...Associate Degree Nursing Program NURS 122 Concept Care Map Evaluation Rubric: Maternal-Newborn |Value/categories |0 |1 |2 | |Assessment with Pathophysiology | < 90% data filled |> 90% data filled in |Complete with | | |incorrectly |correctly |Pathophysiology | |Lab work/rationale or reason for| | | | |labs | | | | | |0 |1 |2 | | |95% lab work and reasons | | |documented |documented |documented | |Step 3 - Care Map |0 |1 |2 | |Problem category Physiological |2 appropriate problems with|3 appropriate problems with|4 or more appropriate | |and psychological related to |Reason for admit and key |Reason for admit and key |problems with Reason for | |stages of postpartum |assessments |assessments |admit and assessments | | ...
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...Final exam study guide: Cancer: Know the difference between Benign and Malignant tumors. Classification of tumors Benign neoplasm Well differentiated Usually encapsulated Kidneys have their own capsule so is easier to catch Expansive mode of growth Characteristics similar to parent cell Metastasis is absent. Rarely recur Classification of tumors Malignant neoplasm May range from well differentiated to undifferentiated Able to metastasize Infiltrative and expansive growth Frequent recurrence Moderate to marked vascularity Rarely encapsulated Becomes less like parent cell Check Moles and Freckles Shows differentiation Hair growing = blood supply = no differentiation = CANCER * Know the warning signs/clinical manifestations of cancer. * CAUTION: * Change in bowel or bladder habits * A sore that does not heal * Unusual bleeding or discharge from any body orifice * Thickening or a lump in the breast or elsewhere * Indigestion or difficulty in swallowing * Obvious change in a wart or mole * Nagging cough or hoarseness Know the different staging, grading and classifications of cancer. Clinical staging classifications * 0: Cancer in situ * 1: Tumor limited to tissue of origin; localized tumor growth * 2: Limited local spread * 3: Extensive local and regional spread * 4: Metastasis * 0 – enclosed extremely localzed * 1 – only in tissue...
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...J Nutr Sci Vitaminol (Tokyo) 2005; 51:292-310). Studies have shown a significantly decreased risk for T2DM with the higher consumption of grain (particularly whole grain), and significantly increased risk with processed meat consumption (J Nutr Sci Vitaminol (Tokyo) 2005; 51:292-310). Increased obesity is associated with insulin resistance. Other important factors contributing to insulin resistance include accumulation of omental fat and fat in the myocellular compartment, both of which can exist independent of degree of generalized adiposity. Insulin resistance may be associated with dyslipidemia comprising elevated plasma triglyceride concentrations, low concentrations of high density lipoprotein cholesterol and elevated concentrations of low density lipoprotein cholesterol, all of which...
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...Airway/Breathing (Oxygenation) Pneumonia/Chronic Obstructive Pulmonary Disease Clinical Reasoning Case Study STUDENT Worksheet JoAnn Walker, 84 years old Overview This case study incorporates a common presentation seen by the nurse in clinical practice: community acquired pneumonia with a history of COPD causing an acute exacerbation. Principles of spiritual care are also naturally situated in this scenario to provide rich discussion of “how to” practically incorporate this into the nurse’s practice. Concepts (in order of emphasis) I. Gas Exchange II. Infection III. Acid-Base Balance IV. Thermoregulation V. Clinical Judgment VI. Pain VII. Patient Education VIII. Communication IX. Collaboration I. Data Collection History of Present Problem: Pneumonia-COPD JoAnn Walker is an 84-year-old female who has had a productive cough of green phlegm 4 days ago that continues to persist. She was started 3 days ago on prednisone 60 mg po daily and azithromycin (Zithromax) 250 mg po x5 days by her clinic physician. Though she has had intermittent chills, she first noticed a fever last night of 102.0. She has had more difficulty breathing during the night and has been using her albuterol inhaler every 1-2 hours with no improvement. Therefore she called 9-1-1 and arrives at the emergency department (ED) by emergency medical services (EMS) where you are the nurse who will be responsible for her care. Personal/Social History: JoAnn was widowed...
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...Bio 101 Review Sheet Test #1 (Chapters 1-3) Chapter 1 1. Cell is basic unit of life 2. Hierarchy of life figure 3. 3 Energy categories and examples of each Producer-plants and some microbes Consumer-humans and other animals Decomposer-fungi and other animals 4. Energy transfers are not 100% efficient – why? Cant capture all of the energy supplied by one source a. Where does all energy for biology come from? sun 5. Homeostasis- state of internal consistency or equilibrium 6. 2 types of reproduction asexual and sexual b. Benefits to sexual reproduction benefit of tremendous variation 7. Adaptation inherited characteristics or behaviors that enables an organism to survive and reproduce successfully in a given environment c. How it contributes to natural selection and evolution individuals with the better combinations of genes survive and reproduce 8. Evolution change in genetic makeup of a population 9. Why it’s important to take all your antibiotics so all of the bacteria can be eliminated, some of the bacteria can become stronger. 10. Taxonomy classification of life’s diversity 11. What our species name is homo sapiens 12. Order of taxonomic categories – mnemonic device! Domain, kingdom, phylum, class, order, family, genus, species 13. 3 domains bacteria, archaea, eukaryote d. Basic differences e. What our domain is f. What domain universal ancestor likely is in archaea ...
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...PBT Exam Study Guide 1. Circulatory system (5-10%) a. Structure & Function i. Heart: muscular organ (size of adult’s closed fist), contractions push blood throughout body, average heart beats 60-80 times per minute, 4 chambers: 2 atria & 2 ventricles. * Right heart pump | * Left heart pump | (Deoxygenated) | (Oxygenated) | Right atrium | Left atrium | Tricuspid valve | Bicuspid valve | Right ventricle | Left ventricle | Pulmonary valve | Aortic valve | lungs | body | ii. Arteries: transports blood from right & left chambers to body; large arteries branch into arterioles; carry oxygenated blood (bright red); has thick elastic walls; pulse; located deep in muscles/tissues; highly oxygenated vessels that carry blood away from heart. iii. Veins: transports blood from peripheral tissues back to heart & lungs; large veins branch into venules in peripheral tissues; carry deoxygenated blood (dark red) back to lungs to release CO2; have thinner, bluish walls; have valves to prevent back flow of blood; located deep & superficially. iv. Capillaries: connect arterioles with venules via microscopic vessels; exchange O2 and CO2, nutrients, & fluids in tissue capillaries; pass waste products from tissue cells into capillary blood, then onto removal from body; carries mixture of arteriole & venous blood. Properties | Arteries | Veins | Capillaries | Thickness of vessel wall | Thickest elastic...
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... |Liow Yi Sheng | | |Foo Yong Hao | |Practical Group |P13 | |Date of lab class |13/7/2015 | |Program |Foundation in Science | |Unit code |FHSB1214 | |Unit description |Biology I | |Year and trimester of study |2015, Trimester 1 | |Title of lab report |Investigation of the effects of different catalytic conditions on hydrogen peroxide | | |decomposition | |Lecturer’s name |Ms.Ting Jen Ching...
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...pinning in 2005, and a traumatic amputation of fingers on her left hand in 1974 from a lawnmower accident. Pt lived on her own until 4-27-12 when her family found her lying on the floor in her home. Pts family brought her to live with them but pt continued to have episodes of falling and hitting her head. Pt was taken to the ER and given a Ct of the brain where all results turned up normal. After at least 5 more falls the pts family took her back to the hospital with complaints of chest pain and palpitations. Pt was more confused than usual & and was having increased difficulty in gait. Physician suspected pt to have some left-sided weakness greater than left-sided weakness and chest pain. A second CT of the brain turned up normal. VS stable, but pt remains confused, weak, & complains of some dizziness and palpitations. Physician referred pt for admission to nursing home with admitting chief complains: chest pain, palpitations and frequent falls. PRESENT ILLNESS HISTORY: Patient currently has a diagnosis of essential (primary) hypertension, chest pain, palpitations, chronic kidney disease, dementia w/o behavioral disturbances, hyperlipidemia, and anemia. *Give a brief definition/description of each diagnosis. Essential hypertension is another term for high blood pressure. It is a systolic reading that is above 140 or a diastolic reading that is above 90 continuously. 120/90 is a normal blood pressure reading. (Burton & Ludwig. 2015, Pg. 345) Hyperlipidemia...
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...Case Study NSG/340 March 3, 2015 Sandra Gilderson, MSN/Ed, RN Case Study Y.L. laboratory result The fasting glucose is over the limits, fasting should be no more 126. HgbA1c is over limits and should be less than 6.5 or 7 the most. Her cholesterol demonstrates hyperlipidemia with low HDL. UA demonstrates glycosuria which represents a degree of damage in the kidneys. The lab result presented is not within normal range and patient is also at risk for heart disease. Methods for diagnosis First one can do a spot test using a fasting plasma glucose test and is found to be positive if it is greater than 126. Secondly, an order of two-hour glucose test known as oral glucose tolerance test greater than 200 is positive for diabetes. Lastly if the random glucose plasma level is tested and found to be greater than 200, with demonstrated symptoms such as polyuria, polydipsia, or polyphagia diabetes can be diagnosed. Functions of insulin Insulin is responsible for assisting the body in the storage of fat by taking lipids from blood into the cells. Additionally, it is responsible for the regulation of glucose by transporting glucose from the blood into the muscles, and liver. Insulin also aids in gluconeogenesis Type1 vs Type 2 DM Type 1 is known to be caused by the autoimmune destruction of the beta cells within the pancreas leading to diabetes. Type 2 is a progressive destruction of the beta cells due to increased glucose levels, leading to a decreased production of insulin...
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...Psychosocial Factors Patient lives with daughter. States “I haven’t needed any help before this.” Discharge Planning Needs / Community Resource Needs (What do you anticipate the patient needs) Discharge to rehab facility. Nutrition consult. Educational needs Educate on low sodium diabetic diet. Medication teaching. How to accurately check blood sugar. Diagnostic Data: Labs: Lab Test Lab Date Lab Value Rationale for Abnormal/Significant labs Troponin I Admission Monday Tuesday Wednesday 0.34ng/ml Elevation of both Troponin and B Type Natriuretic peptide indicates continued ventricular strain which occurs with heart failure Pro B Type Natriuretic peptide Admission Monday Tuesday Wednesday 2701.0...
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...firing too rapidly. TREATMENT is BB or CCB to ↓ HR and BP * PAC (Premature Atrial Contraction): impulse travels across atria via abnormal pathway, creating a disturbed P wave. Contraction originates from ectopic focus in atrium other than the SA node. Caffeine and diet pills predispose people to these but they don’t adversely affect health. TREATMENT is none. * Atrial Flutter: atrial tachycardia resulting in recurring, regular sawtooth flutter waves. The ratio of atrial to ventricle contractions is 3:1. TREATMENT is synchronized cardioversion (like defibrillation but the less Joules, 150-200 vs 300, and you must push the “sync” button to synchronize the energy so as to not direct it onto the T wave and send the patient in V-fib) and ablations. * Valve Replacement: patient must be put on blood thinner afterwards and must be anticoagulated more than normal. 3-4x INR vs 1.5-2x INR * Atrial Fibrillation: total disorganization of atrial activity and ineffective atrial contractions. TREATMENT is Coumadin (to prevent DVTs) or Xarelto. You want a skinny QRS wave which is about 0.12 seconds; a wide one is bad. Elevated T wave indicates ischemia. * 1° Heart Block: each impulse is directed to the ventricles but the...
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... * The study of hormones chemical messangers * Nucleus collectiom of cell bodies of neurons of CNS * Ganglia collection of cell bodies of PNS II. Neurotransmitters vs. hormones * Neurotransmitters: * released into synapses (aka synaptic cleft) via exocytosis * secreted from the secreting cell to the target * affinity of neurotransmitter receptor binding lower because more neurotransmitter concentrated in synapses * Hormones: * released into circulation by exocytosis hormones diluted in blood * received by distant target cell (endocrine) * affinity of hormone receptor binding higher affinity for hormone because hormone in diluted in blood III. 3 types of hormone signals: * endocrine signalclassic hormone; stimulated far away via blood * paracrine signalstimulates adjacent target cell (para= beside) * autocrine signal stimulates itself (auto= self) IV. Chemical classes of hormones: * Proteins multiple peptides/ long polypeptide chain - ex: glucagon/ insulin * Steroids made of cholesterol * ex: testosterone/ estrogen * cholesterol: * 20-22 desmolase acts on cholesterol to make a 21 carbon molecule called pregnenolane (aka P450SCC- Side Chain clearing) * 20-22 desmolase is the 1st enzyme to modify cholesterol during steroidegenisis (synthesis of a seriod) * Peptides short chain of amino acids via peptide bonds * ex: TRH- tripepide/ Thyroxine Releasing Hormone/ oT- nonapeptide ...
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...Sabhaney, Carlen Ng, Di Wu, Kelei Xu Bodybuilding Page 1 of 59 Table of Contents 1. Introduction 2. The Body & Muscle Groups a. Muscle Growth b. Physical & Psychological Benefits of Exercising 3. Weight Training: Anaerobic Exercise Mechanics & Impact on Muscle Growth a. Energy Transformations During an Exercise b. Investigating Torque in Weight Training c. Muscles Acting as Levers d. Impulse in Weight Training e. Intensity versus Speed 4. Protein Supplementation a. Protein supplementation b. Combining Protein Supplementation 5. Cellular Respiration & Effect on Weight Training a. Glycolysis b. Aerobic Respiration c. Anaerobic Respiration (inc. lactic acid) d. Carbohydrate Loading 6. Creatine Supplementation a. An Introduction b. Lab: Effect of Phosphocreatine on Lactic Acid 7. Anabolic-Androgenic Steroids a. Reactions within the Body involving steroids b. Side Effects of Steroid Intake c. Detecting Steroids in the Human Body 8. Conclusion 9. Works Cited 10. Miscellaneous Bodybuilding Page 2 of 59 I. Introduction Exercise (essentially any form of physical exertion which results in the contraction of a muscle) has become a widespread interest over the past several years, especially in areas of weight training. While exercise is generally intended to promote good physical health, bodybuilding more specifically concentrates on building muscle mass and many individuals in society today begin bodybuilding to present a good image of themselves. Many different companies...
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...Read the attached article regarding new techniques for treating heart attack victims and identify the problem statement for a study among residents in the Minn. area where this new technique is being practiced. This study is to learn how the residents feel about the new technique being used. You might want to include survivors of this technique to learn of their assessment of the technique vs. the more commonly used techinque of clot busting. |PAGE ONE | | | | | | | | | | | |[pic] | |[pic] ...
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...GI and Diabetes Exam Study Guide Tube Feeding – (enteral nutrition) refers to the administration of a nutritional balanced liquefied food or formula through a tube inserted into the stomach, duodenum, jejunum. It is used to provide nutrients via the GI tract either alone or as a supplement to oral or parenteral nutrition. - Nasogastric (NG) Tube – is most commonly used for short-term feeding problems. Other means of feeding are; esophagostomy, gastrostomy or jejunostomy. Transpyloric tube placement or placement into the jejunum is used when physiologic condition warrant feeding the pt below the pyloric sphincter. Special Indications – anorexia, orofacial fractures, head and neck cancer, neurologic or psychiatric conditions that prevent oral intake, extensive burns and those who are receiving chemotherapy or radiation therapy. Procedure for tube feeding 1. Patient position – 30-45 degrees position. Head remain elevated for 30-60 mins 2. Patency of tube – Tube should be irrigated with water before and after each feeing to ensure patency. 3. Tube Position – Placement of tube is checked before each feeing or every 8 hours with continuous feeings. Checking methods; aspiration and pH. 4. Formula 5. Administration of feeding – feeing are given either by gravity drip method or by feeding pump. 6. General Nursing Considerations – daily weight, accurate I’s and O’s. Blood glucose check. Complication Related To tube and feeding - Vomiting and or Aspiration -...
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