...Intercessory Essay Intercessory Essay Grand Canyon University: HLT-302 June 17, 2012 Intercessory Essay The article by Holly well and Walker in my opinion proves to be true in my perspective because your mind and soul has to be right in order to heal or except the healing that God is trying to provide for you. The saying that “Change only takes place through action, not through meditation and prayer” (Dalai Lama), in my opinion is so incorrect and I feel that prayer can and will bring you out of your worst situations and for me it has. If I can be truly honest and reflect on what the article is saying and share some of my life situations then I will and it is a testimony at the same time. I was recently diagnosed with pulmonary embolisms, and I always considered myself a praying and God fearing woman, but when I was told that I automatically thought I was going to die it was over, and even though I could have died I did not because of my faith in God and prayer, along with my determination to not let this defeat me. They ran all kinds of test on me to where they were able to show and prove to me that this was something that I had, automatically I prayed and called family and church members and they got there prayer warriors and so on and so forth, but that bible says: “For two or more gathered in my name I am there with them”, Matthew 18-20. So power is prayer and it can and will heal if you ...
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...Product Liability Research Paper Michelle Wright Professor Ellen Kapalko Law Ethics & Corporate Governance Yaz The Product Liability of Bayer Pharmaceuticals The Bayer Pharmaceuticals Company was founded in 1893 by Friedrich Bayer and Johann Wescott in Barmen, Germany. Bayer is known for their trademarked Bayer Aspirin which was created in 1899. Bayer spent decades marketing heroin worldwide as a cough medicine for children. The side effects of selling heroin to children were not a concern for them. Although they originated as a pharmaceutical company they turned their attention to manufacturing chemical weapons. Bayer formed a close relationship with German firms during the World War which formed the conglomerate called IG Farben. They became the largest donor to Hitler’s army. In the post-war years Bayer grew to become the third largest pharmaceutical company in the world. In the mid-1980s Bayer was one of the companies which sold a product called Factor VIII concentrate to treat haemophilia. Factor VIII turned out to be infected with HIV and in the U.S. alone; it infected thousands of haemophiliacs, many of whom died in one of the worst drug-related medical disasters ever. But it was only in 2003 that the New York Times revealed that Bayer had continued producing and selling this infected product to Asia and Latin America after February 1984 when a safe product had become available, in order to save money. Dr. Sidney M. Wolfe, who investigated...
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...Heart Valve Surgery Once a valve problem has been diagnosed and surgery scheduled, you’ll have some things to do. Some preparations will help make your surgery go smoothly. Some will help you get set up for your return home from the hospital. And others will help you feel more at ease. Your doctor will talk with you about the risks. Write down all your questions in advance so you don’t forget to ask them. The Week Before Surgery Steps you take before your surgery can help make both the surgery and recovery go smoothly. Follow your doctor’s instructions. • Ask your doctor about scheduling any dental work you might need. Dental work could let bacteria into your bloodstream, which can cause infection on a new valve. • Give your doctor a list of every medication you take, including supplements and over-the-counter products. Your doctor may have you stop taking some of them or start taking others before surgery. • If you smoke, quit right away. You will do better during and after surgery. • Arrange for an adult family member or friend to drive you home from the hospital. Have a helper available for your first week or two at home. • Prepare and freeze food or arrange to have food brought in while you recover. • Make adjustments around your home to simplify movements, such as reducing the need to climb stairs. The Day Before Surgery • You may be asked to wash with special soap the night before surgery. The morning of surgery, don’t use deodorant, lotion, or perfume. • Don’t...
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...Warfarin (brand names Coumadin and Jantoven) is a prescription medication used to prevent harmful blood clots from forming or growing larger. Beneficial blood clots prevent or stop bleeding, but harmful blood clots can cause a heart attack, stroke, deep vein thrombosis or pulmonary embolism. Because warfarin interferes with the formation of blood clots, it is called an anticoagulant. Many people refer to anticoagulants as “blood thinners”; however, warfarin does not thin the blood but instead causes the blood to take longer to form a clot. The client will be taught that any major change in their diet could affect how the body responds to the medication (Q&A). Foods that are rich in Vitamin K should be eaten in moderation and if there should be an increase in the consumption of Vitamin K over a week, the client should have another INR test. Foods that are rich in Vitamin K include green leafy vegetables, chick peas, liver, egg yolks, cereals containing wheat bran and oats, mature cheese, blue cheese, avocado, and olive oil (Q&A). The client will be taught that compliance while on Warfarin is very important. It is crucial to be aware of certain medications that can interact with Warfarin, to include but not limited to analgesics, antibiotics, NSAIDs, and oral diabetic agents (Nurses Pharm p. 56). Also, the client needs to be aware that herbs can also interfere with the medication. The herbs include ginseng, ginkgo, biloba, garlic, chamomile, and ginger all can affect...
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...Health Care Communications Method I am a Communications coordinator from the Pharmaceutical Industry, and I am here to talk about recent claims that Yaz has had such as negative effect on people that are using Yaz, as well as the generic counterpart which is Ocella. I will be discussing the side effects and how you can go about learning what you should do as a patient and your responsibilities. I will also talk about the releases of the information to our society. We protect the people and their rights of their own medical records. Yaz is a birth control pill that is for women overall to prevent pregnancy. However, there are some risks and affects you could have faced are facing with taking this drug. Yaz is a form of birth control that eliminates severe PMDD (Pre-menstrual dysphoric disorder) and acne in women which was released in 2006. Yaz is a form of contraceptive that was made for women to prevent pregnancy. It is known for this pill do be amazing for women. It is known that Yaz produces blood clots that can be harmful to a woman’s body. Yaz contains drospirenone, a fourth- generation progestin (Gilman Law, 2012,). This is how Yaz is different from other birth controls that are on the market for woman. Having drospirenone which is associated with hyperkalemia allows potassium levels to become high in the women’s body, which can result with blood clots in the body. Blood clots are the number one leading problem women are facing while taking this drug. It also interrupts...
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...the DVT. He did not have an appointment to see the vascular specialist until next week. He and his wife discussed the fact that the woman who gave them the test results interpreted them as normal and that it should be safe for him to get out and run again. The patient and his wife went out for what they planned to be a three-mile run. However, two miles into the run, the patient developed severe chest pain and shortness of breath and collapsed. His wife called for help, and he was taken to the Anytown General emergency room (ER). Soon after arrival, he was pronounced expired due to an embolism. The ER physician discussed what happened with the patient’s wife and explained that he had reviewed the Doppler study they had picked up, and it clearly demonstrated that the DVT was still present. He explained that when the patient was running, the clot became mobile and migrated to the pulmonary artery. The patient’s wife explained to the ER physician that the woman who provided copies of their records interpreted the results for them and told them that the...
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...quantities that will be sold at a certain price, and the higher the price the higher the quantity supplied” (Hekla, 2012). This in turn increases revenue because with high demand, comes high supply due to wanting or needing the product. With high supply and low price, than comes high demand due to the lower price. Demands and supply for health care products and medications continues to be in high demand as products are developed. The newer the product, the higher the demand, and the higher the price. Product Lovenox is a product used to treat and prevent deep vein thrombosis or pulmonary embolisms. This medication is given subcutaneously by a care giver or the patient may be trained to give their own. Lovenox is also known by the generic name of Enoxaparin. Lovenox is used in the treatment of many other diagnosis such as thrombophlebitis, carotid artery dissection, peripartum cardiomyopathy, pulmonary infarction, and Factor V Leiden thrombophilia. Lovenox is a low molecular weight heparin and thins the blood to prevent clotting (MEDgle, 2012). A study conducted in 176 centers, in...
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...Medications: * Bronchodilators: * Beta2-agonists: terbutaline, albuterol, metaproterenol * Short: rescue meds. ADEs: increased SNS response. STOP if chest pain. * Parasympatholytics: Atrovent * Given in combo with beta 2 agonists. AntiACh effect * Xanthines: theophylline, aminophylline * Increase SNS response, broken down into caffeine. STOP if chest pain. Not maintenance med. * Magnesium * Relaxes bronchioles. Acute use only. Can cause HOTN * Expectorants: guaifenesin * Can cause drowsiness. HYDRATE. * Mucolytics: acetylcysteine (mucomyst) * Decrease viscosity of secretions. Used to tx Tylenol OD, and given to protect kidney from contrast dyes. * CAUTION: sedatives (if anxiety r/t hypoxia fix hypoxia), antitussives (hydrododone, codeine) Medications: * Bronchodilators: * Beta2-agonists: terbutaline, albuterol, metaproterenol * Short: rescue meds. ADEs: increased SNS response. STOP if chest pain. * Parasympatholytics: Atrovent * Given in combo with beta 2 agonists. AntiACh effect * Xanthines: theophylline, aminophylline * Increase SNS response, broken down into caffeine. STOP if chest pain. Not maintenance med. * Magnesium * Relaxes bronchioles. Acute use only. Can cause HOTN * Expectorants: guaifenesin * Can cause drowsiness. HYDRATE. * Mucolytics: acetylcysteine (mucomyst) * Decrease viscosity...
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...The Medicines Company Case Write-Up: Terence Cho, Felipe Duarte, Aleks Loiko, Robert Shaw, and James Wang Section 4, Group 10 Medicines Company’s drug, Angiomax, outperforms Heparin, but incurs significantly higher costs to produce, making the drug difficult to attractively price. This difficulty in pricing stems from a poor positioning strategy for Angiomax which does not maximize the perceived value (PV) that the drug provides to its key customer segments. Therefore, Medicines Co., must develop a positioning strategy that maximizes the perceived value of Angiomax. Medicines Co. must first determine the critical characteristics its key customer segments (doctors, hospital administrators, and pharmacists) value in an anticoagulant (Appendix A). Medicines Co. should then develop a positioning statement that highlights Angiomax’s strengths for its most compatible customer segment – doctors. The positioning statement for doctors would be “Angiomax outperforms Heparin in high-risk patients resulting in significantly fewer complications while performing angioplasty procedures”. The focus should be on doctors because of the high overlap between Angiomax’s benefits and doctors’ values in an anticoagulant. Additionally, by providing doctors with information (Appendix B) that quantifies the cost savings from reduced complications in high-risk patients, Medicines Co. bridges the gap between the true economic value (TEV) and the PV that doctors have for Angiomax. This solution...
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...Nick Klepper Professor Walker English 101, Sec. 30 21 April 2014 What is a Procrastinator? For centuries the word procrastinator has been used with one who usually likes to be an irresponsible person and one who is lazy. And most of the time it is very easy to recognize one when it’s right of front of you. So the question I have always asked myself is what really makes a procrastinator, and how do you know if you are one? A procrastinator is one who puts off doing something, especially out of habitual carelessness or laziness. And really that explains the gist of what one actually is. But that still leave people wondering if they actually are one. Similar terms that come to mind to describe one include such synonymous as postpone or prolong and adjectives such as lazy or irresponsible. But people that are procrastinators may not even be lazy at all, it’s just that they prefer to delay things as much possible because they work better under time constraints and under pressure. It’s funny because some of the greatest people ever to live where procrastinators and they still ended up doing great things in life and helping the better of this country. It seems though that in most cases a procrastinator will end up completing every task like everyone else just in a more stressed time frame. There is always that saying of, “it doesn’t matter how you finish the race as long as you cross the finish line.” This saying is absolutely perfect to describe procrastinators and there...
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...Nursing Diagnosis:Impaired gas exchange Supportive Data:R/T decreased pulmonary perfusionAEB c/o SOB with any exertion, pain with deep breathing, decreased O2 saturation with ambulation. | #2 Nursing Diagnosis:Risk for bleedingSupportive Data:R/T anticoagulation therapy; Heparin drip infusing @ 13.7 mL/hr | Admitting Diagnosis/ Problem:Chest pain, back painPriority Assessments:Vital signs, telemetry, peripheral pulses, respiratory status, monitor for signs and symptoms of bleeding, pain assessment, restlessness, irritability, confusion, somnolence, tachypnea, dyspnea, significant decrease in oximetry results, decreased PaO2 and/or increased PaCO2, central cyanosis | #3 Nursing Diagnosis:Impaired physical mobility Supportive Data:R/T left lower extremity clot and right lower extremity edema and pain AEB c/o pain with ambulation and ROM of lower extremities | Relationship of Diagnoses BRIEFLY explain the relationship (causative or resultant) between your selected nursing diagnoses. If the diagnoses are unrelated, state that. The impaired gas exchange and impaired physical mobility are directly related to the patient’s diagnosis of DVT and PE. The risk for bleeding is correlated because of the heparin drip needed for the treatment of PE and DVT. | Priority Nursing Diagnosis: Goal, Outcomes, Interventions and Responses Priority Nursing Diagnosis Impaired gas exchange r/t decreased pulmonary perfusion aeb c/o SOB with any exertion, pain with deep breathing, and...
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...Malcolm et al, 2013; Moore, 2012). Cor Pulmonale is commonly connected to lung disorders and other heart disorders such as chronic obstructive pulmonary disease, also known to many as COPD (Bhattacharya, 2004; Hadjiliadis, 2013; Kavanagh, 2013; Leader, 2014; Malcolm et al., 2013; Moore, 2012; Sovari, 2014). COPD associated Cor Pulmonale accounts for the majority of all Cor Pulmonale cases, about 80%-90% (Kavanagh, 2013; Leader, 2014). There are many causes of Cor Pulmonale, such as hypertension, and pulmonary embolism, and it affects multiple body systems, like the circulatory and respiratory systems (Bhattacharya, 2004; Hadjiliadis, 2013; Kavanagh, 2013; Leader, 2014; Malcolm et al, 2013; Moore, 2012; Sovari, 2014). Diagnosis and treatment options change according to the cause (Bhattacharya, 2004; Hadjiliadis, 2013; Kavanagh, 2013; Malcolm et al, 2013; Moore, 2012; Sovari, 2014). Each option has differing efficacy and prognosis (Bhattacharya, 2004; Hadjiliadis, 2013). Causes of Cor Pulmonale may include high blood pressure, also known as hypertension, hypoxia, or low oxygen levels for substantial amounts of time, living in areas that are in a high altitude environment, tiny blood clots blocking veins and arteries adding to blood pressure, obstructive sleep apnea, pulmonary embolism, acute respiratory distress syndrome (ARDS), pulmonary vasoconstriction, and increased blood viscosity, as well as others (Bhattacharya, 2004; Hadjiliadis, 2013; Kavanagh, 2013; Leader, 2014; Malcolm...
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...why this condition happens except being thought as a congenital defect. Although it can happen because of trauma, age and extreme weight gain. This disorder is common among young women between 20 and 40 years of age. May-Thurner syndrome can cause left iliofemoral deep venous thrombosis. The patients will complain of unilateral swelling and pain. About 18-49% of patients with a left lower extremity deep venous thrombosis has been diagnosed with May-Thurner Syndrome (Al-Nouri, O., 2011). Many patients who have had this condition for a while can present with skin color changes, varicose veins, constant leg pain, phlebitis and skin ulcers from this chronic syndrome. If the blood clot (deep venous thrombosis) breaks away, it can become a pulmonary embolism and...
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...of breath for 2 weeks. She went to ER 6 days ago with fever of 100.4 ḟ. She reports a Computed Tomographic Pulmonary Angiography (CTPA), which was negative for Pulmonary Embolism (PE) but found positive for Pneumonia. Patient reports to take antibiotic started during the ER visit but has not been taking the breathing treatment at home. The patient has no known drug allergy. Patient denies postnasal drip and sneezing and no hemoptysis. Patient denies any abdominal pan, nausea, vomiting, diarrhea, lower extremity swelling nor dysuria. He also denies smoking. Past Medical History is coronary artery disease with stent, hyperlipidemia, hypertension, diabetes mellitus, CKD, Stage 3 (GFR 30-59), anxiety disorder, stridor 2nd to history of intubation and tracheostomy, gastric rectal bleeding with chronic anemia, major Depression – recurrent, non-alcoholic cirrhosis, obesity (BMI-30-39.9), obstructive sleep apnea and venous stasis. OBJECTIVE: PHYSICAL ASSESSMENT Ht. 5’1, Wt. 175 lbs. BMI = 33.1 VS are BP 155/69, HR= 83-97, T 37.7, RR 32, SpO2 91-93% @ 2L O2 by nasal cannula General: She appears to be calm and breathing fairly, saturating well without oxygen but once you start talking to patient, she becomes very anxious. Overweight. AOx4, comfortable, in no distress HEENT: pinkish conjunctivae, non-icteric sclera, no tonsillo-pharyngeal congestion, no lymphadenopathy Pulmonary: clear bilateral breath sound both anterior and posteriorly Cardiovascular: regular rate and rhythm w/o murmur...
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...Pulmonary Embolism Pulmonary embolism is an occlusion of the pulmonary artery or one or more of its branches by matter carried in the blood current. The matter is called “embolus”. Which is most commonly a blood clot; However, it maybe a fat particle, air, amniotic fluid, tumor or other tissue fragment, parasite, or foreign body. PE refers to pulmonary arterial occlusion by a blood clot (thromboembolism), unless it is qualified by other causes such as fat embolism, and air embolism. Pulmonary embolism result from clots formed in the veins of the calf, legs, and pelvis that can radiate to the lungs. Signs and symptoms of PE include: cardiac arrythmias, dyspnea, chest pain, tachycardia, dizziness/fainting, hemoptysis, coughing, anxiey, tachypnea, and pleuritic pain. Diagnosis is based on serum lab results, EKG, Spiral chest CT, Ultrasound, Chest xray, and Arterial blood gases. Subjective Data: Patient Profile and Medical History E. R. a 40 year old African American male presented to the Emergency room with a history of Hypertension, Pleurisy, and Pulmonary Embolism to Left shoulder post rotator cuff surgery times 4 years ago with treatment of Coumadin times 6 months. History of Vasectomy in 1999. Primary Diagnosis: Pulmonary Edema Recent Development and Current complaints: of low grade fever, SOB, Pleuritc left side chest pain, and nonproductive cough times 2 days. Objective Data: Physical Examination: B/P- 153/99 HR-108 Resp-22 Temperature- 100.3 orally ...
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