Helicobacter pylori Infection: ACG Updates Treatment Recommendations
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--Compare a contrast a duplicate, overlap, and overlay "MPI errors watch video
--Why is it important to avoid MPI errors? Illustrate with an example.
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How you can develop your own transformational leadership style by applying the four elements intellectual stimulation, individualized consideration, inspiration, motivation, and idealized influence to your nursing practice.
In: Nursing
How you can develop your own transformational leadership style by applying the four elements of intellectual stimulation, individualized consideration, inspiration, motivation, and idealized influence on your nursing practice.
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describe the how the circulatory system that utilizes a gastrointestinal system functionsin a) delivering oxygen and nutrients and b) getting rid of CO2 and wastes
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Why is heart murmur sometimes present in anemic patients?
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What resources do you use to improve your awareness of your communication skills in the professional setting? What are the most effective communication skills that nurses bring to collaborative interactions? Why are those so important in your own practice?
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If the goal is how to develop reliability and resilience in health care systems while embedding a vision of zero avoidable harm into the culture of health care is it possible to reach "zero harm".
Describe what achieving this goal requires(what does an organization have to do).
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describe how a closed circulatory system delivers oxygen and nutrients and picks up waste and carbon dioxide. What types of organisms use a closed circulatory system?
In: Nursing
History of Present Illness
MDJ is a 50-year-old woman whose routine mammogram showed a 2.3 - 4.5 cm lobulated mass at the 3:00 position in her left breast. Sheunderwent a stereotactic needle biopsy and was diagnosed with infiltrating ductal carcinoma that was both estrogen and progesterone receptor positive. The staging workup was negative for distant metastasis. Her final staging was stage IIB. She had a modified radical mastectomy with lymph node dissection. The sentinel lymph node and 11 of 16 lymph nodes were positive for tumor cells.
Past Medical History
Her medical history is significant only for starting menstruation early, at age 10, and being chronically 20 to 30 pounds over- weight since high school.
Family History
She decided to have a mammogram after learning that her maternal aunt and grandmother were diagnosed with breast cancer in the past few months. Her mother was diagnosed with breast cancer ,8 years ago at age 50.
Personal and Social History
Her home exercise program includes walking and gardening, and she describes her diet as healthy. She works part-time from home as a research editor, which involves to a lot of time on the computer.
Admission Order
She has now completed three cycles of CAF. Her height is 5 feet, 7 inches, and her weight is 155 pounds.
She comes to the emergency department with a 2-day history of fever, chills, and shortness of breath. On arrival, she is disoriented and agitated. Vital signs are BP =86/43, PR =119, RR= 28, T=39.8° C, O2Sat 85% on room air. Chest x-ray demonstrates diffuse infiltrates in the left lower lung. Her chem 14 is within normal limits, with the exception of BUN 28 mg/dL, creatinine 1.6 mg/dL, and lactic acid 2.4 mg/dL. requires endotracheal intubation and spends 3 days in the ICU receiving antibiotics and respiratory support. She is able to be extubated and returns to the oncology unit, where she remains for a few more days before being discharged to home.
Complete Blood Count
|
WBC |
1200/mm3 |
|
Neutrophils |
34% |
|
Segmented (Polys) |
30% |
|
Bands |
4% |
|
Lymphocytes |
60% |
|
Monocytes |
3% |
|
Eosinophils and basophils |
2% |
|
Hct |
24.9% |
|
Hgb |
8.7 g/dL |
|
Platelets |
85,000/mm |
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Case study 2 – disorders of haemopoietic system
Louise is a 57-year-old lady that has presented to her GP with •fatigue, weight loss, sweating, easy bruising, discrete ecchymosis, feeling of abdominal fullness’ and re recurrent mild upper respiratory tract infections (URTI) On examination she was found to have an enlarged spleen and small diffuse petechiae.
Lab test show the following results
2a. Explain the possible causes of the abnormalities. 3 marks (1 mark for each abnormality)
2b. What history or clinical presentation can be linked to the abnormal haematological findings, support with rationale / explanation. 3 marks (0.5 per CM 0.5 for explanation)
2c. Describe and discuss the differentiation between Acute Myeloid Leukaemia and Acute Lymphocytic Leukaemia
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