What was the global impact of SARS? ( economic political, environmental, physical, social and cultural issues and their implications.)

what governments did in order to reduce the number of cases of SARS? (ways of preventions))

what did people do? how they reacted (people actions)

How countries face this disease.

vocabulary Review

Adhering  ethical standards or right conduct standards.

Please answer these questions describing the roles of MRI technologist duties.

Teams’ Choice for Chronic Condition: A 65-year-old male with obesity and history of strokes

- Identify one major care issue related to the management of the chronic condition 

- Identify TWO of your professional contributions to alleviate/contribute/resolve the care issue for this patient?

A short summary of the health education course ??

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Abdul-Rahim Taysir

An article tittled ( Parents use of praise and criticism in a sample of young children seeking mental health services) by Swenson et al.
Answer these questions
1. How relevant is the research problem to the actual practice of nursing?
2. Was the study quantitiave or qualitative?
3. What was the underlying purpose of the study--identification, description, exploration, explanation, or prediction/control?
Does the purpose correspond to an EBP focus such as therapy / treatment, diagnosis, Prognosis, etiology/harm, or meaning?
4. What might be some clinical implications of this research? To what type of people and settings is the research most relevant? If the findings were accurate, how mihht I used the result of this study in my clinical work?

Sepsis and MODS

Patient Profile

W.A. is a 70-year-old female who presented to the emergency department with fever, severe nausea, vomiting, and diarrhea. She is admitted to the intensive care unit (ICU) with a diagnosis of kidney failure and septicemia. Her previous medical history includes glaucoma, chronic kidney failure, hypertension, and insulin-dependent diabetes. She had a left above-the-knee amputation 1 year ago.

Subjective Data

• W.A.’s daughter states she was able to do her daily chores at home independently, but for the last few days it was getting difficult for her to get around and that she needed to take frequent breaks because of shortness of breath and no energy. Her daughter also reports that W.A. had been having headaches with nausea and dizziness for the past few days.
• Goes to hemodialysis 3 days a week

Objective Data

Physical Examination

• Blood pressure 172/92, pulse 110, temperature 101.5°F, respirations 28
• Oxygen saturation 86% on 15 LPM via mask
• Oriented to name only
• Crackles in bilateral lower lobes
• 2+ edema bilateral lower extremities and hands
• Abdomen is distended with hypoactive bowel sounds x4 quadrants

Diagnostic Studies

• CBC: Hemoglobin 7 g/dL, hematocrit 23.8%, RBC 2.57 million/mm³, WBC 14.8 mm³
• Chemistry Panel: Serum sodium 132 mEq/L, serum potassium 6.0 mEq/L, calcium 9.3 mg/dL, phosphorus 6.0 mg/dL, glucose 197 mg/dL, albumin 2.4 U/L, serum blood urea nitrogen 77 mg/dL, serum creatinine 7.30 mg/dL, eGFR African American 10, BNP 182 pg/mL
• Urinalysis: Dark yellow and cloudy, protein 28 mg/dL, positive for casts, positive for red blood cells and white blood cells, positive for glucose and ketones
• Blood cultures pending

Discussion Questions

5) Describe interprofessional care that would be appropriate for W.A.

6) W.A.’s urine output over the past 4 hours is 20 mL, and her latest potassium level is 7 mEq/L. The provider is ordering a continuous renal replacement therapy machine (CRRT). Why would a CRRT be ordered for W.A.?

7) Outline a care plan for W.A., describing nursing interventions that would be appropriate for promoting oxygenation, maintaining fluid volume, and promoting tissue perfusion.

Medication Administration Skill Checklist

1. Verify accuracy with 5 rights of medication administration on MAR/EMR with physician's order*

2. Verbalize applicate lab values(eg. K level) to determine if medication can be given.

3.Calculate the correct medication dosages.

4. Perform hand hygiene.

5. Prepares medications and checks medications using the 5 rights of medication administration and check expiration dates on each medication.

Procedure Performance

6. Introduce yourself to patient including name, title and explains procedure.

7. Performs hand hygiene.

8. A. Ask the patient to verbalize name and DOB.

B. Compare ID band/alternative method with identification source MAR by utilizing 2 means of identification: name,DOB and/or hospital# according to Agency policy.

C. Notes the presence of allergy band and ask patient to verbalize allergies and compares with MAR according to agency policy.

9. Performs last medication check according to 5 rights of medication administration and compares against MAR.

10. Performs required assessment measures:( i.e, BP, AHR( apical heart rate), etc) determine if medication can be given.

11. Teaches about medications(i.e, purpose, side effects and safety issues)

12. IM and subcut injection -( for recheck include steps 1-12)

a. choose correct syringe and needle syringe and for injection.

b. hand hygiene and dons glove. Administer injection using correct site and degree of angle.

c. discards syringe correctly using safely shield and does not recap the needle.

13. Administers all medications following correct procedure/technique.

14. Removes gloves and performs hand hygiene.

15. Documents on MAR immediately and accurately( initials, signature, time and site) before leaving room

16. Maintains medical asepsis. Maintain safety(i.e, side rail up, bed in low position, call light within reach)

17. Perform hand hygiene.

I would like to know in detail in written each step and correct injection site and location and what to find the lab before the injection. I want to know step by step in written. Thank you so much.

Initial Management of a Patient with Burns (Q: 5, 6, 7)

Patient Profile

M.J. is a 23-year-old white woman transferred via ambulance to the hospital after a fire in her apartment. She was asleep when the fire started and managed to make her way out of the apartment through the smoke. She sustained second- and third-degree burns over the right side of her face and neck, right side of the anterior trunk, two thirds of the lower right thigh, and the right arm. In the emergency department, she received a tetanus shot, morphine for pain, and 2 L of IV fluids.

Subjective Data

• Single; lives alone
• Attends local college part time while working full-time as a server
• Denies tobacco, alcohol, and drug use

Objective Data

Physical Examination

• Blood pressure 190/80, pulse 88, temperature 99°F, respirations 28
• Height 5’4”, weight 180 lb
• Voice is hoarse; singed nose hair
• Productive cough with moderate amounts of gray sputum
• Pupils equal, round, reactive to light and accommodation; right eye swollen
• Heart rate and rhythm regular; no murmur
• Lungs with wheezes throughout
• Bowel sounds diminished in all four quadrants
• Restless, states pain is at a level 10 on 10-point-scale
• Urinary catheter draining burgundy-colored urine
• Nasogastric tube is draining yellow-green drainage

Discussion Questions

5) The nurse is concerned about smoke inhalation. What assessment findings would support her concerns?

6) M.J.’s pain level is a 10. Outline a pain management plan for M.J. at this time.

7) Describe other nursing and interprofessional management that is important during this phase.

A patient is taking a commercial lithium carbonate capsule that contains 600 mg of lithium carbonate. They have developed a sensitivity to one of the inactive ingredients in the commercial capsule, and their doctor has prescribed lithium citrate instead. You have been asked to compound lithium citrate capsules such that each capsule has the same strength, expressed as milliequivalents of lithium, as the commercial tablet. How many milligrams of lithium citrate should each capsule contain? Round your final answer to the nearest milligram. MW Lithium carbonate = 74; MW Lithium citrate = 210.

Bed Sores and Ulcerations

1- Briefly distinguish between a "bed sore" and a "venous ulceration"

2- Most cases of bed sores and venous ulcerations in immobile patients is blamed on neglect and abuse. Do you agree this is the most likely cause? Why or why not?

3- Typically, moving / rolling patients is assigned to entry level staff (e.g. Orderly, NA, CNA, LVN, LPN) as opposed to executive level staff (RN, BSN, MSN, NP, DNP, MD, DO). Since this task is essential to proper patient care, why do you think it isn't a "typical" duty of the higher level medical staff?

Describe the different data methods used by clinicians. which methods are the most efficient and why are some approaches favored over others by clinicians? How is information stored and retrieved in the EHR?

What are the benefits associated with reconciliation of health care data? What are the challenges associated with reconciliation of health care data?

1.Risk factors for psychosis.

2.Patient education for discharge.

3.Crisis intervention techniques for aggression and anger .

4,Legal and ethical responsibility of nurse,

5.LPN role as part on the care team Mandatory reporting.

identify 5 Administrative professionals who work within healthcare facilities. Briefly describe their job and explain how they are important to a healthcare organization