Explain the admission data in terms of the pathophysiology of her condition.

The client remains home for three weeks. She is readmitted again after a severe GI bleed secondary to her ulcerative colitis. Since her trip to Jamaica, she has lost over 30 lbs. due to loss of appetite, nausea, vomiting, and diarrhea. Due to her ulcerative colitis, she has uncontrollable bowel movements, both with and without rectal bleeding. She often chooses not to eat because she states, “it just runs right through me so why bother?”

Second Admission Data:

T 98.7 F (98.6) normal

BP 70/50 (120/80) extremely low

P 133 (60-99) extremely high

RR 18 (12-16) high

O2 sat (by pulse oximetry) 93% on room air (RA) (95-100) low

BUN 10 ( 6-20 mg/dl) normal range

Serum creatinine 0.5 (0.6-1.3 mg/dl) low

Hgb 7.8 (13.5-18 g/dl) low

Hct 25 (42%-52%) extremely low

WBC 10 (4K-10.5K/mcl) normal range

INR 7 (1.1 or below) extremely high

Sodium 128 (135-145 mEq/L) low

Potassium 2.9 (3.7-5.2 mEq/L) extremely low

Calcium 7.4 (8.6-10.3) low

Magnesium 1.5 (1.7-2.2) low,

Glucose 124 (< 100) low

Total protein 5.4 (6.0-8.3) low  

Albumin 1.6 (3.4 to 5.4) extremely low

From a sociological point of view, what might be the greatest challenge to reducing inequities in health care?

35 year old female was admitted to the hospital to deliver. the pregnancy had been uneventful. this was her first pregnancy. during delivery, she began to bleed very heavily. she was not on any medication.

Lab results

PT 30 sec

APTT 70sec

Platelet count 25,000

fibrinogen 350mg/dl

1. what is the cause of the prolonged PT and APTT?

2. what is the cause of the decreased platelet count?

3. what additional laboratory tests are indicated and what would the expected result be?

4. explain the elevated fibrinogen level?

5. what is causing the patient to bleed?

6. what type of treatment should be done?

A nurse is counseling a patient who will begin taking propranolol [Inderal], 40 mg, PO, three times daily. The patient has angina pectoris and Type 2 diabetes mellitus. He will be taking insulin and oral hypoglycemic medications along with the propranolol.. The nurse cautions the patient to check his blood sugars more frequently because: Question 18 options:

a) the beta blocker inhibits p450 enymes, resulting in increased blood levels of oral hypoglycemic drugs

b) beta blockers are p450-inducing drugs, and the propranol will decrease levels of the oral hypoglycemic medications increasing the patient's risk for hyperglycemia

c) the beta blocker can blunt tachycardia and anxiety, which are signs that alert the patient to episodes of hypoglycemia

d) the beta blocker antagonizes insulin receptors making blood sugar control more difficult.

Why is the study of sociology important? Do you see any connections between changing social norms and the larger, global issues that face us today? Do you believe the current dynamics of our social reality have made for a better world for our children than that defined by our own parents and grandparents? If so, how? If not, what do you consider to be the most significant social changes to threaten our current way of life?

Discuss whether you agree or disagree with Thomas Pogge’s innovative solution of getting affordable drugs to market.

Explain how policies and procedures are used to manage compliance and ethical practice in internal work practices.

describe a situation in the workplace where the principles of effective communication were used.(80-150 words)

What does unethical conduct mean? Words limit 220?

Find a job description for a job you would like to do, list the key section criteria for the job.

1. How would you keep up to date with industry trends?
2. What training would you like to attend to increase your skills?

Development a check list of work role and responsibilities as you understand them in relation to a job description as a carer. word limit 220

Describe the law relating to informed consent in the workplace