Dom, age 9, made the Alliance travel soccer team and was excited to be able to play right wing. At 5’3” (160 cm) and 105 lbs. (48 kg), he was taller and thinner than most of his teammates. Practices began August 15, and his first away game was against Midwest United in Grand Rapids. Dom had lost weight in the past month, and he always seemed to be hungry and thirsty. He had an appointment with the eye doctor in the next week because he told his mother that sometimes the blackboard in the classroom was blurry. Last week, he had a cold, followed by a “stomach bug.” He seemed to be better, and then now he said he just had “butterflies.” These must just be “nerves for his big game”, thought his mother. She was worried about him getting dehydrated in the late summer heat and developing muscle cramps, so she had him eat a banana and packed extra coconut water for him. “This is new, Dom”, she said. “It tastes great, and it has potassium, which is really good for you”.

Dom played well during the first quarter, defending five shots on goal and getting a goal himself. He was hot, and sweaty, so he drank a bottle of the coconut water and went out for the second quarter. He began to feel tired and a little queasy, and his stomach began to hurt. Then he began to cough and started to stagger. His coach noticed something was wrong, so he brough him to the bench. Dom’s teammate, Cameron mentioned that Dom’s breath smelled a little fruity. “Have some more water, Dom” the coach said. After slowly sipping a second bottle of coconut water, Dom stood up, clutched his stomach and then passed out. “He’s breathing funny!” shouted the coach. He called 911. Dom’s pulse was hard to feel, so the coach put his head on Dom’s chest and then could tell that it was beating very fast. The paramedics arrive in a few minutes and began to work on Dom. They checked his vital signs and used a glucometer to check his blood glucose level. It was 361 mg/dL. They immediately gave him 10 units of IV insulin bolus and transported him to the emergency department.

Questions

1. What disease did Dominick likely develop? What leads you to this conclusion?
2. Describe the pathophysiology of Dom’s disease, and explain how it differs from other forms of the disease.
3. What are the early symptoms of this disease in children?
4. What is the epidemiology of this disease in children? Discuss genetic and environmental factors that play a role in the development of the disease.
5. What complications of this disease does Dom now have? What is the pathophysiology of this complication and possible consequences (sequelae)?
6. What are four goals in treating Dom for this complication? How will Dom be treated? Explain how his treatment will affect the pathophysiology of his disease.
7. What is the composition of coconut water? What electrolyte imbalance could Dom have experienced because he consumed significant amounts for rehydration?
8. When Dom arrived at the emergency department, he was assessed for cerebral edema. What is cerebral edema, and why was he at risk for it? How would he be treated to reduce this risk?
9. Make a concept map of the triggers, symptoms and the pathophysiology of Dom’s problem.

1. Distinguish between true biological changes in aging versus secondary causes of aging. Describe how each of these affects longevity.

2. Explain why the understanding of aging as a disease is incompatible with leading theories on why we age. Give examples to support your argument.

3. Describe and give examples of fluid and crystalized intelligence. Describe the “Classic Aging Pattern”. What factors affect learning in old age and why is this important?

4. Describe the 3 Ds of aging and mental health (depression, dementia, delirium) in terms of prevalence and importance. Explain why these three issues are critical to mental health and well-being for older adults.

5. Are older adults happier than younger adults? Explain your answer.

4. A registered dietitian started a page on Facebook to provide nutrition information about weight management, and started promoting the ketogenic diet. Few people voiced their concern that the ketogenic diet does not work well for them, and that they experienced some side effects. The dietitians continued to push for following the diet stating that this is the best diet for weight loss, ignoring the concerns of some members. What ethical issue is of concern in this case?

A. Autonomy

B. Competence

C. Professionalism

D. Justice

Explain your answer for question 4.

How does the Affordable Care Act increase access to health care?

How does the ACA improve the quality of health care?

Describe Telemedicine. Does Telemedicine increase or decrease the cost of healthcare?

What is the Government's role in the US Healthcare System?

the medical office is moving toward electronic health records (EHR) management. how the change over from paper to electronic health records management can and will affect management in a medical office, what are some advantages and disadvantages of electronic health records?

A wealthy individual is admitted to your hospital. He was diagnosed 48 hours ago with kidney failure and needs a transplant. He is placed on the transplant list, but is advised it will probably take months or years to obtain a kidney. Suddenly, today an individual arrives with a foreign appearing man, who doesn't speak English and appears unkempt. He states he is the patient's "cousin" and wishes to "gift" a kidney to your patient. What rules apply to organ donation? Who oversees them? Is this illegal activity or OK? What is the hospital's obligation in "policing" the source of donated organs? 500 word response and use own words - not copy and paste from Google.

Explain, using 2 different examples, why you think nurses are important in preventing the spread of infection.

2. Using one link in the chain of infection explain how the nurse may break the link. Provide 2 separate examples.

3. a. Provide 2 different examples of health care-associated infections that a patient might acquire. .

b. What could the nurse have done to prevent them? .

4. As a student nurse how do think an outbreak in a facility may affect you?

46-A patient’s finger stick blood sugar (FSBS) is 45 mg/dL. The patient is conscious, but it is more than 2 hours until the next meal. What interventions should you perform?

47. How can you encourage optimal intake while assisting a patient with a meal?

48. What supplies should you gather prior to inserting an NG tube and attaching low, intermittent suction?

49. What tips can you provide the patient to ease the insertion of an NG tube?

50 Why would it be unsafe to use a petrolatum product, such as Vaseline, for lubrication of an NG tube?

51. What are the various methods used to verify tube placement prior to instillation of anything into the NG tube?

52 How will ENFit connectors promote patient safety?

53 You suspect a patient is experiencing hypoglycemia. What are the signs and symptoms for which you should assess? List at least six. If you find several of these signs and symptoms,

What is the pathophysiology of pneumonia, in your own words?

Aromatherapy

1.         Purpose

Describe the process

Describe relevant background information.

2.         Scope

Identify the intended audience and /or relevant activities

3.         Prerequisites

Outline information required before proceeding with the listed procedure; for example, worksheets, documents, IFAS reports, etc.

4.         Responsibilities

Identify the personnel that have a primary role and describe how their responsibilities relate to this document.

5.         Procedure

Provide the steps required to perform this procedure (who, what, when, where, why, how). Include a process flowchart.

6.         References

List resources that may be useful when performing the procedure;

7.         Definitions

Identify and define frequently used terms or acronyms. Provide additional and/or relevant information needed to understand thebdocument

A dose of 2 mg/kg of an antibiotic results in a peak blood serum level of 5 mcg/mL. How many milligrams of the drug should be given to a 143 lb patient if a peak blood serum level of 5.5 mcg/mL is desired? Round answer to the nearest whole number. Do not include units.