Questions are applied for the following drugs: atenolol, labetalol, celiprolol. clonidine

Molecular target(s) of the drug?

Is the drug a receptor agonist? If yes, what receptor(s)?

Is the drug a receptor antagonist? If yes, what receptor(s)

Does the drug cause vascular smooth muscle contraction or relaxation?

Will the drug inhibit a vascular smooth muscle contraction induced by phenylephrine?

If yes, the action via which one of the following three mechanisms:

(1) the drug inhibits the binding of phenylephrine to its receptor; OR

(2) the drug inhibits the signal transduction induced by phenylephrine; OR

(3) the drug causes vasodilation.

Will the drug inhibit a vascular smooth muscle contraction induced by angiotensin II?

If yes, the action via which one of the following three mechanisms:

(1) the drug inhibits the binding of angiotensin II to its receptor; OR

(2) the drug inhibits the signal transduction induced by angiotensin II; OR

(3) the drug causes vasodilation.

SUBJECT FIELD: PUBLIC HEALTH
Public health officials and communities are responsible for investigating infectious disease cases, as well as making sure they control the spread of the disease within the community. Their ultimate goal is to reduce and prevent future occurrences.
For the Case Study, respond to the following.
?   Describe an infectious disease (You pick) in your community and how it is transmitted.
?   Discuss two public health programs (You pick) or interventions in your community that was created to reduce the spread of the infectious disease identified.
?   Explain if these programs have been successful in the community. What would you change or add to improve the intervention programs?
?  
Your case study must be a minimum of two pages in length, title, and reference pages NOT INCLUDED IN NUMBER OF PAGES. To support your ideas, use a minimum of three outside sources

You are the nurse caring for Mr. Noah Poupe. He is day 3 post-op from abdominal surgery and has experienced N/V without relief, despite receiving anti-emetics. Since surgery he has no reports of flatus. His last BM was 4 days before surgery. This morning he had an NG tube in place for gastric decompression, and his NG tube is hooked up to low-intermittent suction. Mr. Poupe also has an NPO diet ordered.

1. What does the term “gastric decompression” mean? How does an NG tube help assist with this?

2. Name one nutritional and bowel concern for Mr. Poupe.

Miss Pho is a 25-year-old female who was admitted to the hospital with a diagnosis of dehydration secondary to a Crohn’s flare-up. (Crohn’s Disease is a chronic inflammatory disease of the intestines). Her skin is pale, her mucous membranes are dry, and her skin turgor is poor. Miss Pho reports increasing bouts of diarrhea along abdominal pain and weakness.

Because Miss Pho is unable to tolerate PO fluids, IV fluids are ordered. The surgeon has come to discuss bowel diversion options with Miss Pho, as this is her seventh Crohn’s flare-up in the past year.

1. What are the two main types of bowel diversions included in this week’s learning outcomes?

2. Compare and contrast how each type of bowel diversion can affect a patient’s nutritional status and bowel elimination.

You are the nurse taking care of Mr. Case, a 75-year-old patient newly diagnosed with colon cancer. Mr. Case’s pain has been severe, and he has been taking narcotics for pain management. He feels weak and tired, has no energy or appetite, and is unable to keep his weight up. Mr. Case has had great difficulty moving his bowels; when he does, it is very painful. He is oozing a small amount of stool from his rectum. Mr. Case is admitted to the hospital for fecal impaction. He tells you, “Nobody told me I would get constipated. It’s been almost a week and it hurts so bad. In the future, I am going to just deal with the pain rather than take the pain meds.”

1. Identify three factors affecting Mr. Case’s bowel elimination.

2. Identify three strategies you can recommend to Mr. Case to treat his constipation and prevent it from occurring again.

what is the causes,signs and symptoms,diagnosis and management of respiratory distress syndrome in neonate

Should people have affordable access to “designer drugs” or experimental treatments through their commercial insurance? If your answer is yes then what is your position for those on Medicare or Medicaid where it is not covered? How would you address that patient need?

what is the causes,signs and symptoms,diagnosis and management of necrotiing enterocolitis

In this discussion, we'll talk about the nurse-client relationship and the use of therapeutic communication as an important part of that relationship. Please answer the following questions: What are your concerns or fears about mental health nursing in general? Are you interested in mental health nursing, or do you approach the topic with some anxiety? What do you feel are essential aspects of a good nurse-client relationship? Please include an example of how you established good rapport and a good professional relationship with a patient in the work or clinical setting. What nonverbal and verbal techniques did you use in this relationship?

Cindy Newman is a new nurse manager of an 85-bed medical-surgical unit in Pittsburgh, Pennsylvania. She has been asked by the vice president of nursing to chair the policy and procedure committee for the nursing division. The vice president warns her, “This committee is a disorderly, unhappy bunch. You’ll find they’re hard to control and hard to please. We’ve chosen you as the new leader because you’re very upbeat. We have hopes that you can turn this committee around.”

Nurse Newman is excited and asks the nursing division secretary for a list of names of those who serve on the committee, the scheduled meeting times, and the room where the meeting is held. She discovers that the next meeting is scheduled for 2 weeks from now. Nurse Newman happily plans her schedule to be at the meeting on time. On the day of the meeting, she arrives at the assigned room 5 minutes early and finds the room a mess, with chairs everywhere. The room has no chalk or flip chart. Members arrive and begin mumbling.

Nurse Newman asks everyone to help arrange the room, and the committee spends the next 10 minutes getting the seating arranged. Jon Nage, a nurse, asks Nurse Newman where the coffee and donuts are, and she replies that she did not know that it was her job to arrange for refreshments. Jack Belen, a pharmacist, asks for a copy of the agenda because he did not find one in his box. Nurse Newman says she did not send one. She was interested in finding out what items should be covered at the meeting by getting the group’s input. Many members start mumbling that their units are busy, and they cannot afford to waste time. One woman looks at Nurse Newman and says, “Well, I guess some things are just never going to change, new leader or not.”

1. What tasks did Nurse Newman do that were advantageous? What tasks did she neglect that would have assisted a positive group environment?
2. Nurse Newman is told she was chosen because she is upbeat and the group is such an unhappy one. Obviously, being upbeat and friendly is not enough. What might Nurse Newman need to do as the first order of business?

For this policy brief, you will pick one health issue to discuss. It should be between 2-4 pages (1,500 words) and must include the sections listed below. The purpose of a policy brief is to give your reader a high-level overview of the issue at hand and then recommend a policy or policies to address the problem. Think of it as a vehicle to provide policy advice to someone who is not an expert in that topic.

1. Pick a single topic
2. No more than 2-4 pages (1,500 words)
3. Policy Brief Template (must include these sections)
   1. Title
   2. Scope of Problem
   3. Policy Options
   4. Policy Recommendation
   5. Reference Page

A career adviser meets with a student regarding exploring career paths in the health information management (HIM) field. The student loves coding, but doesn’t think she could sit for extended periods of time due to an old back injury. She also likes to have a variety of tasks and responsibilities in her job duties that would allow her to interact with patients and other medical staff. Her career adviser explains there are many career choices within the profession, and it is possible for her to incorporate her love of coding into other HIM settings.

1. If you were the student, what specific HIM, coding career and certification organizations would you check to learn more about your ideal career path?

2. What is your ideal career path in the HIM field?

3. List three possible job titles that might include coding with a variety of other work tasks.

Describe recommendations for carbohydrate intake and health risks caused by low or excessive intakes.
Describe the regulation of blood glucose, conditions caused by blood glucose imbalance, and types of diabetes.

John has recently learned about advance directives in a healthcare legal aspects course he has taken. The information he has obtained, along with his knowledge of the Terri Schiavo case (2005) has convinced him of the benefits of executing an advance directive if he were to become incompetent. John is aware that his grandparents may not be informed about the purpose and function of advance directives which he now feels are important for them to consider.

1. What should John consider in deciding what type of advance directive is best for him?

2. What might John say to his grandparents about advance directives?