You are an investigator conducting social/behavioral epidemiological study. Formulate and design ONE hypothetical epidemiological study that falls within the scope of social or behavioral epidemiology. Justify your study and describe your study in detail.

A 36 years old Caucasian obese female presents to the ER with a complaint of epigastric pain for the last 2 days. The pain radiates through to her back, is constant, sharp in nature, and reliever with sitting up. Associated symptoms include nausea and non-bloody emesis. Eating makes the pain worse and therefore she has not eaten for the last 24 hours. She is married with 2 children. She denies any alcohol or drug use. On assessment she is afebrile, HR is 100, RR 22, and BP is 110/70mmhg. She is restless from the pain, diaphoretic and has icteric sclera. Heart and lung assessment are unremarkable. The abdomen is soft with hypoactive bowel sounds and tender in the epigastric area and RUQ.
labs:
Sodium 140. potassium 3.0. Creatinine 1.0. BUN 20. WBC 12000, HCT 54. Hgb 18. Plt 200000. AST 70. ALT 75. Alkaline phosphatase 294. Total bilirubin 8.0. GGT 65. Lipase 1050.

Questions

1. The clinical scenario is most consistent with which diagnosis? You may simply list your answer below using a bullet point format. This does not have to be in a complete sentence.

2. What data in the clinical scenario supports your diagnosis? Make sure to interpret the lab values that you list. You may simply list your answers below using a bullet point format. This does not have to be in a complete sentence. Interpret the labs that you list as part of your answer by indicating normal, high, or low.

3. What are the two most common causes of the diagnosis in question 1? Which etiology is most likely causing the diagnosis in question 1? You may simply list your answer below using a bullet point format. This does not have to be in a complete sentence.

4. Describe the key pathophysiologic concepts of the diagnosis in question 1. To answer this question completely, you must answer all of the sub-questions below using complete sentences. Each sub-question may be answered in 1-6 sentences.

a. Why is the potassium value abnormal?

b. What do the abnormal GGT and Alkaline Phosphate indicate?

c. Why are the lipase and bilirubin elevated?

5. For what actual or potential complications related to the diagnosis in question 1 does she need to be monitored? You may simply list your answer(s) below using a bullet point format. This does not have to be in a complete sentence.

Formulate a 300-word response that includes an overview of the history of Hispanics in North America and the United States. Include in your response:

• What is the Latino health paradox?
• What are some of the common health risk behaviors and diseases among Hispanics in the United States?
• What are some socioeconomic and psychosocial conditions of Hispanics in the United States?

Give an argument as to why the Keto diet could be beneficial. List 3 reasons.

Drug Cards for the following medications that describe the MOA, Major Adverse Effects, Drug Interactions and Contraindications, and Nursing Implications.

Cimetidine

Omeprazole

Sucralfate

Misoprostol

Docusate Sodium

Ondansetron

Promethazine

Metoclopramide

Explore and explain the pathophysiology of tuberculosis, describe the disease pathophysiology. You need to explain about the disease process and how a person may come to realize they have the disease based on their signs and symptoms. Explain the possible treatments involved in treating this disease, possible test or procedures that could be done, medications prescribed, ect, and the possible outcomes one could expect if they had the disease. Information which must be included: Disease process Signs and symptoms Treatments Sequala

Jordan is a 9 year old boy who is a direct admission for observation. He has a hx of vomiting and diarrhea for 48hrs.

Subjective Data:

N/V/D x 48hrs

reports haven’t voided today

unable to tolerate oral fluids

Obj Data:

VS: T 37.8 C (100 F) HR 120 RR 24bpm BP 110/60

wt: 34.2 kg

BS hyperactive x 4 quads

lethargic, poor skin turgor

What assessment data is most concerning to the RN? What other assessment data would be useful? Describe the 3 phases of parenteral rehydration associated with moderate dehydration. What are the priority outcomes? What interventions/rationale should the nurse implement? What is the best way to approach Jordan regarding the ordered IVF? What would be good diversional activities for him? When should the discharge teaching begin and what should be included?

The physician's order reads vancomycin (Vancocin) 500 mg in 250 mL of 5% dextrose in water and administer over 2 hours. The drop factor is 10 drops/mL. A nurse sets the flow rate at how many drops per minute? (Round answer to the nearest whole number. Do not put a label after the nearest whole number -- 300 "drops per minute")

The Patient with Type II Diabetes Mellitus with Hyperglycemic Hyperosmolar Syndrome (HHS)  

Patient's Name: Mr. Gregg

Abstract: Mr. Gregg is a 65-year-old African-American male who was admitted with complaints of increased fatigue, shortness of breath, and headache. He states that he retired 9 months ago after 45 years as a construction worker. He now leads a sedentary lifestyle, and doesn't have as much energy as he used to have. He has gained 50 pounds since retirement. Upon assessment, Mr. Gregg weighs 255 pounds and is 5' 11" tall. Vital signs are temperature 98.8°F, pulse 88 beats per minute, respirations 20 breaths per minute, and blood pressure 150/90. Assessment findings are documented in the patient's record and reported to the physician. The following laboratory studies are ordered to determine the diagnosis of HHS. Serum electrolytes, Na+ 128, K+ 5.8, chloride 98, glucose 940, BUN 62, CREAT 2.4, and HCO3 21. Hemoglobin A1C 12.2.  

- Describe an incident when you encountered people from a different social class. Was the distinction clear? If so, what makers indicated that the people involved had different backgrounds?

Compose a list of 10 questions you would ask Gerald to obtain a clear picture of factors contributing to his sleep apnea. Discuss the rationale behind each.