. Rekhi that he should talk to Mrs. Batra and find out if there were any difficuit situations at home that might be affecting her behavior. Mrs. Batra has been married for over 20 years and has no children. Mr. Verma is concerned that Mrs. Batra ought to get help before she suffers a total collapse. Dr. Rekhi promised to do so. Source: Richard M. Hodgetts, Organizational Behaviour, MacMillan Publishing Company, 1991, adopted from "Organizational Behavior", 3
rd
Edition, 2005. Edited by Jit S. Chandan, Published by Vikas Publishing House, New Delhi. a. Given the information above, what social challenges could be affecting Mrs. Batra's work? Justify your answer. (10 marks) b. What steps would you take to assist Mrs. Batra upon realizing that all her problems caused her to burnout?
Based on the information provided, potential social challenges affecting Mrs. Batra's work include work-related stress, work-life balance issues, lack of support, and possible personal issues. To assist her in overcoming burnout, steps should be taken to encourage open communication, provide emotional support, offer resources and solutions, adjust workload and responsibilities, encourage work-life balance, and provide ongoing support and monitoring. These steps should be customized to Mrs. Batra's specific needs and situation.
a. Based on the information provided, there are several social challenges that could be affecting Mrs. Batra's work:
1. Work-related stress: Mrs. Batra's recent promotion to a higher management position may have increased her workload and responsibilities, leading to stress and burnout. The pressure to perform well and meet expectations can take a toll on her mental and emotional well-being.
2. Work-life balance: Mrs. Batra's long tenure at the hospital and her dedication to her job may have resulted in her neglecting her personal life. With no children and a demanding job, she may be struggling to find a balance between her work and personal responsibilities.
3. Lack of support: Although Mrs. Batra has a good rapport with her colleagues and superiors, she may be lacking the necessary support system to cope with the new challenges she is facing. This lack of support can exacerbate her stress and feelings of burnout.
4. Possible personal issues: The suggestion by Mr. Verma to explore if there are any difficult situations at home indicates that there might be personal challenges affecting Mrs. Batra's behavior. While the specific issues are not mentioned, they could be contributing to her change in behavior and performance at work.
It is important to note that these are potential social challenges based on the given information, and a comprehensive understanding of Mrs. Batra's situation would require further investigation and analysis.
b. Upon realizing that all her problems have caused her to burnout, here are some steps that could be taken to assist Mrs. Batra:
1. Encourage open communication: Create a safe and supportive environment where Mrs. Batra feels comfortable discussing her concerns and challenges. Encourage her to share her feelings and experiences to gain a better understanding of the root causes of her burnout.
2. Provide emotional support: Offer empathy and understanding to Mrs. Batra, acknowledging the difficulties she is facing. Show compassion and validate her emotions, which can help alleviate some of the stress and emotional burden she may be carrying.
3. Offer resources and solutions: Provide Mrs. Batra with information on resources available to support her mental and emotional well-being, such as counseling services or stress management workshops. Help her identify coping strategies and develop a plan to address her burnout, such as prioritizing tasks, setting boundaries, and practicing self-care.
4. Adjust workload and responsibilities: Explore options to reduce Mrs. Batra's workload or temporarily redistribute some of her responsibilities to provide her with a period of relief. This can help alleviate the immediate stress and give her an opportunity to recover and regain her balance.
5. Encourage work-life balance: Emphasize the importance of maintaining a healthy work-life balance and support Mrs. Batra in finding ways to incorporate personal time and activities into her routine. Encourage her to set boundaries and allocate time for self-care, hobbies, and relaxation.
6. Monitor progress and provide ongoing support: Regularly check in with Mrs. Batra to assess her progress and provide ongoing support. Offer guidance, reassurance, and encouragement as she navigates her recovery process. Consider assigning a mentor or providing access to a support network within the organization.
It is crucial to remember that each individual's situation is unique, and the specific steps taken to assist Mrs. Batra should be tailored to her needs and preferences. Regular evaluation and adjustment of the support provided will be essential to ensure her successful recovery from burnout.
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B. Write your community health nursing diagnosis statement. 1. Explain how the health concern from your community health nursing diagnostic statement is linked to a health inequity or health disparity within the target population. a. Discuss the primary community resources and primary prevention resources currently in place to address the health concern. b. Discuss the underlying causes of the health concern. 2. Discuss the evidence-based practice associated with the Field Experience topic. a. Identify data about the selected Field Experience topic from the local (e.g., county), state, and/or national level.
Explanation:
rite your community health nursing diagnosis statement based on a chosen health concern you’ve identified in the simulation, related to Health People 2020 topics. The community health nursing diagnostic statement identifies a health concern or risk within Sentinel Town, identifies the affected group or community, suggests a cause, and logically discusses the evidence and/or support for the diagnosis.1. Explain how the health concern from the nursing diagnostic statement is linked to a health inequity or health disparity within the target population. The explanation accurately identifies a health inequity or health disparity within the target population and logically discusses how the identified health inequity or disparity is linked to the health concern identified in part B.a. Discuss the primary community resources and primary prevention resources currently available in Sentinel Town to address the health concern. The discussion appropriately details the primary community resources and the primary prevention resources available in Sentinel Town relevant to the identified health concern.b. Discuss the underlying causes of the health concern. The discussion accurately identifiespotential contributing factors for the health concern and logically proposes the underlying causes fo
the nurse is caring for a 6-year-old girl who will be undergoing a surgical procedure that will result in a temporary ileostomy. which approach would be most effective in helping prepare the child for surgery?
Play out the events leading up to and following the surgery using a doll.
Most young people in school will perform well if they start preparing a few days before the event. For teenagers, one week is advised. Toddlers should arrive just before and preschoolers one hour in advance. Explain to your youngster the need for the operation. Children who are in school may have more sophisticated queries regarding surgery. Be truthful. Reassure your youngster that you will make an effort to learn the answer if you do not even know it. Allowing your child to pick out a favourite stuffed animal, doll, or blankets to bring along will make them feel that they have some contro by using dolls. Tell them you'll stay nearby while they have surgery and will be there to greet them when they arrive in their room.
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There is an inordinate amount of stigma involved in mental illness. What do you see in your community as barriers to patients seeking appropriate mental health treatment?
Answer:
Lack of available resources (open beds).
Lack of insurance coverage
Lack of guidance for facility placement
Much greater demand than supply
Explanation:
The illicit drug of choice during the 1980s (the so-called "me" or "greed" decade) was: a) LSD b) cocaine c) marijuana d) heroin e) amphetamine.
B) Cocaine, The client's ability to integrate the knowledge into their lifestyle is demonstrated by the nurse's note that the client can arrange a low-fat lunch.
Describe cocaine?A stimulant, cocaine is a chemical. It expedites the exchange of signals between the brain and organism. Cocaine is produced from the leaves of the South American native coca bush, Erythroxylon coca.
How does cocaine affect the sympathetic nervous system?The sympathetic nervous system is activated by cocaine and methamphetamine via raising catecholamine levels at connections. Dopamine, a neurotransmitter released in essential brain regions, is raised as a result of these substances' rewarding meaning pleasurable effects.
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for any equipment used with clients, the acsm-ep should learn about equipment safety inspections, maintenance, and record-keeping policies as well as:
The EP-C should become knowledgeable regarding device safety checks, maintenance, track policies, as well as ways to report equipment problems and request repairs, about any item used with clients.
How do you define clients?a person, business, etc. who wants an expert man or woman's guidance. a client. a person who has registered with or is receiving aid from a welfare organization. a computer application or workstation that asks a server for data or information.
Is client a client?A client is a specific kind of customer that receives business services from a firm, whereas a customer is a person who uses a company's products or services. In general, customers purchase things, whereas clients purchase recommendations and remedies.
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At colleges that offer their students some type of health insurance plan, the primary care provider is typically a ____.
a. city hospital
b. county hospital
c. nonprofit community hospital
d. student health center
e. teaching hospital
Answer:
D
Explanation:
student health center
Which class of diuretic can decrease calcium in the body?
Explanation:
Thiazode Diuretics can decrease calcium in the body.upon examination of an adult patient reporting ear pain, the physician discovered a large amount of cerumen in the canal. the order is to irrigate and instill two drops of aminoglycoside (tobramycin). for the procedure, the medical assistant should pull the
Upon examination of an adult patient reporting ear pain and the presence of a large amount of cerumen in the canal, the medical assistant should pull the pinna upward and backward to straighten the ear canal for the irrigation and instillation procedure.
The correct technique for irrigation and instillation involves gently pulling the pinna (the outer part of the ear) upward and backward. This maneuver helps to straighten the ear canal, allowing for better access during the procedure. By pulling the pinna in this direction, the medical assistant can create a more direct pathway for the irrigation solution and the subsequent instillation of the aminoglycoside drops (tobramycin) into the ear canal.
This technique is important to ensure the proper flow and effectiveness of the irrigation process and the accurate placement of the medication within the ear canal. It helps to optimize the clearance of cerumen and facilitates the delivery of the medication to the affected area, promoting effective treatment and relief of the patient's ear pain.
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a small incision was made over the left proximal tibia and a traction pin was inserted through the bone to the opposite side. weights were then affixed to the pins to stabilize the closed tibial fracture temporarily until fracture repair could be performed. assign codes for physicians service.
A small incision was made over the left proximal tibia and a traction pin was inserted through the bone to the opposite side and weights were then affixed to the pins to stabilize the closed tibial fracture temporarily until fracture repair could be performed therefore the codes for physicians service will be 20650-LT, 823.00.
What is Medical coding?
This is referred to as the process in which medical diagnosis, treatment etc are translated into numeric and alpha-numeric characters in other to prevent ambiguity.
The medical code 20650 means that there is a general introduction or removal procedures on the musculoskeletal system such as the tibia etc as denoted in the example given above while the diagnosis code 823.00 describes a closed fracture of the tibia, unspecified part which is therefore the reason why 20650-LT, 823.00 was chosen as the correct choice.
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andrew has been experiencing pain while urinating. On examination,his doctor observes that andrew has inflamed testes. What is andrews doctors diagnosis
Answer:
Orchitis,
Explanation:
Cryptorchidism means: A testicle that hasn't moved into the bag of skin below the penis before birth.
Balanitis means: Inflammation of the foreskin and head of the penis.
Anorchia, also known as anorchism, is a rare congenital condition in which a male baby grows inside the womb without testes.
And Orchitis is inflammation of one or both of the testicles.
Hope this helped!
Value: 1
When caring for a resident, it is best to avoid the use of restraints whenever possible. If a restraint is ordered and
must be used, which practice is not recommended?
O a. Observe the resident frequently.
O b. Maintain a calm environment.
O c. Approach care with a gentleness, kindness and respect.
O d. Determine effectiveness by testing out a different restraint on the resident.
The weird option that sounds is the statement number 4. Option 4 is the correct answer.
What is the best thing that is done in this situation ?In this situation the best things that is done to keep calm and handle the situation peacefully.
Observe the resident again and again to check the response that is given by the body so that a problem has not occured in the fractions of the time. Maintaining a calm and peaceful environment is very important as the haste makes up the waste.
Approach care with a gentleness, kindness and respect to avoid any kind of panic situations that can happen. Determine effectiveness by testing out a different restraint on the resident sounds wrong because it is not wise to directly experiment without having much of the ideas.
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14. a client with cancer is admitted to a short-term rehab facility. the nurse prepares to administer the client’s oral chemotherapy medications. what action by the nurse is most appropriate?
The most appropriate action by the nurse would be to wear personal protective equipment when handling the medications, which means option D is the right answer.
Cancer is the growth of cells and tissues in abnormal rate of multiplication due to which the functions of other cells is disturbed and the body tends to suffer from numerous other deficiencies. Chemotherapy is the medical method of inserting certain radiations of desired wavelength into the body of the patient at a place where the probable site of tumor exists. These radiations kills the tumorous cells along with some normal cells as well. Hence these radiations can be harmful for the nurse as well. So it is advised to wear appropriate protective equipment to protect the body against unwanted radiations which may cause mutation of cells in the normal person.
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Refer to complete question below:
A client with cancer is admitted to a short-term rehabilitation facility. The nurse prepares to administer the client's oral chemotherapy medications. What action by the nurse is most appropriate?
a. Crush the medications if the client cannot swallow them.
b. Give one medication at a time with a full glass of water.
c. No special precautions are needed for these medications.
d. Wear personal protective equipment when handling the medications.
in aortic rupture
Why is it happening in it hypotension lower extrimmtes ?
Why is it happening in it hypertension in Upper extremities ?
Answer:
Es una afección grave en la cual hay una ruptura en la pared de la arteria principal que transporta la sangre fuera del corazón (la aorta). A medida que la ruptura se extiende a lo largo de la pared de la aorta, la sangre puede correr por entre las capas de la pared del vaso sanguíneo (disección).
Explanation:
1. Describe how you would use the knowledge of contouring and highlighting to
make a round face shape appear oval.
Ross has learned that he has parkinson’s disease, and that in time he will lose some of his cognitive faculties. He and his wife have a lawyer draw up a document that names her a health care ________ who will be able to make medical decisions for ross when he is unable to do so for himself.
Answer:
Proxy
Explanation:
Trust me bro
He and his wife have a lawyer draw up a document that names her a healthcare _Proxy_ who will be able to make medical decisions for ross when he is unable to do so for himself.
In the discipline of medicine, a healthcare proxy, is a document (legal instrument) that a patient (the primary individual) uses to designate an advisor to legally make healthcare decisions on the patient's behalf when the patient is unable to make and carry out the healthcare decisions specified in the proxy.
What is Parkinson’s disease?A neurological condition that worsens over time is Parkinson's disease. A portion of the brain known as the substantia nigra, which regulates balance and movement, is particularly affected by the illness.Trembling or shaking of a limb (tremor), particularly when the body is at rest, is frequently the earliest sign of Parkinson disease. The tremor normally starts in one hand and usually on one side of the body. Additionally, the arms, legs, feet, and face can experience tremors. Other signs of Parkinson's disease include stiffness or rigidity in the limbs and torso, bradykinesia (slow movement) or akinesia (no movement), and balance and coordination issues (postural instability). Slowly but surely, these symptoms get worse.To learn more about Parkinson's disease, refer to:
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Which of the following is a principal source of body heat? Check all that apply.
A. Muscle contraction
B. Chemical reactions associated with cellular activity
C. Bone density
D. Hormone secretion by endocrine glands
E. Evaporation
The principal sources of body heat include muscle contraction (A) and chemical reactions associated with cellular activity (B). Muscle contraction generates heat through the conversion of chemical energy into mechanical work.
The principal source of body heat is generated by chemical reactions associated with cellular activity. This process is known as metabolism, which generates heat through the breakdown of nutrients, such as carbohydrates, fats, and proteins. Muscle contraction is also a source of body heat, as the energy released during muscle activity is converted into heat. However, this is a secondary source of heat compared to cellular activity. Hormone secretion by endocrine glands and bone density do not contribute significantly to body heat production. On the other hand, evaporation is a mechanism by which the body loses heat rather than generates it. It occurs when sweat evaporates from the skin surface, cooling the body. Therefore, the correct answers are A and B.
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This is a conclusion I have came up with for my leukemia project, Any suggestions what needs to be changed or what needs to be added??
In conclusion, you can try and prevent leukemia by reducing the amount you are in the sun without sunscreen, being a non-smoker, avoiding breathing toxic chemicals, and many other things. Leukemia is a cancer that can become deadly very fast if not treated and taken care of.
Answer:
The two most important categories of environmental factors causing cancer are tobacco and diet. Other important categories of environmental factors include alcohol, ultraviolet and ionizing radiation, medical procedures and drugs, occupation, reproductive behavior, pollution, and infection.
If delegating care Of a person at increased risk for infection, you must
Answer:Always wash your hands well before and after you handle your catheter.
Clean the skin around the catheter twice a day using soap and water. Dry with a clean towel afterward.
When you clean around the catheter, check the surrounding skin for signs of infection.
Explanation:
Red blood cells in normal saline (Isotonic solution) can survive while blast and destroy in water. Need an explanation under this statement.
You are having difficulty drawing blood from a patient and try two successive light-blue–stoppered citrate tubes for the collection of a PT test. Both tubes fill only half full. To avoid redrawing the patient, you pour one tube into the other to make a full tube and send it to the laboratory. Will this affect the test results?
The anticoagulant will be doubled in the tube and the results will be altered in this scenario.
What are Anticoagulant?These are substances which prevent the clotting of blood and are present in light-blue–stoppered citrate tubes.
When you pour one tube into the other, the anticoagulant will be doubled which will affect the result due to the presence of foreign substances in the tubes.
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The compounds that help break down foods during digestion by speeding up chemical
reactions are called
Answer:
The compounds that help break down foods during digestion by speeding up chemical reactions are called ENZYMES.
When should you give a person a second dose of naloxone?
a) If you do not see any improvement 2 - 5 minutes after giving a first dose
b) If you are unwilling to perform CPR on the person
c) If the person beesomes responsive after receiving a first dose
d) If the person asks you for another dose
Naloxone, also known as Narcan, is an opioid reversal or opioid antagonist medication given to patients experiencing opioid overdose. Its route of administration is often IM, IV, subcutaneously, or nasally for patients that are unconscious and unresponsive. If the patient is responsive, they likely will not need this agent and can, instead, simply be transported to emergency services if there is concern over the amount of drug consumed. If the first dose of naloxone seems ineffective after 2-5 minutes, a second dose can and should be administered.
CPR should not be optional if a patient needs CPR. If the patient is experiencing an overdose and an initial dose of naloxone has been administered, if they are still breathing and have a pulse, CPR is not required. If they are unresponsive with no breathing or pulse as a result of an overdose, CPR is not a choice -- it must be performed and the naloxone also administered. If the patient is unresponsive with no breathing or pulse and you are unaware if it is the result of an overdose, giving the initial and secondary doses of naloxone will not harm the patient; neglecting to perform CPR will. The takeaway here is Narcan is NOT a substitute for chest compressions and rescue breaths if the patient needs CPR!
If the patient becomes responsive after receiving a first dose, the second dose will not be necessary. Just like performing CPR, if the person becomes responsive, they do not need more CPR. However, in both cases they will requires immediate emergency services and monitoring; another dose of naloxone may be possibly be given then if needed.
Lastly, the patient likely will not ask for another dose of naloxone. The medication blocks the effects of the opioid, usually by blocking the receptors they bind to, propelling the patient into withdrawal though free opioid molecules are still in their bloodstream. As a result, they will likely be irritated and combative, not necessarily asking for another dose. In the event that it does occur, you could tell them that no longer need the Narcan, and if they insist you can give them a second dose -- again, the medication is not harmful if given to a person not actively overdosing so if they need a nocebo effect to take place, so be it. This, however, is not an official indication for a second dose of naloxone to be administered.
The hallmark of a subarachnoid hemorrhage is the very sudden onset of a severe headache. The headache is often described as the "worst headache of my life." A CT scan will detect a subarachnoid hemorrhage in more than 95% of cases. When the history suggests subarachnoid hemorrhage and the CT scan fails to detect bleeding, a lumbar puncture is mandatory. The lumbar puncture will yield bloody cerebrospinal fluid in subarachnoid hemorrhage. Outpatient MRI or repeat CT scan in 48 hours would create a potentially harmful delay in diagnosis. CBC with differential may be ordered but will not confirm the suspected diagnosis. Treatment with Imitrex is contraindicated in the presence of a potential cerebrovascular syndrome.
A 41-year-old woman presents to the emergency department complaining of a sudden onset of the "worst headache of my life." A stat computed tomography (CT) scan of her head is found to be normal. The next appropriate step in the diagnosis of this patient would be
A
outpatient magnetic resonance imaging (MRI) of the brain
B
complete blood cell count (CBC) with differential
C
injection of sumatriptan (Imitrex)
D
lumbar puncture
E
repeat CT scan in 48 hours
In this scenario, the patient's history suggests a possible subarachnoid hemorrhage, despite a normal CT scan. The next appropriate step in the diagnosis would be a lumbar puncture.
This is because a CT scan may not detect a subarachnoid hemorrhage in its early stages, and a lumbar puncture can confirm the presence of blood in the cerebrospinal fluid. It is important to note that ordering a CBC with differential may not confirm the suspected diagnosis of subarachnoid hemorrhage. Additionally, treatment with Imitrex is contraindicated in the presence of a potential cerebrovascular syndrome. Outpatient MRI or repeat CT scan in 48 hours would create a potentially harmful delay in diagnosis and treatment, as subarachnoid hemorrhages require immediate medical attention.
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chart audits find the following practice errors committed by a nurse with observed impaired behavior at work: no physician orders for narcotics signed out by the nurse, and no documentation that the nurse either administered or wasted the narcotics. the best decision for the incident based peer review committee to make is that
The best decision for the incident based peer review committee to make is that the nurse should be referred to a disciplinary board for further review and possible disciplinary action.
What do you mean by peer?
Peer is someone who is at the same level as another person in a group, especially in age, social standing, or educational level. Peers are typically similar in age, background, and experience and can offer support, advice, and resources to each other.
The peer review committee should also recommend additional education and training for the nurse, as well as additional monitoring of their practice to ensure that proper protocols are being followed.
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