...Introduction Myasthenia gravis is an autoimmune disease in which antibodies are produced that block or destroy the nicotine acetylcholine receptors at the postsynaptic membrane, causing muscle weakness and fatigue (Pendleton & Schultz-Krohn, 2006). Myasthenia gravis can occur at any age but onset usually occurs at an earlier age in women than in men. In the United States, there are about 14.2 cases of myasthenia gravis per one million people (Pendleton & Schultz-Krohn, 2006). Myasthenia gravis will be discussed in this paper according to the following: etiology, signs and symptoms, pathology and the progression of myasthenia gravis, diagnosis, prognosis, medical interventions, complications and resulting dysfunction of myasthenia gravis. Etiology Romi, Gilhus, and Aarli (2005) point to a genetic predisposition for myasthenia gravis with 30% of patients having mothers with myasthenia gravis or another autoimmune disease (p. 136). Other precipitating factors may include surgery, certain drugs, infection, and disorders of the thymus (Beers & Porter, 2006, p. 1899). Approximately 12% of babies born to mothers with myasthenia gravis display a passing muscle weakness termed “neonatal myasthenia” (Keesy, 2004, p. 485) not considered autoimmune, due to maternal antibodies crossing the placenta. Myasthenia gravis occurs at any age with the peak onset age in males between 50 and 70 years and in females between the teens and the thirties. Both...
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...| Research Paper Part 1 – Introduction & Body Paragraphs | EN 1320 | | Anthony Brown | Week 8 | | Myasthenia Gravis (pronounced My-as-theen-a Grav-us) derived from the Greek and Latin words and it means “grave muscle weakness.” Myasthenia Gravis (MG) is a chronic autoimmune neuromuscular disease characterized by varying degrees of weakness of the skeletal (voluntary) muscles of the body ("National institute of," 2012). The prevalence of MG in the United States is estimated to be about 20/100,000 people ("What is myasthenia," 2010). MG is a rare but very serious disease and many people who have been diagnosed do not recognize the symptoms. If detected early, MG can be treated successfully with, if any, very little side effects in the future. Once diagnosed with MG, that person must go through a drastic life change; Enduring rigorous treatments depending on how aggressive the disease has become, possibly undergoing a life threatening surgery, and living with myasthenia gravis for the duration of their life. “Muscle weakness caused by MG progresses as the effected muscle is used repeatedly. Since symptoms typically improve with rest, but your muscle weakness may come and go” (Staff, 2010). The first signs and symptoms of MG are ptosis and diplopia. “Ptosis is a drooping of the upper eyelid. The lid may droop only slightly, or it may cover the pupil entirely” (What is ptosis?, N.d.). “Diplopia (double vision) is a common subjective complaint, or diplopia may...
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...related by their chemical structure, the way they work or if they are used for the same purpose (Pubmed Health, 2012). A cholinergic stimulant is a class of drugs used to increase activity at acetylcholine synapses and can be further subdivided into two categories; direct and indirect acting cholinergic stimulants. This categorization is based on their mechanisms of action and specificity for clinical use (Ciccone, 2007). Direct-acting cholinergic stimulants increase activity at the acetylcholine synapses by binding directly with the cholinergic receptor on the other hand; indirect-acting cholinergic stimulants put forth the same effect by inhibiting the acetylcholinesterase enzyme situated on the cholinergic synapse. For the purpose of this paper, an analysis of indirect acting cholinergic stimulants will be completed, with focus on Pyridosigmine and Prostigmin and their implications to physical therapy practice. Indirect-Acting Cholinergic Stimulants Indirect-acting cholinergic stimulants are also known as Cholinesterase inhibitors or Anticholinesterase agents. Cholinesterase inhibitors increase activity at cholinergic synapses by preventing the acetylcholinesterase enzyme from breaking down acetylcholine (ACh) after its release from the presynaptic terminal. Cholinesterase inhibitors inhibit acetylcholinesterase thus allowing more acetylcholine to remain at the synapse which results in an increase in cholinergic synaptic transmission (Ciccone, 2007). For circumstances where acetylcholine...
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...A kid with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley...
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...Chapter 1 Nursing Images throughout History 1) The angle of mercy 2) The handmaiden 3) The battle-ax 4) The naughty nurse 5) The military image A. Nurses on the battlefield * Hospitalers – specialized soldiers who at the end of battle returned to the outposts to care for the sick and injured * Army nursing service – organize nurses and hospitals and coordinate supplies for the soldiers during the Civil War * Clara Barton a. Provided care in tents set up close to the fighting b. Did not discriminate c. Establishment of the American Red Cross * Harriet Tubman – helped slaves escape to freedom on the underground railroad * Walt Whitman – a poet * Louisa May Alcott – an author * Dorothea Dix – union’s superintendent of female nurses during the Civil War B. Nurses fighting diseases * Florence Nightingale d. Epidemiology – the study of the distribution and origins of disease e. Air, light, nutrition, and adequate ventilation and space assist the patient to recuperate * Lillian Wald & Mary Brewster f. Founded the Henry Street Settlement in NY to improve the health and social conditions of poor immigrants g. Improve health and prevent illness by promoting safe drinking water, adequate sewage facilities, and proper sanitation Florence Nightingale (1820-1910) ...
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...MINDANAO SANITARIUM AND HOSPITAL COLLEGE SCHOOL OF NURSING A CASE PRESENTATION OF BIPOLAR 1 DISORDER In Partial Fulfillment of the Course NCM 105 Related Learning Experiences January 2013 Table of Contents The Authors Acknowledgement Dedication Objectives of the Study Introduction CHAPTER I -Assessment Psychiatric Nursing History Anamnesis Genogram Mini Mental Status Examination Mental Status Exam Physical Assessment Diagnostic Studies Nurse’s Progress Notes CHAPTER II – Diagnosis and Analysis Psychodynamics Psychodynamics Concept map Life Chart Diagnostic and Statistical Manual of Mental Disorder CHAPTER III – Planning and Implementation Nursing Care Plans Psychotherapist Nurse’s Process Recording or NPI CHAPTER IV – Psychopharmacology CHAPTER V – Discharge Plan CHAPTER VI – Evaluation, Prognosis and Recommendation GLOSSARY REFERENCES THE AUTHORS BSN 3B – Group 1 Bandiola, Maricar Mae Bolo, Princess Venimarie Cristobal, Rosnel Dag-uman, Leslie Ann Fuentes, Rajiv Jun Maglasang, Crizza Mariz Montefalcon, Jessel Nasala, Queency Pranza, Mae Kenneth Quinalayo, Paul Vincent Valiente, Katherine ACKNOWLEDGEMENT People would always say, “Two heads are better than one”. How much more if there are more heads than two? A project like this would definitely never be accomplished without the collaboration of many people. First and foremost, we would like to thank our heavenly father for giving us the knowledge...
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...Practice Examination One Part One You will have two hours and 30 minutes to complete Part One. 1. The nurse is instructing an unlicensed assistant on how to collect a urine specimen from an indwelling catheter. Which of the following statements indicates that the assistant understands the instructions? A. "I will empty the catheter drainage bag, have the client drink some water, and an hour later collect the urine that drains into the bag. " B. "I will get a sterile syringe and remove urine from the catheter through the collection port to place in the specimen container. " C. "I should collect urine from the catheter drainage bag at the end of the shift and place it in the specimen container. " D. "I will disconnect the drainage tube from the catheter and let urine run from the catheter into the specimen container. " 2. Linda is a 19-year-old primipara who delivered a viable male neonate 2 hours ago. She has decided to breast-feed. Her 22-year-old husband supports her decision. She tells the nurse, "My mother breast-fed all of her children, but I'm going to need lots of help with breastfeeding. I'm worried that I won't be able to do this. " Which of the following should the nurse include when assessing the client? A. Determine the client's level of motivation to breast-feed. B. Perform a complete physical examination to determine her need for help. C. Assess her body-to-fat ratio and nutritional status before beginning...
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...00_078973706x_fm.qxd 1/14/08 2:42 PM Page i NCLEX-PN ® SECOND EDITION Wilda Rinehart Diann Sloan Clara Hurd 00_078973706x_fm.qxd 1/14/08 2:42 PM Page ii NCLEX-PN® Exam Cram, Second Edition Copyright © 2008 by Pearson Education All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately...
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