Hemodialysis improves insulin sensitivity. Currently, there is no recommendation for the adjustment of insulin dose on dialysis day and nondialysis day in diabetic patients. This study was undertaken to determine the variations in insulin requirement based on blood glucose levels on dialysis days and nondialysis days in type 2 diabetic patients with chronic kidney disease on maintenance hemodialysis. Twenty‑eight diabetic patients on hemodialysis were recruited into the study Capillary blood glucose levels, just before dialysis and 2 h after dialysis, were checked and compared with fasting and postprandial glucose levels on–off dialysis

days. There was significant (35.8%) decrease in blood glucose levels 2 h after dialysis in comparison to predialysis levels (from mean levelof 258–165 mg/dl). The decrease in the blood glucose levels from predialysis level to 2 h postdialysis level was statistically significant (P < 0.001).

What is the design of this study? Provide detailed explanation.

In this study conducted in nine countries, we assigned 11,093 patients with acute stroke (85% of the strokes were ischemic) to receive care in either a lying-flat position or a sitting-up position with the head elevated to at least 30 degrees, according to the assignment of the hospital to which they were admitted; the designated position was initiated soon after hospital admission and was maintained for 24 hours. The primary outcome was degree of disability at 90 days, as assessed with the use of the modified Rankin scale (scores range from 0 to 6, with higher scores indicating greater disability and a score of 6 indicating death).

1. What is the design of this study? Provide detailed explanation.

CRITICAL CARE AND EMERGENCY NURSING

1. Describe the physical manifestations most commonly associated with the various shock states. Explain in detailed.

2. Describe prevention approaches that can be instituted in the critical care environment. Explain in detailed.

3. How does the heart work? Explain in detailed.

4. What causes of increased preload of the blood? Explain in detailed.

5. What causes of decreased preload of the blood? Explain in detailed.

what do you think about Davis drugs guide?

how does muscular/skeletal system, integumentry, cardiovascular, respiratory, neuro/sensory, gastrointestinal urinary, endocrine/lymphatic, reproductive and immune system affected by COPD? explain its affect on each system in detail

Please explain the statement “HIM is the glue that holds the healthcare organization together.” The explanation will be read by the CEO of your facility, who is about to cut HIM staff due to budget issue.

Ethics class
how do you think the Me Too movement changed the outlook on sexual morality in politics?

What is the importance of proper skin prep, proper set-up of minor surgery, and sterile gloves for minor office surgery. Provide examples of the consequences of not properly preforming these tasks

1. The recommended dose for the antifungal agent Ancobon is 50 to 150mg/kg/day administered q6h (every 6 hours. It is available in 250 mg capsules. A patient weighs 162 lbs. (5pts)

1. What is the range in mg the patient could take per dose?
2. What is the range in number of capsules the patient could take per dose?

During your lunch break at the hospital, you read a journal article on pharmacoeconomics. You think of a couple of patients who have recently mentioned their financial difficulties. You wonder if some of the expensive drugs you have prescribed are sufficiently managing the patients’ health conditions and improving their quality of life.

Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state which is KENTUCKY.

Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.

Explain the source and fate of ketone bodies

Explain why it is easier to gain weight than to lose weight.