...A Report On Malignant Hyperthermia August 2014 A Report On Malignant Hyperthermia Imagine a “hidden disease” that is usually inherited with no clear signs of symptoms until it’s suddenly triggered by drugs, or the right environmental factor or stressor. Then, once triggered, this disease induces a drastic and uncontrolled increase in skeletal muscle oxidative metabolism which overwhelms the body’s capacity to supply oxygen, regulate body temperature, and remove carbon dioxide. When this occurs, you may observe muscle rigidity, rapid heartbeat, high body temperature, muscular breakdown, and an increase in acid content (MHAUS, 2014). If not treated in a quick manner, Malignant Hyperthermia will kill. What makes this disease into a horror story is the fact that it arises upon certain triggers that are either environmental or certain types of drugs administrated from the veterinarians orders. The most common triggering agents are anesthetic gases like sevoflurane, halothane, enflurane, desflurane, and isoflurane. Certain types of muscle relaxants that are commonly added to anesthetic gases have also been known to trigger the disease as well as catecholamines, phenothiazines, and monoamine oxidase inhibitors which inhibits the activity of the monoamine oxidase enzyme family and is usually used to treat depression. That’s right! People can get Malignant Hyperthermia as well as are little furry friends. It’s not all...
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...Clinical and pathologic aspects of congenital myopathies Ikuya NONAKA MD National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan Abstract The term “congenital myopathy” is applied to muscle disorders presenting in infancy with generalized muscle weakness and hypotonia followed by delayed developmental milestones. The myopathy has been differentiated diagnostically on the basis of their morphologic characteristics and includes nemaline myopathy, central core disease, myotubular (centronuclear) myopathy and congenital fiber type disproportion. In most of these disorders, there are 3 distinct subtypes: severe infantile, benign congenital and adult onset forms. The mode of inheritance and gene loci are variable, although each disorder shares the common clinical features including facial and prominent neck flexor weakness and preferential respiratory muscle involvement. All mutations identified in nemaline myopathy are localized to the actin filament components, suggesting that the disease is related to sarcoplasmic thin filaments or Z-protein abnormalities. On the other hand, X-linked myotubular myopathy has mutations in a family of tyrosine phosphatase (myotubularin gene) and central core disease in ryanodine receptor gene. In all these disorders, the common pathologic features are small muscle fibers with type 1 fiber atrophy and predominance, which account for the small muscle bulk and generalized muscle weakness. INTRODUCTION NEMALINE MYOPATHY The term congenital...
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...Many physicians across North America hesitate to prescribe medical marijuana to their adult patients out of fear, why would they even start considering prescribing it to children . This fear mainly originates from the fact that as medical students in medical school, doctors learn absolutely nothing about prescribing it, therefor, cannot knowledgeably advise patients on dosage and side effects of this medication. This is quite sad considering how much benefits can come from medical marijuana, especially in paediatric care, as it useful, safe and in some cases lifesaving. The stereotype associated with "weed" forces doctors to second guess the benefits that may come from it. The fact that it is considered a Schedule 1 drug in United States and a Schedule 2 drug in Canada according to the Controlled Substance Act makes it almost impossible to conduct effective research. Medical Marijuana is a very broad acting and universally useful medicine, if used appropriately like any medication prescribed that has been put on the market out by the pharmaceutical companies. If you look at medical history, marijuana was one of the main components of medicine in the 19th century, dealing with a variety of ailments, any where loss of appetite to diarrhoea to mental illness, (Schaffer Library, 1). Unfortunately the modern day medicine industry has been brainwashed into the belief that we constantly need to innovate and make money from treatment, and consequently these "innovations" are rewarded...
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...Immediate Post Operative Care 2 The following essay will use a systematic approach to critically evaluate the care and treatment delivered to a non-elective paediatric orthopaedic patient within the Post Anaesthetic Care Unit (PACU) by a student Operating Department Practitioner at a local trust hospital. The assessment and management of the patients care will be examined and rationale provided for strategies employed during delivery of individualised patient care. In accordance with Health and Care Professional Council’s standards of conduct, performance and ethics (HCPC, 2012) the confidentiality of the service user will be up held at all times. The service user shall be referred to as “Daisy” to protect her confidentiality. Daisy was received to the PACU after surgical stabilisation of her left fibula and tibia with flexible intramedullary nails following a fall. A specified paediatric bay was utilised enabling the patient to be cared for separately from the adults in the PACU (RCOA, 2013). Anaesthetic and surgical handover was received (RCOA, 2013) which detailed that she was 14 years old with no known allergies. She had no significant medical history. She had a general anaesthetic with 140mfg of Propofol used on induction followed by Sevoflurane as a maintenance agent. 30mg of Atricurium, 4mg Dexamethasone, 4mg Ondansatron, 10mg Morphine and 1g Paracetemol had been administered intraoperatively. 1 litre of Hartmanns solution had been administered during surgery and...
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...Title: | Quiz #2 | | | | | | | Total score: | 82/100 = 82% Total score adjusted by 0.0 Maximum possible score: 100 | 1. | | | Alpha adrenergic blockers promote vasodilatation. This action causes: | | | Student Response | Correct Answer | A. | decreased pulse rate | | B. | increased blood pressure | | C. | decreased blood pressure | | D. | rapid respirations | | | Score: | 2/2 | | | 2. | | | An adrenergic blocker does which of the following? | | | Student Response | Correct Answer | A. | Stimulates the autonomic system | | B. | Inhibits the sympathetic response | | C. | Stimulates a sympathetic response | | D. | Stimulates a parasympathetic response | | | Score: | 2/2 | | | 3. | | | An agonist drug does which of the following? | | | Student Response | Correct Answer | A. | potentiates an action | | B. | causes a drug interaction | | C. | inhibits an action at the receptor site | | D. | facilitates an action at the receptor site | | | Score: | 2/2 | | | 4. | , | | Bethanecol (Urecholine) acts by: | | | Student Response | Correct Answer | A. | blocking beta-receptors | | B. | stimulating alpha-receptors | | C. | stimulating cholinergic receptors | | D. | blocking cholinergic receptors | | | Score: | 2/2 | | | 5. | | | Drugs that inhibit the enzyme acetylcholinesterase...
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...------------------------------------------------- Top of Form My Courses --> HNC 310 --> EXAM SCHEDULE and GRADING print contact faculty contact tech | Pathology - Module 1: Introduction to the course - Unit 1: Course Requirements - Item Number: 1 Lecture | Title: | EXAM SCHEDULE and GRADING | Fall 2013 EXAM SCHEDULE Dates | | Percent of Grade | August 25, 2014 | Course begins | | September 18, 2014 | Exam 1 | 25% | October 16, 2014 | Exam 2 | 25% | November 13, 2014 | Exam 3 | 25% | December 11, 2014 | Exam 4 | 25% | A final average grade of C+ or better (a numerical grade of 74 or higher) is required to pass this course. ------------------------------------------------- Top of Form My Courses --> HNC 310 --> CELL PATHOLOGY print contact faculty contact tech | Pathology - Module 2: Module Two - Unit Number: 1 Unit Title: CELL PATHOLOGY Unit Objectives After reading this chapter, viewing the PowerPoint presentation and the accompanying lecture notes, and completing the study activities, the student will be able to: 1. Describe the normal structure and function of the cell. 2. Discuss the adaptive structural and functional changes that occur in cells as a result of changes in homeostasis. 3. Explain the adaptive structural and functional changes associated with atrophy, hypertrophy, hyperplasia...
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...Mobile Telecommunications and Health Review of the current scientific research in view of precautionary health protection April 2000 ECOLOG-Institut Translated by Andrea Klein Mobile Telecommunications and Health Review of the Current Scientific Research in view of Precautionary Health Protection Commissioned by T‐Mobil DeTeMobil Deutsche Telekom MobilNet GmbH Authors Dr Kerstin Hennies Dr H.‐Peter Neitzke Dr Hartmut Voigt With the support of Dr Gisa‐Kahle Anders ECOLOG‐Institut für sozial‐ökologische Forschung und Bildung gGmbH Nieschlagstrasse 26 30449 Hannover Tel. 0511‐92456‐46 Fax 0511‐92456‐48 Email mailbox@ecolog‐institut.de Hannover, April 2000 Contents 1 1 1.1 1.2 2 Introduction 1 3 New Technologies and Precautionary Health Protection Terms of Reference and Structure of the Review 5 2.1 2.2 3 Collating and Interpreting the Scientific Data (Methodology) 5 5 Primary Reciprocal Effects between High Frequency Electromagnetic Fields and Biological Systems (Biophysical and Biochemical Processes) 3.1 3.2 3.3 3.4 3.5 4 Thermal Effects 3.1.1 Effects of Homogenous Warming 3.1.2 Microthermal Effects Direct Field Effects 3.2.1 Effects from the Electrical Component of the Electromagnetic Field 3.2.2 Effects from the Magnetic Component of the Electromagnetic Field ...
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...Alternative Cancer Therapies Table of Contents 714-X ABM Mushroom AHCC Aloe Vera Anticoagulants Antineoplastons Antioxidants Anvirzel Artemisinin Asparagus Berries Boluses Bovine Cartilage Cancell Cansema Carnivora Alternative Cancer Therapies Page 1 Updated 05/17/11 Bookmark this page...as we learn of more therapies throug Please report any broken links by contacting info@mnwelldir.org Perhaps we should call these "unproven therapies" since many of them are on the American Cancer Society's infamous black list. Simply because something is "unproven" does not mean that it has been "disproven." And if a therapy fits the following— 1. It works. Castor Oil Packs Cayenne Pepper Chaparral Chinese Bitter Melon Chiropractic Clodronate Coley's Toxins Contortrostatin C-Statin D-limonene DMSO Electrolyzed Water Ellagic Acid Enzyme Therapy Escharotics Essential Oils 2. It's inexpensive. 3. Few, if any, negative side effects. 4. It's not patentable. —odds are it will stay on the black list because no one is going to spend a dime to prove its effectiveness. Medicine is a business. Cancer is a business. The FDA is running a protection racket, protecting drug companies and the AMA from anyone with an inexpensive and effective treatment for money making diseases. The following therapies are not guaranteed to work, at least by us. They are presented to you for information purposes only. For many, their effectiveness has been shown in limited clinical trials, but each one, by itself, is not...
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...teach the client? A) B) C) D) Clean the meatus, begin voiding, then catch urine stream Void a little, clean the meatus, then collect specimen Clean the meatus, then urinate into container Void continuously and catch some of the urine A: Clean the meatus, begin voiding, then catch urine stream. A clean catch urine is difficult to obtain and requires clear directions. Instructing the client to carefully clean the meatus, then void naturally with a steady stream prevents surface bacteria from contaminating the urine specimen. As starting and stopping flow can be difficult, once the client begins voiding it’s best to just slip the container into the stream. Other responses do not reflect correct technique 3. Following change-of-shift report on an orthopedic unit, which client should the nurse see first? A) B) C) D) 16 year-old who had an open reduction of a fractured wrist 10 hours ago 20 year-old in skeletal traction for 2 weeks since a motor cycle accident 72 year-old recovering from surgery after a hip replacement 2 hours ago 75 year-old who is in skin traction prior to planned hip pinning surgery. C: Look for the client who has the most imminent risks and acute vulnerability. The client who returned from surgery 2 hours ago is at risk for life threatening hemorrhage and...
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...A kid with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley...
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...00_078973706x_fm.qxd 1/14/08 2:42 PM Page i NCLEX-PN ® SECOND EDITION Wilda Rinehart Diann Sloan Clara Hurd 00_078973706x_fm.qxd 1/14/08 2:42 PM Page ii NCLEX-PN® Exam Cram, Second Edition Copyright © 2008 by Pearson Education All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately...
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...Courtesy of L E K A R SPECIAL EDITION Authors: Marino, Paul L. Title: ICU Book, The, 3rd Edition Copyright ©2007 Lippincott Williams & Wilkins ISBN: 0-7817-4802-X Authors Dedication Quote Preface to Third Edition Preface to First Edition Acknowledgments Table of Contents Section I - Basic Science Review Basic Science Review Chapter 1 - Circulatory Blood Flow Chapter 2 - Oxygen and Carbon Dioxide Transport Section II - Preventive Practices in the Critically Ill Preventive Practices in the Critically Ill Chapter 3 - Infection Control in the ICU Chapter 4 - Alimentary Prophylaxis Chapter 5 - Venous Thromboembolism Section III - Vascular Access Vascular Access Chapter 6 - Establishing Venous Access Chapter 7 - The Indwelling Vascular Catheter Section IV - Hemodynamic Monitoring Hemodynamic Monitoring Chapter 8 - Arterial Blood Pressure Chapter 9 - The Pulmonary Artery Catheter Chapter 10 - Central Venous Pressure and Wedge Pressure Chapter 11 - Tissue Oxygenation Section V - Disorders of Circulatory Flow Disorders of Circulatory Flow Chapter 12 - Hemorrhage and Hypovolemia Chapter 13 - Colloid and Crystalloid Resuscitation Chapter 14 - Acute Heart Failure Syndromes Chapter 15 - Cardiac Arrest Chapter 16 - Hemodynamic Drug Infusions Section VI - Critical Care Cardiology Critical Care Cardiology Chapter 17 - Early Management of Acute Coronary Syndromes Chapter 18 - Tachyarrhythmias Section VII - Acute Respiratory Failure Acute Respiratory Failure Chapter 19 - Hypoxemia...
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...When it comes to understanding animals and the diseases they have, contract, and carry there is no limits. From dogs and cats to livestock and exotics it is necessary to learn and understand diseases from metabolic to degenerative or idiopathic, Neoplastic diseases and Toxic poisonings, Congenital and Genetic diseases to Immune related diseases, and Infectious and Contagious diseases to Parasitic Infections. There is a world that one can get lost in when it comes to learning about theses things. Some diseases have been around for years while others are still being studied with new ones occurring today in the modern world. Along with these diseases it is important to study and understand what causes them, what signs to look for, what species to look for them in, how to treat them, and how to prevent them from happening, IF you can even prevent them. Some diseases and conditions have vaccines to help with prevention and some do not, while some diseases are zoonotic meaning that they can be transmitted from animal to human. While there are hundreds upon hundreds of diseases to be looked at, the ten researched below are the ones once prevalent among the veterinary technicians job in the clinic; Hip Dysplasia and Ethylene Glycol poisoning in dogs, Hyperthyroidism and Rabies in cats, Strangles and Equine Recurrent Uveitits in Horses, Cryptosporidium and Fasciola Hepatica in Ruminants and Swine, Idiopathic Epilepsy in Aviaries, and Lymphoma in Ferrets. Hip Dysplasia in dogs is a congenial...
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...SITUATION : Arthur, A registered nurse, witnessed an old woman hit by a motorcycle while crossing a train railway. The old woman fell at the railway. Arthur rushed at the scene. 1. As a registered nurse, Arthur knew that the first thing that he will do at the scene is A. Stay with the person, Encourage her to remain still and Immobilize the leg while While waiting for the ambulance. B. Leave the person for a few moments to call for help. C. Reduce the fracture manually. D. Move the person to a safer place. 2. Arthur suspects a hip fracture when he noticed that the old woman’s leg is A. Lengthened, Abducted and Internally Rotated. B. Shortened, Abducted and Externally Rotated. C. Shortened, Adducted and Internally Rotated. D. Shortened, Adducted and Externally Rotated. 3. The old woman complains of pain. John noticed that the knee is reddened, warm to touch and swollen. John interprets that this signs and symptoms are likely related to A. Infection B. Thrombophlebitis C. Inflammation D. Degenerative disease 4. The old woman told John that she has osteoporosis; Arthur knew that all of the following factors would contribute to osteoporosis except A. Hypothyroidism B. End stage renal disease C. Cushing’s Disease D. Taking Furosemide and Phenytoin. 5. Martha, The old woman was now Immobilized and brought to the emergency room. The X-ray shows a fractured femur and pelvis. The ER Nurse would carefully monitor Martha for which of the following...
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...Clinical guidelines Diagnosis and treatment manual for curative programmes in hospitals and dispensaries guidance for prescribing 2010 EDITION © Médecins Sans Frontières – January 2010 All rights reserved for all countries. No reproduction, translation and adaptation may be done without the prior permission of the Copyright owner. ISBN 2-906498-81-5 Clinical guidelines Diagnosis and treatment manual Editorial Committee: I. Broek (MD), N. Harris (MD), M. Henkens (MD), H. Mekaoui (MD), P.P. Palma (MD), E. Szumilin (MD) and V. Grouzard (N, general editor) Contributors: P. Albajar (MD), S. Balkan (MD), P. Barel (MD), E. Baron (MD), M. Biot (MD), F. Boillot (S), L. Bonte (L), M.C. Bottineau (MD), M.E. Burny (N), M. Cereceda (MD), F. Charles (MD), M.J de Chazelles (MD), D. Chédorge (N), A.S. Coutin (MD), C. Danet (MD), B. Dehaye (S), K. Dilworth (MD), F. Fermon (N), B. Graz (MD), B. Guyard-Boileau (MD), G. Hanquet (MD), G. Harczi (N), M. van Herp (MD), C. Hook (MD), K. de Jong (P), S. Lagrange (MD), X. Lassalle (AA), D. Laureillard (MD), M. Lekkerkerker (MD), J. Maritoux (Ph), J. Menschik (MD), D. Mesia (MD), A. Minetti (MD), R. Murphy (MD), J. Pinel (Ph), J. Rigal (MD), M. de Smet (MD), S. Seyfert (MD), F. Varaine (MD), B. Vasset (MD) (S) Surgeon, (L) Laboratory technician, (MD) Medical Doctor, (N) Nurse, (AA) Anaesthetist-assistant, (Ph) Pharmacist, (P) Psychologist We would like to thank the following doctors for their invaluable help:...
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