Explain why the ability to increase stroke volume is important in determining maximal oxygen consumption.

1. Identify one automated dispensing system used either in inpatient hospital pharmacy or in outpatient community pharmacy (ex. Pyxis, ScriptPro, Parata, etc). Describe the characteristics (ex. prescription volume) of that automated dispensing system. Describe the benefits of having it. Describe possible limitations.

2. What information technology applications in pharmacy practice do you envision in the coming decade?

Eliot Masterson, a 41-year-old business owner, was seen by Dr. Salpega for a routine physical. During the office visit, Eliot informed Dr. Salpega that he has had some episodes of chest pain over the past few months that have occurred after exercising. Dr. Salpega decides to have his medical assistant, David Dolan, perform an ECG on Mr. Masterson.

1. When the medical assistant asks Mr. Masterson to lie down on the examination table for the ECG, the patient informs the MA that he has a back problem and is unable to lie down on his back. If you are the medical assistant, how would you handle this situation? What would you specifically tell the patient and ask him to do?

2. When the ECG tracing begins, the medical assistant notices that the baseline is wandering on the paper. What is probably causing this? What should the medical assistant do to correct the problem?

3. When the ECG is complete, the patient asks the medical assistant if it looks alright. What should the medical assistant tell the patient? Be specific about what the patient should be told.

RCW 69.51A Medical Cannabis defines health conditions which qualify patients for a Medical Marijuana card for the lawful use, possession, and manufacture of cannabis products. This law also protects health care professionals who authorize cannabis to their patients from criminal charges as long as the practitioner practices along the guidelines of legislation. RCW 69.51A.005 states that “Humanitarian compassion necessitates that the decision to use marijuana by patients with terminal or debilitating medical conditions is a personal, individual decision, based upon their health care professional's professional medical judgment and discretion.” Working on an oncology floor, we have some patients who use cannabis products to help with their condition. However, my director announced during the huddle that staff cannot administer THC-containing products because it is a federally controlled substance and we are a federally-funded hospital. On the other hand, we can administer CBD products (such as a salve) because it is non-psychoactive. Only the patient or their family can administer THC products. The patient’s provider needs to be aware of and give approval for the patient to use cannabinoids as part of their treatment plan. When caring for patients who self-medicate with cannabis, nurses are still required to assess the patient and educate them on the effects of cannabis consumption--as protocol with any medication or medical procedure.

please write a response for the passages

A susceptible host may be elderly, have HIV, or be undergoing chemotherapy, but we can still reduce host susceptibility by focusing on employee health and chemoprophylasis. List five vaccinations that might help you decrease the risk of transmitting an HAI.

You work in the surgical intensive care unit (ICU) of a large urban hospital. Over the past 2 days, a number of patients in the unit have developed serious Staphylococcus aureus infections. Why do postoperative patients have an increased risk of infection?

promoting Health by increasing client motivation

explain the rationale behind the nursing diagnosis of Tina jones

Pretend you are the coordinator in a brand new daycare center for three to six-year-old children. Each age group will be in its own classroom. How would you set the classrooms up so that the students are getting their physical, cognitive, and psychosocial needs met? What would the structure of the daycare be like? What kinds of activities would you implement? Are there specific tools that you would use (Legos, finger paint, etc.). What kinds of social interactions would you promote? What would you want to make sure to emphasize? What might some of your concerns be?

Bruce is a 47-year-old man who decides he needs to visit his doctor due to some gastrointestinal symptoms. At first it just started out as a bit of abdominal pain and cramping, followed by diarrhea so at first Bruce just thought he had a stomach bug. But weeks went by and the diarrhea just increased in frequency and instead of feeling better he started to feel really fatigued. This has been going on for 8 months before his wife finally convinced him to make an appointment with a doctor, who then referred him to a gastroenterologist. A couple of months later when he finally goes to his specialist appointment, Bruce admits after questioning that he has had bleeding with his stool but he didn’t want to tell the doctor as he was embarrassed and didn’t want to get checked for hemorrhoids. The gastroenterologist also asks many questions about Bruce’s diet and his weight and discovers that Bruce has lost 15kg in the past year despite eating a lot of hot chips and mashed potatoes – the only thing Bruce feels doesn’t make his diarrhea worse. The gastroenterologist then tells Bruce he would like to perform a colonoscopy to investigate further.

After the colonoscopy the surgeon tells Bruce that they found a number of polyps in his bowel which is not necessarily a cause for concern as many polyps are benign, but they will have to wait on the results of the biopsies to make sure none of them were malignant. A week later the surgeon calls Bruce, unfortunately it is bad news – the biopsy shows evidence that the growth is malignant and anaplastic and that they can’t rule out metastatic growths. Bruce is called back in for follow up tests and they find that there is an abnormal growth in his liver also.

Bruce is now sent to an oncologist, who recommends that he has surgery to remove any remaining polyps, a small portion of his bowel, and the abnormal growth from his liver. Based on the advice from his oncologist, Bruce also decides to undergo chemotherapy treatment. Whilst doing some routine checks after his treatment, Bruce is informed he has neutropenia.

Question 9

Bruce doesn’t understand what the surgeon and oncologist are saying after the results because he doesn’t understand the terminology being used. Explain in terms a patient could understand what is meant by malignant, anaplastic and metastatic and what does this then mean for his prognosis. In order to help explain these terms compare Bruce’s growth with a benign, differentiated and localised growth.

Question 10

Describe two cancer cell characteristics or properties that allow them to become invasive and

metastatic.

Question 11
Explain why Bruce experiences the clinical manifestations of increased risk of infection and fatigue,

both before and after treatment for his cancer.

Question 12

Discuss two measures that may minimize Bruce’s chances of contracting coronavirus. In your answer, identify two different links in the chain of infection that can be broken and explain how they are broken.

Mr. Jones is 92 years old black male lives alone at home. He ambulates slowly, with the use of a cane and has no help at home for his ADL’s. He drinks occasionally and has a poor eating habit;

a.What safety concerns do you anticipate for this patient?

b. What would be an actual nanda-1 diagnosis?

c.Risk nanda-1 diagnosis?

2. What are some of the factors that influence patient safety? explain

3. Explain the infectious process?

4. What are the different types of isolation precautions? explain each

5. How does immobility affect the following systems?

-Cardiovascular

Respiratory

Integumentary

musculoskeletal

imagine you have been reduced to the size of an enzyme and delivered via a capsule by mouth into 82-year old Mary to find out why she has a loss of appetite. The goal is for the capsule to begin dissolving in the upper GI tract and for you to use your ship to explore Mary’s GI system for signs of disease. In a 500-word paper, describe what you see as you move through the GI tract and be sure to explore each organ and any enzymes you come across. When you are eliminated via feces, you will bring your notes to the physician for diagnosis and treatment options.

A patient diagnosed with multiple sclerosis is admitted to the hospital for an acute exacerbation. The patient’s baclofen dose has been increased to 60mg daily by mouth divided into three doses. The order is entered on the medication administration record as 60mg three times a day. On the third day, the patient is noted to confused and complaining of paresthesia. No follow up action is documented by the nurse.   On the fourth day at 8 AM, the nurse finds the patient to be more confused and hypotensive with a blood pressure of 90/50 mm Hg. The nurse informs the physician about the hypotension and the patient is given a liter of normal saline per MD order.   At 3 pm, the UAP is performing hourly rounding and finds the patient unconscious, with a respiratory rate of 6, pulse of 120 bpm and a blood pressure of 60/40 mm Hg. A rapid response is initiated, the patient is intubated and transported to the Intensive Care Unit for supportive therapy. Due to the patient's overall compromised condition, he is unable to be weaned from the ventilator and will require long term ventilator support.   He requires placement in a long-term care facility.

After reading the article, craft a response to your assigned patient scenario as indicated below. Your initial response should include:

1. Describe the medication error. Include possible reasons the medication error occurred, and which medication administration right was violated.
2. Identify the changes in patient condition the nurse should have acted upon and what interventions should have been performed by the nurse that could have prevented the patient outcome.

explain why and how these risks should be managed in residential facility

influenza outbreak :

medication errors

Tell if each measure of association is statistically significant and briefly explain why or why not.

- RR=1.69; p=0.52

- OR=0.95; (95% CI: 0.85-1.05)

-OR=2.10; p=.003

-RR= 2.56; (95% CI: 1.90-3.24)