...Attach rubric to cover of careplan submitted RUBRIC For Grading Patient Assessment and Care Plan | GRADE:(total < 40; must redo) Success/Unsuccess | | Maternal Child Nursing Course - Care Plan | | | Student: Tiffany Rogers | Clinical Date: 11/07/2015 | Site: St. Vincent’s South | | | | | | Sections | Grading Criteria | Possible Points | Points Earned | Comments | Patient Information | General Information | 10 | | | | OB/Medical/Surgical Hx | | | | | Psychosocial Hx | | | | | Lab Information/Vital Signs | | | | | | | | | Postpartum/L&D | L&D Complications (or) | 10 | | | | PP Complications | | | | | Interventions | | | | Nursing Diagnosis (3) | Problems (Exclude Pain) | 10 | | | | Goals (2 goals (short/long term) per dx | 5 | | | | Interventions (5 min per goal) | | | | | | | | | | APA 6th edition reference page | 5 | | | Medication - Classifications | Name of Drug: | 10 | | | | Dose, Range, Route | | | | | Side Effects, Time Schedule | | | | | Action | | | | | Rationale for Drug Therapy | | | | L&D or Postpartum Clinical Rotation Worksheet Chamberlain College of Nursing Student: Tiffany Rogers Date: 11/07/2015 Faculty: Ellis Vaginal Delivery Client’s Initials: JL Age: 24 G: 1 T: 1 P: 0 A: 0 L: 1 Admission...
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...adding reliable references. Unsourced material may be challenged and removed. (January 2009) | Paclitaxel (Taxol) is a natural product derived from the Yew tree.[1] A natural product is a chemical compound or substance produced by a living organism - found in nature that usually has a pharmacological or biological activity for use in pharmaceutical drug discovery and drug design. A natural product can be considered as such even if it can be prepared by total synthesis. These small molecules provide the source or inspiration for the majority of FDA-approved agents and continue to be one of the major sources of inspiration for drug discovery. In particular, these compounds are important in the treatment of life-threatening conditions.[2] Contents[hide] * 1 Natural sources * 2 Screening of natural products * 2.1 The plant kingdom * 2.2 The microbial world * 2.3 The marine world * 2.4 Animal sources * 2.5 Venoms and toxins * 3 Traditional Medicine * 4 Isolation and purification * 5 Synthesis * 6 See also * 7 References * 8 External links * 9 Further reading | [edit] Natural sources Natural products may be extracted from tissues of terrestrial plants, marine organisms or microorganism fermentation broths. A crude (untreated) extract from any one of these sources typically contains novel, structurally diverse chemical compounds, which the natural environment is a rich source of. Chemical diversity in nature is based on biological and geographical...
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...ANNUAL REVIEWS Further Quick links to online content Ann. Rev. PharmacoL ToxicoL Copyright © 1983 1983. 23:87-101 by Annual Reviews Inc. All rights reserved THE TREATMENT OF ACETAMINOPHEN Annu. Rev. Pharmacol. Toxicol. 1983.23:87-101. Downloaded from www.annualreviews.org by Queen Mary & Westfield on 03/14/11. For personal use only. POISONING L. F. Prescott and J. A. J. H Critchley Regional Poisoning Treatment Centre, and University Department of Therapeutics and Clinical Pharmacology, The Royal Infirmary, Edinburgh, EH3 9YW, Scotland INTRODUCTION Acetaminophen (paracetamol, N-acetyl-p-aminophenol, 4-hydroxyacetani lide) is a non-prescription antipyretic analgesic that was first introduced into clinical medicine towards the end of the last century (1). It attracted little interest until it was found to be the major metabolite of both acetani lide and phenacetin (2, 3) and in recent years it has become an increasingly popular substitute for aspirin. Acetaminophen seemed to be remarkably safe when taken in recommended doses and formal toxicity studies were never carried out. In 1964 Eder (4) first reported liver damage in cats given 25-50 mglKg of acetaminophen daily for 26 weeks, and two years later Boyd & Bereczky described extensive hepatic necrosis in acute toxicity studies in rats (5). At the same time liver damage was first reported in man following acetaminophen overdosage (6, 7). The use of acetaminophen for self-poisoning has since...
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...CASE STUDY 1 Acute coronary syndrome Patrick Gallagher Case outline Peter Brown is a 58-year-old gentleman who has experienced an episode of crushing central chest pain while at work. Peter works as a taxi driver and a colleague has taken him to the Accident and Emergency Department. On admission, Peter is sweaty, clammy, nauseated and short of breath. He is complaining of chest pain radiating to his left arm. This is Peter’s first presentation to hospital and he has no relevant past medical history. Peter smokes approximately 20–30 cigarettes per day and takes alcohol at weekends only. Peter is anxious and is concerned that his wife and children are informed. He also states his father died suddenly following a heart attack a number of years ago. Peter is immediately triaged and taken to the resuscitation room. You are the receiving nurse. Observations on admission include: Respiratory rate: 18 breaths per minute Oxygen saturations: 95% Blood pressure: 150/90 mmHg Pulse: 94 beats per minute Temperature: 37ºC. On admission to hospital an electrocardiograph (ECG) has been undertaken. Peter has been diagnosed with an anterior ST segment elevation myocardial infarction (anterior STEMI). Blood samples have also been drawn for urea and electrolytes (U&E), full blood picture (FBP) and highly sensitive troponin T. 1 Discuss Peter’s immediate problems and explain these using your knowledge of pathophysiology. A On admission to Accident and Emergency...
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...rich tradition for the treatment of these infectious diseases (Titilope et al., 2012), both infectious and non-infectious. Attah et al. (2012) makes similar claims with the evaluation and development of compounds from similar claims with the evaluation and development of compounds from medicinal plants for the treatment of diseases which is one of the areas that is gaining grounds and acceptability world-wide (p.1). According to the World Health Organization, medicinal plants would be the best source to acquire different effective drugs and, therefore, those plants should undergo investigation to have a better understanding of their properties, safety and efficacy (Rajeh et al., 2010; Nascimiento et al., 2000). There are some published reports describing the antimicrobial activity of various crude plant extracts (Igoli et al., 2005; Alzoreky et al., 2003). It is estimated that there are about 2.5 million species of higher plants and the majority of these have not yet been examined for their pharmacological activities (Ram et al., 2003). In relation with the applications of herbal plants, weed, which is a plant that grows out of place and is competitive, persistent and pernicious (James et al., 1991), have been a part of civilization and many ancient documents speak of humans battling weeds in the crops they grow and also found to be resistant to most of the microbial disease that made us interested to know the potency behind (Ibrahim et al., 2012). Furthermore, according to...
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...This report is to be submitted as "2008 Korea Pharmaceutical Industry Directory" as part of the "Actual analysis of Korean pharmaceutical Industry", Korea Health Industry Development Institute(KHIDI)'s own project. December 2008 ￭ ￭ ￭ • ⅰ Chapter 1. Outline of The Project 1. Objectives and Background of Investigation ◦The existing directory book has indicated limitations in promoting Korean pharmaceutical industry internationally or domestically, failing to offer practical help. ◦For this reason, this investigation is to have a thorough grasp of ranges of business and current status of investments and technology by pharmaceutical and companies to utilize and in to strengthen their industrial by competitiveness promoting them overseas collecting and offering basic data needed for promoting transfer of technology with home and abroad institutions. ◦Also, necessity for systematic and detailed data of industrial current status that can be utilized by companies who are making commitment for the development of pharmaceutical industry. 2. Targets and Contents of Directory Book 1) Targets for directory book •Korean Pharmaceutical companies: 81 companies. 2) Contents of directory book •Investigation items 3. Method and Way for Utilization 1) Method □ Ways to select investigation targets and to promote them were developed through consultation from consultation committees and domestic pharmaceutical companies (including unlisted ones) ◦Investigated...
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...Clinical Learning Packet – Newborn Assessment Newborn Client Initials: JS_____ Gender: M/F Date/Time of Delivery: 02/08/2013 1956_ Type of Delivery: SVD C/S IFD Vac Gestational Age by Dates:_40wks (as stated by primary nurse I could not find in chart)________ Age at Time of Assessments (hours): _13_______ APGARS: __8____ @ 1 min. ___9___ @5 min. Blood Type/Rh: Newborn (not taken per agency protocol)_______ Maternal _B+________ Blood Glucose: Reason___________________Frequency__________Last Results:______ Newborn Weight: @ birth 3.28kg__________ Current 3.26kg_________ % Weight loss:0.61%______ Length:_21in______ HC:_13.5in______ CC:_13in_____ Feeding: Breast: _x_____Formula (type): ________________ Feeding Frequency/Amount/Time:_On demand usually every two hours_ Vitamin K (date):_ 02/08/2013 ____________ Erythromycin eye ointment (date): 02/08/2013 ______________ Hepatitis B (date):_02/09/2013_____________________ Circumcision (date):_02/09/2013__________ Metabolic Screen Due:________ completed_________Hearing Screening: Pass /Fail /Reassess Comments: _Clients Bilirubin score was 3.2 at 3hrs after birth. The physician asked for it to be watched. We assessed the bilirubin score again at 14hrs after birth and received a 5.2. The bilirubin will be assessed again at 18 hours after birth and the physician will decide on a course of action at that time per agency protocol. The baby is in the High intermediate group right now although...
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...Edexcel GCE Biology Advanced Unit 5: Energy, Exercise and Coordination June 2010 Scientific Article for use with Question 7 Do not return the Insert with the question paper. Paper Reference 6BI05/01 Turn over N37096A ©2010 Edexcel Limited. 1/1/1/1/1/ *N37096A* Scientific Article for use with Question 7 It’s All in the Mind The link between the brain as a physical organ and what we feel in our conscious mind has long been the subject of research, particularly where we appear to be unable to control aspects of mood or behaviour and where normal life is affected. Stress, pain and depression can be explained in terms of nerve impulses and brain chemistry, and the causes of Parkinson’s disease are well understood, but finding reliable ways of correcting problems has proved elusive. Understanding more about how the brain works may well lead to new methods for treating such problems. Dancing Worms and Deep Depression In a laboratory in Germany, a tiny worm dances to flashes of light. A flash of yellow and it darts forward. A flash of blue and it jerks back. Yellow, forward, blue, back – right on cue every time. The worm is not a toy or a robot but a living creature. It has been engineered so that its nerves and muscles can be controlled with light. With each flash of blue its neurons fire electric pulses, causing the muscles they control to clench. A flash of yellow stops the nerves firing, relaxing the worm’s muscles and lengthening its body once again. The worm is...
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...Edexcel GCE Biology Advanced Unit 5: Energy, Exercise and Coordination June 2010 Scientific Article for use with Question 7 Do not return the Insert with the question paper. Paper Reference 6BI05/01 Turn over N37096A ©2010 Edexcel Limited. 1/1/1/1/1/ *N37096A* Scientific Article for use with Question 7 It’s All in the Mind The link between the brain as a physical organ and what we feel in our conscious mind has long been the subject of research, particularly where we appear to be unable to control aspects of mood or behaviour and where normal life is affected. Stress, pain and depression can be explained in terms of nerve impulses and brain chemistry, and the causes of Parkinson’s disease are well understood, but finding reliable ways of correcting problems has proved elusive. Understanding more about how the brain works may well lead to new methods for treating such problems. Dancing Worms and Deep Depression In a laboratory in Germany, a tiny worm dances to flashes of light. A flash of yellow and it darts forward. A flash of blue and it jerks back. Yellow, forward, blue, back – right on cue every time. The worm is not a toy or a robot but a living creature. It has been engineered so that its nerves and muscles can be controlled with light. With each flash of blue its neurons fire electric pulses, causing the muscles they control to clench. A flash of yellow stops the nerves firing, relaxing the worm’s muscles and lengthening its body once again. The worm is in the vanguard...
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...GI and Diabetes Exam Study Guide Tube Feeding – (enteral nutrition) refers to the administration of a nutritional balanced liquefied food or formula through a tube inserted into the stomach, duodenum, jejunum. It is used to provide nutrients via the GI tract either alone or as a supplement to oral or parenteral nutrition. - Nasogastric (NG) Tube – is most commonly used for short-term feeding problems. Other means of feeding are; esophagostomy, gastrostomy or jejunostomy. Transpyloric tube placement or placement into the jejunum is used when physiologic condition warrant feeding the pt below the pyloric sphincter. Special Indications – anorexia, orofacial fractures, head and neck cancer, neurologic or psychiatric conditions that prevent oral intake, extensive burns and those who are receiving chemotherapy or radiation therapy. Procedure for tube feeding 1. Patient position – 30-45 degrees position. Head remain elevated for 30-60 mins 2. Patency of tube – Tube should be irrigated with water before and after each feeing to ensure patency. 3. Tube Position – Placement of tube is checked before each feeing or every 8 hours with continuous feeings. Checking methods; aspiration and pH. 4. Formula 5. Administration of feeding – feeing are given either by gravity drip method or by feeding pump. 6. General Nursing Considerations – daily weight, accurate I’s and O’s. Blood glucose check. Complication Related To tube and feeding - Vomiting and or Aspiration -...
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...pain that began 2 hours ago. The patient describes the pain as pressure in the center of his chest. He rates his pain 7/10. He reports the pain is now radiating down his left arm and through to his back, he is diaphoretic, and complaining of shortness of breath. He denies nausea or vomiting. Mr. Smith reports no previous history of chest pain or pressure. He smoked one pack of cigarettes daily for 13 years but quit smoking last year. He denies a family history of heart disease. Upon initial examination he did not have jugular venous distension, no carotid bruits, normal S1 and S2 with an S3 present. No S4 or murmurs auscultated. Lung sounds clear to auscultation bilaterally, bowel sounds normal, all pulses palpable 2+/4, no edema present. Diagnostic data: BP: 165/98 mmHG HR: 96 bpm RR: 30 breaths/min Temp: 37 C SaO2: 96% with 2L/min O2 per nasal cannula Wt:100 kg A 12-lead ECG was performed in the emergency room showed: Normal Sinus Rhythm (NSR) with frequent premature ventricular contractions. ST segment elevation in Leads 1, aVL, and V2 through V6 (3mm). ST segment depression in Leads III and aVF. Q waves in V2 through V4. The chest X-ray revealed slight cardiomegaly with mild congestive heart failure. An echocardiogram reveals an ejection fraction of 30% and mild mitral valve regurgitation. Mr. Smith’s cardiac enzyme lab values were as follows: Admission 2000 Admission 2400 Day 1 0400 |CK (U/L) |255 |7400...
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...Postpartum Case Study May 26, 2016 Postpartum Case Study Admission Assessment J.B. a 38-year-old female, G5, P3 (SAB 2, L3) admitted on 5/09/16 at 0930 for a scheduled repeat cesarean section. The patient’s chief complaint is minor contractions and concern from previous SAB (Spontaneous Abortions). J.B’s 1st pregnancy ended at 13 weeks with a SAB. 2nd pregnancy ended by C-section at 37 weeks due fetal intolerance. Her 3rd pregnancy ended at 38 weeks with a repeat C-section and her 4th pregnancy ended at 11 weeks with a SAB. Bringing us to this pregnancy number 5. J.B. chose to have a repeat C-section, because her physician recommended it due to a prior C-section. Multiple scars on uterus increase the risk for several serious problems for women and fetus. These risks include: scar rupture, placenta previa, placental abruption, and placenta accrete (Tobah, 2015). A high-risk pregnancy involves at least one of the following; the woman or baby is more likely to become ill or die more than usual. Complications before or after delivery are more likely to occur than usual. High-risk pregnancies must be closely monitored. Some risk factors are present before women become pregnant. These risk factors include certain physical and social characteristics of women, problems that have occurred in previous pregnancies, and certain disorders women already have. In J.B.’s case she had a high-risk pregnancy due to several reasons, she has advanced maternal age > 35, prior miscarriages...
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...clinical decisionmaking ability as well as in developing the psychomotor skill performance of new graduates. Of course, it is unrealistic to think that graduates of nursing education programs have received all the training they need when they depart the doors of academia. Orientation programs for new graduates and continuing education for nurses are essential tools to help practitioners improve their knowledge, skills, and expertise so that quality patient care is provided and outcomes are optimized while errors are minimized. Ongoing evaluation of nursing competence is necessary to promote patient safety. In the Institute of Medicine (IOM) report, To Err is Human: Building a Safer Health Care System, simulation training is recommended as one strategy that can be used to prevent errors in the clinical setting.1 The report states that “… health care organizations and teaching institutions should participate in the development and use of simulation for training...
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...NUR160 Ca Name: Jodi Wiak | Section: 160 | Instructor: Ms. Higgins | Dates of care: 4/1/14 | Week: 1st clinical | Name: Jodi Wiak | Section: 160 | Instructor: Ms. Higgins | Dates of care: 4/1/14 | Week: 1st clinical | General Survey | Age: 85 | Sex: F | Ethnicity: Caucasion | # of days since admission: 7d | Allergies: Latex PCN | Code Status: FULL CODE | Diet: TPN | Rationale: Small bowel obstruction and resection benefit TPN over tube feedings is that all the nutrition is delivered at a cellular level making it immediately available for the body to utilize rather than making the body breakdown and absorb nutrients in the GI tract. It makes it easier on the digestive tract by giving the GI a chance to rest and heal without causing more harm. The patient also has to expend energy to breakdown foods/nutrition through the GI tract. Getting it TPN conserves the much needed energy the patient needs to heal their tissues and gain strength. | Activity: bedridden w/slight mobility with a walker | Rationale: Post surgical abdominal surgery, pt age, weakness, and recent foot surgery limiting her mobility. | Behavior/Affect: My pt was anxious when I first arrived due to her elevated B/P, N&V, and pain intolerance. By the end of shift my patient was very calm and communicative. | Isolation: | Yes | No | Culture: ⦵ | Source: ⦵ | Type of Isolation: ⦰ ⦵ | Height: 5’ 7.5” | Weight: 133 | BMI: 20.5 (BSA 1.71) | General Survey | Age: 85 | Sex:...
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...EFSA Scientific Report (2009) 231, 1-107 SCIENTIFIC COOPERATION AND ASSISTANCE SCIENTIFIC REPORT OF EFSA Review of the potential health impact of β-casomorphins and related peptides 1 Report of the DATEX Working Group on β-casomorphins (Question N° EFSA-Q-2008-379) Issued on 29 January 2009 WORKING GROUP MEMBERS Ivano De Noni, Richard J. FitzGerald, Hannu J. T. Korhonen, Yves Le Roux, Chris T. Livesey, Inga Thorsdottir, Daniel Tomé, Renger Witkamp. 1 For citation purposes: Scientific Report of EFSA prepared by a DATEX Working Group on the potential health impact of β-casomorphins and related peptides. EFSA Scientific Report (2009) 231, 1-107 © European Food Safety Authority, 2009 Review of the potential health impact of β-casomorphins and related peptides SUMMARY Proteins are a very diverse family of large organic compounds involved in many important biological processes. Following their enzymatic hydrolysis during food processing or digestion, proteins may release fragments from their primary amino acid sequence. These fragments are called peptides, and many of them are known to be physiologically active. The possible beneficial effects of bioactive peptides have attracted increasing interest in recent years. On the other hand, there are also reports suggesting that some food-derived peptides might adversely affect human health. Among these, β-casomorphin-7 (BCM7), a peptide sequence present in the milk protein β-casein, has been suggested to...
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