...Heart Rate Experiment: A Study of the Effects of Chronic Smoking on Resting Heart Rate Student Name Grand Canyon University: Bio 202 Lab October 20, 2015 Abstract Heart rate is an important health factor affected by most factors that produce a change in the body physically. Heart rate varies among individuals according to many factors, one including whether or not an individual identifies as a chronic smoker. Smoking is the largest contributing detriment to preventable deaths. Smoking causes many cardiovascular and coronary heart diseases that have been proven through many studies to correlate strongly with heart rate response (“Smoking-Suppressed Heart Rate Recovery in Young Male College Students Who Regularly Exercised”, 2015). This study evaluates a group of individuals and their resting heart rates and how those averages vary between smokers and non-smokers. The hypothesis is that individuals who smoke at least 3-5 times a week have an overall higher resting heart rate than those who do not. This speculation was proven wrong as the results maintained a consistent correlation with a decrease in resting heart rate among those who smoked. This result is due to a number of things, mostly pertaining the decrease in overall cardiac function in those who inhale nicotine on a regular basis. Heart Rate Experiment: A Study of the Effects of Chronic Smoking on Resting Heart Rate Introduction Heart rate is another name for the pulse of the heart, described as the speed...
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...Cost and Consumerism Presentation Cassie Springer HCO/HC 561 Carol Szerszen May 16, 2011 Introduction In today’s economy, insurance is not always an option. Below are some scenarios and discussion of out of pocket expenses and options for paying for treatment. Scenario 1 A single, 23 year old female who is generally healthy, is a non-smoker, non-drinker is pregnant and without health insurance. She must find options for paying for prenatal care and delivery of the baby. Option one in the state of Kentucky would be to apply for Medicaid. Under Medicaid eligibility requirements most women will qualify if they meet the poverty guidelines (CMS.gov, 2011 ). If she were ineligible for Medicaid a second option would be to go to the local Health Department where fees are based on income. The Health Department has an OBGYN on staff full time. The Health Department also works with the University of Kentucky for delivery and other necessary testing she may need. If she were unable for any reason to qualify for services at the Health Department, the costs would be expensive. According to CostHelper.com prenatal visits could approximate to be around $3200. That’s not to mention the cost of delivery. A vaginal delivery with an epidural could range around $8000, if a caesarian section would be needed the cost could range to be around $30,000 (CostHelper, 2011 ). Financing this would be out of the question for someone this age. If she were to make a minimum...
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...download=devry-nr-305-all-discussions-latest-2016 IF You Face Any Problem Then E Mail Us At JOHNMATE1122@GMAIL.COM Devry NR305 Week 1 Discussion DQ 1 & DQ 2 Latest 2015 November DQ 1 As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic woman who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After doing her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She is in class a total of 15 hours per week, plus 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get six hours of sleep per night, but that is okay with her. She lives one hour from campus and commutes each day. UsingHealthy People 2020and your text as a guide: 1. What additional information would you like to gather from Maria? 2. What are Maria’s real and potential health risks? 3. Why is Maria’s culture important when obtaining the health assessment? 4. Pick one of Maria’s health risks. Would you classify Maria’s problem as first-level priority, second-level priority, third-level priority, or a collaborative problem? What would be one reasonable short-term...
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...speaking in Spanish. The RN, after moving patients to different pods, she gave Macy one possible discharge today and what would be consider by some a difficult patient that can be abusive and refuses to be take care of be the other LPN on shift today. Macy also had to take on a total of 6 patients instead of six, the RN will cosign her notes at of shift. The patients given to Macy also had the least amount of IV medications to be given and this would be beneficial to the RN, since Macy is not certified to give any IV medications and the RN would then have to make herself responsible for those patients IV meds too. Mike LPN: Mike is IV certified and therefore can manage patients that have IV medication that need to be given. However, he is a smoker...
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...The Head to Toe Assessment Principles of Assessment for RN’s Edward is a 45 year old male who is present today for his Annual Physical Examination. He is asymptomatic and has no complaints. Subjective: History: The patient has a history of Chicken Pox at 5 years old. He has been a smoker for 25 years and currently smokes 2 packs a day. He consumes alcohol daily 2-4 glasses of wine. He reports of history of depression and anxiety 3 years ago after separating from his wife. His is not currently on any medications. He also has a history of a positive TB skin test with no active disease. The patient spent 15 years in the military traveling overseas. He had right rotator cuff surgery 10 years ago. Objective: Head to toe Assessment: The patient is smiling Alert and oriented to self, place and time. Conversation is appropriate. His skin is normal, warm and dry and turgor is good, He has good posture and answers all questions appropriately without delay. He is 6ft. 195 pounds and has not complaints about appetite. He reports that he is eating well. There are no obvious physical deformities. Gait is steady Head and Face The hair, Scalp and cranium are normal on palpation. The hair and scalp are not too oily or too dry. There are no visible or palpable masses on the cranium and it feels intact. Visual inspection of the eyebrows, palpebral fissures, nasal-labial folds, and sides of the mouth are symmetric indicating that Cranial Nerve VII is intact. Pulses on the temporal...
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...HISTORY | CHIEF COMPLAINT:(reason for admission in pt’s words)Patient stated “My water broke and I began having contractions”. She also felt as if her blood pressure was “high”. ADMISSION VE: / / | HISTORY OF PRESENT ILLNESS:(significant events/complications in labor/hospital stay):Client’s blood pressure was 140/90 upon admission. | PRENATAL CARE: * Maternal and fetal vitals (includes FHR). * Fetal baseline: 130s * Variability (marked) * Fetal movement * BPP score of 8 * Prenatal labs * DTR’s ( 2+) | YEAR | TYPE of DEL | GEST AGE | F/M | BIRTH COMPLICATIONS | NB STATUS | 1.2004 | NSVD | 40 w | F | None | Living | 2.2008 | NSVD | 38 w | M | None | Living | 3.2013 | NSVD | 39 w | F | None | Living | 4. | | | | | | 5. | | | | | | OB/GYN/MEDICAL/SURGICAL/SOCIAL HISTORY: * Former smoker (Cigarettes) * Gravida 3 Para 3 * Post-partum depression (No meds during pregnancy) * Fibroid x 2 * PIH | MATERNAL LABS | Blood Type/Rh: O - | HgB/HCT:10.0 / 31.6 | WBC/Platelets:8.4 / 286 | GCT: 100 | GBS: Neg | HIV: Neg | Hep B: Neg | Rubella: Need vaccine | RPR/STS: Neg | Gonorrhea: Neg | Chlamydia: Neg | Other: | SUMMARY OF LABOR AND BIRTH | Labor OnsetDate: 3/25/13Time: 5: 30 amFull DilationDate: 3/25/13Time: 9:50 | Spontaneous Labor Labor InductionStim/AugmentationIndication: Cervidil PitocinCytotec | MembranesSROM AROMPROM PPROMDate: 3/25/13Time: 4:15 amAmount: ModerateColor:...
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...Turner’s sign (Lewis, 2014; Silvestri, 2014). The patient reflected in this report is a 67-year-old male who was admitted to the hospital with severe abdominal pain as well as nausea and vomiting. This patient’s medical history includes chronic lung disease, DVT, DM, hernia repair, STD, sleep apnea, hyperlipidemia, past 3 pack/day smoker with a history of chewing tobacco use, previous alcoholic, sober since 1978. Preceding the arrival to the hospital, the patient had stated that he was walking in from his deer blind when he began to suffer from extreme abdominal pain that would not subside post emesis. Earlier that day he had consumed a peanut butter and jelly sandwich, no other precipitating symptoms were described. Blood pressure readings ranged from 119/67 to 153/76, respiratory rate above normal ranging from 18-28 breaths per minute, shallow breathing due to increased abdominal pain ranging from 4/10 to 7/10. This patient’s oxygen saturation ranged from 91% to 95% on 4L of oxygen via nasal cannula, blood glucose ranged from 240 to 288, heart rate ranged from 71-110 beats per minute, and temperature increased from 97.7 degrees Fahrenheit to 100.5 degrees. Poor skin turgor was noted, bilateral breath sounds clear, WBC’s trended up from 19.58 to 25.53, bands also trended up from 15.82 to 22.72. Calcium levels decreased from 9.2 to 6.6, lactic acid levels decreased from 2.4 to 1.7 and the most pertinent lab level, lipase, with a normal range of 115-400 remained elevated at >3000...
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...CC 68 years old Male Endocarditis Social: * Spanish Speaking * Former Cigarette Smoker, quit 17 years ago Cardiac: * Endocarditis * AVR * CABG x1 * Abscess of aortic root * Pacemaker * Hypertension * Complete Heart Block * Mitral Regurgitation * Coronary Artery Disease * Aortic Stenosis * Paroxysmal A-Fib * Metoprolol tartrate (lopressor) * Amlodipine (Norvasc) * Enalapril (Vasotec) * Furosemide (Lasix) * D: Decreased cardiac output related to inflammation of lining of the heart and valves. * I: Monitor for symptoms of heart failure and decreased cardiac output. Listen to heart sounds, lung sounds and note flowing symptoms: dyspnea, orthopnea, paroxysmal nocturnal dyspnea, Cheyne-Stokes respirations, fatigue, weakness, third and fourth heart sounds, and crackles in lungs. * D: Risk for infection due to previous diagnosis of endocarditis and recent surgery. * I: Observe and report signs of infection such as redness, warmth, discharge, and increased body temperature and white blood cells. Pain: * Acetaminophen (Tylenol) 650 mg * Oxycodone-acetaminophen (Percocet) 5-325 mg * D: Acute pain related to inflammation and surgery. * I: Conduct pain assessment using scale of 0-10 and implement pain management interventions. Circulatory: * Heparin (Porcine) 5,000 units * D: At risk for blood clots due to artificial valve, cardiac disorders, and lack of mobility...
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...IF You Face Any Problem Then E Mail Us At JOHNMATE1122@GMAIL.COM Question discussion Devry NR305 Week 1 Disussion 1 & 2 Latest 2015 October discusion 1 As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic woman who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After doing her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She is in class a total of 15 hours per week, plus 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get six hours of sleep per night, but that is okay with her. She lives one hour from campus and commutes each day. UsingHealthy People 2020 and your text as a guide: 1. What additional information would you like to gather from Maria? 2. What are Maria’s real and potential health risks? 3. Why is Maria’s culture important when obtaining the health assessment? 4. Pick one of Maria’s health risks. Would you classify Maria’s problem as first-level priority, second-level priority, third-level priority, or a collaborative problem? What would be one reasonable short-term...
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...three years. D.Z. appears cachectic with difficulty breathing at rest. Patient reports productive cough with thick yellow-green sputum. He seems anxious and irritable during subjective data collection. He states, he has been a 2-pack-a-day smoker for 38 years. He complains of (c/o) insomnia and tiredness. His vital signs (VS) are 162/84, 124, 36, 102° F, SaO2 88%. Admitting diagnosis is chronic emphysema with acute exacerbation. Admitting orders includes: diet as tolerated; out of bed with assistance; oxygen (O2) to maintain SaO2 of 90%; maintenance IV of D5W at 50 ml/hr.; intake and output (I&O); arterial blood gases (ABGs) in AM; CBC with differential, basic metabolic panel (BMP), and theophylline (Theo-Dur) level on admission; chest x-ray (CXR) q24h; prednisone 60 mg/day PO; doxycycline 100 mg PO q12h x10 days, azithromycin 500 mg IV piggyback (IVPB) q24h x2 days then 500 mg PO x 7 days; theophylline 300 mg PO bid; heparin 5000 units SC q12h; albuterol 2.5 mg (0.5 ml) in 3 ml normal saline (NS) and ipratropium 500 mg by nebulizer q4-6h; enalapril 10 mg PO q AM. In this case, I will discuss the definition of COPD/emphysema, causes, S/S, risk factors, contributing factors, normal lab values, current lab values, diagnostic tests, prevention, treatment, patient care, education, and discharge instructions. Chronic Obstructive Pulmonary Disease (COPD); Emphysema Patient D.Z.is a 65-year-old male admitted to medical floor for...
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...Fooling the Bladder Cops: The Complete Drug Testing Guide Justin Gombos June 1, 1999 2 Contents 1 Introduction 2 Detection Times 2.1 Halflife of TetraHydraCannabinol . . . . . . . . . . . 2.2 Approximate Detection Times of Various Substances 2.2.1 Frequency of Intake . . . . . . . . . . . . . . . 2.2.2 Amount of Body Fat . . . . . . . . . . . . . . 2.2.3 Predicting Detection Period . . . . . . . . . . 2.3 Positive (defined) . . . . . . . . . . . . . . . . . . . . 2.3.1 Passive smoke and positives . . . . . . . . . . 2.4 Decreasing detection times . . . . . . . . . . . . . . . 2.4.1 Physical Activity . . . . . . . . . . . . . . . . 2.4.2 Diet . . . . . . . . . . . . . . . . . . . . . . . 2.4.3 Using Drugs to Reduce Detection Times . . . 3 Test Methods 3.1 Substances that are Detectable . . . . . . . . . . . 3.2 DrugAlert . . . . . . . . . . . . . . . . . . . . . . . 3.3 Gas Chromatography . . . . . . . . . . . . . . . . . 3.4 Gas Chromatography / Mass Spectrometry . . . . . 3.5 Hair testing . . . . . . . . . . . . . . . . . . . . . . 3.6 High Performance Liquid Chromatography . . . . . 3.7 ImmunoAssay . . . . . . . . . . . . . . . . . . . . . 3.7.1 Radio ImmunoAssay (aka AbuScreen) . . . 3.7.2 Enzyme Multiplied Immunoassay Technique 3.7.3 Fluorescence Polarization ImmunoAssay . . 3.8 PharmChek . . . . . . . . . . . . . . . . . . . . . . 3.9 TestCup . . . . . . . . . . . . . . . . . . . . . . . . 3 11 13 13 13 15 16 16 16 17 17 18 18 18 19 19 21 21 21 22 24 24 25 25 25 26...
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...Drug Testing – An Introduction Despite recent and strong empirical evidence proving employment-based drug screenings do not increase productivity – and in many cases may even adversely affect productivity – more and more employers continue to require a clean drug screening for consideration of employment. If you are applying for a job, the chances are good that you will need to take a drug test. While a few industries are still considered “safe” from drug testing (namely, restaurant and hospitality), this is by no means an industry standard. Larger offices are particularly diligent in their drug testing efforts. If your prospective employer has around 100 employees or has government or private financial backing, you can bet your bottom dollar that you will be tested; if not for pre-employment, then at some point during your tenure with that company. To simplify things, your prospective employer is only testing for illegal drugs during a drug screening. They cannot, by law, test for pregnancy or medical conditions during a drug test. Thankfully, prospective employers cannot run your urine, hair, saliva or blood and see what substances or activities in which you have engaged over the last ten years. Such actions are not only illegal – they are currently impossible. In this Guide, you will learn how long the chemical traces, or metabolites, stay in your system (for example, marijuana can stay in your blood stream for as long as two months!). The Department of Defense requires...
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...NURSING CARE PLAN COURSE: Basic Adult Health CLIENT INITIALS: DATE OF ADMISSION: AGE: GENDER: JL June 13, 2011 85 M HT: WT: ALLERGIES: 140 lbs. NKA CODE STATUS: FULL RACE/ETHNICITY: CULTURAL CONSIDERATIONS: Caucasian None RELIGION/SPIRITUAL CONSIDERATIONS: Unknown OCCUPATION/HOBBIES/RECREATIONAL ACTIVITIES: Retired LIVING SITUATION/WITH WHOM: (home, assisted living, LTC, etc) Lives with daughter. SOCIAL HISTORY: (tobacco, ETOH, illicit drugs, family dynamics) Quit smoking many years ago, no history of ETOH or drug use. NURSING CARE PLAN ADMITTING MEDICAL DIAGNOSIS: Client's principal admitting diagnosis was leukocytosis. Definition: (from Taber’s) “An increase in the number of leukocytes (usually above 10,000/mm3) in the blood. It occurs most commonly in disease processes involving infection, inflammation, trauma, or stress, but it also can result from the use of some medications” (Venes, 2009, p. 1327). Etiology/pathophysiology: ( NOT from Taber’s or Wikipedia) Etiology: Causes of leukocytosis are infection, inflammation, tissue damage, immune reaction, bone marrow problems, medications, and stress (Drug Information Online, 2011). Pathophysiology: “Leukocytosis can be a reaction to various infectious, inflammatory, and, in certain instances, physiologic processes (eg, stress, exercise). This reaction is mediated by several molecules, which are released or regulated in response to stimulatory events that include growth or survival factors (eg, granulocyte...
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...with metastasis to bone and was recently diagnosed with metastasis to the brain. Other history includes Hypertension, Hypothyroidism, Mitral Valve regurgitation and COPD. Chemotherapy has been put on hold and she is currently getting radiation to the head. Client’s family reports her being more dependent over the last two weeks. She was found with acute kidney/injury (dehydration) and severe degree of hyperglycemia which is new news to her. She was admitted for IV fluids, control of new onset diabetes, and other preexisting complications. She was placed on Thickened liquids due to complication swallowing. Client recently has almost no appetite. Insulin was started for new diabetes problem. Her vitals were stable (T: 97.5, P:93, BP:161/74, RR: 20, O2: 93%per 2L NC). She is allergic to Codeine and Aspirin. Upon assessment of this client, I found her sleeping in bed. Client aroused easily to verbal stimuli and oriented X3. Family was at bedside. PERRLA. Mucous membranes pink and moist, no JVD noted. Her nasal cannula was in place and set at appropriate level of 2L/min. Respirations even and unlabored. Wheezes noted throughout bilateral lungs, patient reports she is a smoker. I.S. at bedside, patient reports she has not been using it. Teaching performed and patient correctly used the apparatus. Client has a dry chronic cough. Double lumen PICC noted to right upper chest. Dressing is dry and intact. Site is without redness and edema. 1/2NS is infusing at 125 ml/hr. Abdomen...
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...Symptom Presentation and Treatment for Women Experiencing Acute Coronary Syndromes: Do They Differ from Men? Symptom Presentation and Treatment for Women Experiencing Acute Coronary Syndromes: Do They Differ from Men? There is an overwhelming cultural perception in the United States that coronary artery disease and heart attacks are a disease affecting men and that they are most deadly to the male species. In fact, Acute Myocardial Infarctions, or heart attacks, kill more women then all cancers combined and a female experiencing a heart attack is more likely to die from it than a man (Shirato & Swan 2010). Is there a difference between the way women and men experience an Acute Coronary Syndrome (ACS) whether it is Unstable Angina or a true Acute Myocardial Infarction (AMI)? Numerous studies have identified the symptoms females experience when they are suffering from a cardiac event and compared them to males resulting in noteworthy trends identified in the female symptoms. It is also noted that the perception of female cardiac symptoms by the lay community, the health care community and the patients themselves, contribute to the increased death rate in women with AMI. With improved public health education focused on what we’ve learned about the prevalence and seriousness of women experiencing an ischemic cardiac event and their unique symptoms, along with improved training for health care providers that promotes early recognition and aggressive medical...
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