A middle age gentleman arrived at the ER with persistent diarrhea for the previous 3 days. Upon gathering the patient's history, recent foreign travel was noted. The attending physician noted increased respiration and decided to order an ABG. Results are reported as:

1. What is this patient's acid-base status?

2. Why is the bicarbonate result so low?

3. Why does the patient have rapid respiration?

One employee is confused by the term “determinants” and asks for clarification. You give a general definition, differentiating between downstream and upstream determinants, and provide the examples below. You ask them to identify which of the determinants below is the upstream determinant of not wearing sunscreen—the health behavior—for skin cancer prevention. They correctly select

Having a family history of skin cancer

Thinking there is no way you could get skin cancer

Hating how sunscreen makes your skin feel

Sunscreen not being available in local stores

Since hypertension can often be asymptomatic,

(1) what are some effective methods that can be utilized to help us identify it early, and

(2) what are the risk factors that we need to look for, and (3) what are some of the main barriers to patient compliance with pharmacological therapy? What can we do to help improve compliance?

The staff members seem to understand the ecological perspective behind public health program design, so you're ready to move on. “Many interventions are focused specifically on prevention,” you tell them, and explain that there are various levels of prevention that programs can focus on. “For example, a Health Department Policy requiring all new county employees to get tested for Tuberculosis is a _________ prevention intervention.”

Velteri vs flolan – how set up and how they work. Amount of drug used. Types of diseases used on.

What reasons do you think are the largest causes as to why electronic health information standards are important and difficult to implement? What is being done to facilitate interoperability? Include 1 reference

•Discuss the actions, side effects, contraindications and nursing considerations of the following medications:

•Ceftriaxone

oVancomycin hydrochloride

oFentanylcitrate

oMidazolam hydrochloride

oDiazepam

oLidocaine/Prilocaine topical cream

The APRN is giving a pathophysiology lecture to APRN students on renal blood flow, related hormones, and glomerular filtration rate. Question: What would be the most important concept of glomerular filtration rate that the APRN should address?

The patient is a 57-year old woman with a history of hypertension and chronic stable angina. She arrives in the ED complaining of indigestion-type pain that occurs more frequently than her chest pain and takes over 20 minutes to go away. She appears mildly short of breath, with vital signs of BP 155/98, pulse rate 100, respiratory rate 24/min. What should be considered as the most likely cause of this patient’s pain? Why? What is the difference between stable and unstable angina? Why might this new pain most likely be considered unstable angina?

1. Imagine you have a family member with GAD and they ask you about the pros and cons of each of the following treatment options: SSRI, benzo, CBT, "alternative treatments" (exercise, meditation, magnesium, probiotics, etc). What would you tell them?

2. Panic disorder involves a well-established "chemical imbalance" (e.g., disordered acid-sensing receptors in the amygdala). Does this mean it should probably be treated with chemicals (e.g., meds)?

3. Benzos (e.g., Xanax, Ativan, Klonopin) are implicated in over 12,000 drug overdose deaths each year in the US, and yet they remain among the least regulated of all drugs with addiction potential (Schedule 4 classification). How is this even possible?

What a good example of issue or problem to implement Kurt Lewin change management theory (unfreeze, change, and refreeze). Please provide references, thanks.

3. What is cachexia?

4. What are some oral or digestive side effects of chemotherapy? (i.e. metallic taste)