...blood flow, O2 consumption, body temp, blood volume, froth, development at cellular level via action on thyroid hormone receptors. Adult Dose: PO 1.7 mcg/kg/day Side Effect: Life Threatening: Thyroid storm, cardiac arrest. Common: Anxiety, insomnia, tremors, headache, excitability, tachycardia, palpitations, angina, dysrhythmias, hypertension, nausea, diarrhea, increased or decreased appetite, cramps, menstrual irregularities, weight loss, sweating, heat intolerance, fever, alopecia, decreased bone mineral density. Contraindication: Adrenal insufficiency, recent MI, thyrotoxicosis, hypersensitivity to beef, alcohol intolerance (injonly) Nursing Implications (lab value, V/S, ect.): • Determine if the patient is taking anticoagulants, antidiabetic agents; document on chart, • Take B/P, pulse before each dose; monitor I&O ratio and weight every day in same clothing, using same scale, at same time of day. Nursing diagnoses: • Knowledge, deficient (teaching) • Noncompliance (teaching) Patient Education: • Teaching patient that product is not a cure but controls symptoms and that treatment is long term. • Instruct patient to report excitability, irritability, anxiety, sweating, heat intolerance, chest pain, palpitations, which indicate overdose. Drug Brand Name: Metformin (Rx) Drug Generic Name: Glucophage Classification: Antidiabetic, oral Action: Inhibits hepatic glucose production and increases sensitivity of peripheral tissue to insulin. Adult Dose:...
Words: 1452 - Pages: 6
...for medication: Treatment for Hypertension (Elevated Blood Pressure). Dosage Range: 10-40mg daily You have been prescribed 40mg daily. Take the first dose at bedtime. Then daily in am at the same time. This drug has other usages but in your case Hypertension. Managing your Blood Pressure. Things to watch for while taking this medication: Hypotension: Medication takes effect within 1-3 hours. (Low blood pressure) Signs will be dizziness, lightheadness. Don’t stop taking the medication without first consulting your doctor. Monitor your blood pressure daily and record it until your next visit with your doctor. He then can determine if the dosage it to how. He and only he can make the changes. Possible Side Effects: Angioedema: signs of swelling involving head & neck this would compromise the airway. Cholestatic Jaundice: A rare toxicity associated with Ace Inhibitors. (Yellowing of the skin or eyes). Cough: A dry hacking cough that persists. (This occurs the first few months of treatment.) Hyperkalemia: Renal dysfunction. (Increase Potassium Levels) Use of potassium- sparing diuretics, potassium supplements and/or potassium containing salts. Use cautiously if at all with this medication. Have your potassium levels checked closely. Renal Function deterioration: May be associated with deterioration of renal function and /or increase in serum creatinine, particularly in patients with low renal blood flow. (Have your doctor monitor your lab values creatinine). Other important...
Words: 753 - Pages: 4
...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:...
Words: 1806 - Pages: 8
...PHYSICAL ASSESSMENT |Body System |Assessment Findings |Assessment Findings | |Neurological |Oriented to place, time, and day. able to move upper and lower | | |Alert , oriented, ability to move extremities, papillary reflex |extremities. PERRLA. | | |Cardiovascular |Heart rate is 80 and capillary refill returned within 2 seconds | | |Heart rate, Pulses, Capillary refill, skin color, temp | | | |Respiratory |Pt is on 98% on room air. lungs sounds were clean air in clean | | |Respirations, use of O2, Lung sounds, O2 Sats |air out | | |Gastrointestinal |Active bowel sounds heard...
Words: 401 - Pages: 2
...hip upon attempted ROM. The findings of the pelvis CT scan showed a dislocation of the left femoral head superiorly and posteriorly with a comminuted fracture of the medial left femoral head and superior left acetabulum. The emergency department physician performed a reduction of the left hip with placement of skeletal traction pins before the patient arrived at the Ortho/Trauma Unit. Finally, a total hip arthroplasty (THA) was recommended and the patient is currently awaiting surgery that is scheduled on February 03, 2015. H.B.’s surgical history includes a colon resection for pre-cancerous polyp in 2013, a right wrist surgery in 2009, and a laminectomy in 1996. His medical history is composed of hypertension (HTN) and asthma. H.B. takes amlodipine and losartan for hypertension at home. He denies taking any medication for the treatment of his asthma. The patient has no known allergies. Family and Social History H.B. is a diesel mechanic who lives in Savannah, Georgia with his wife. He has no children. The patient denies the usage of illegal drugs, but states that he chews tobacco and drinks alcohol occasionally. His support system includes his wife,...
Words: 2255 - Pages: 10
...obstructive pulmonary disease (COPD; emphysema). Past medical history (PMH) indicates hypertension (HTN), well managed with enalapril (Vasotec) past six years, diagnosis (Dx) of pneumonia yearly for the past 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...
Words: 6939 - Pages: 28
... * 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 due to activity intolerance related to reduced cardiac reserve. * I: Apply compression stockings and have patient use incentive spirometer. * D: At risk for bleeding due to anti-coagulants. * I:...
Words: 963 - Pages: 4
...Case Study 5—Coronary Artery Disease It is midmorning on the cardiac unit where you work, and you are getting a new patient. G.P., a 60- year-old retired businessman, is married and has 3 grown children. As you take his health history, he tells you that he began feeling changes in his heart rhythm about 10 days ago. He has hypertension and a 5-year history of angina pectoris. During the past week he has had more frequent episodes of midchest discomfort. The chest pain has awakened him from sleep but does respond to NTG, which he has taken sublingually about 8 to 10 times over the past week. During the week he has also experienced increased fatigue. He states, “I just feel crappy all the time anymore.” A cardiac catheterization done several years ago revealed 50% occlusion of the right coronary artery (RCA) and 50% occlusion of the left anterior descending (LAD) coronary artery. He tells you that both his mother and father had CAD. He is taking amlodipine, metoprolol, lipitor, and baby ASA qd. Setting: Hospital, outpatient cardiac rehabilitation Index Words: coronary artery disease (CAD), hypertension, angina, lifestyle modification, medications, laboratory values, assessment, risk factors, pacemaker 1. What other information are you going to ask about his episodes of chest pain? [k] Use the following memory aid to obtain information from the patient who has chest pain. FACTOR QUESTIONS TO ASK PATIENT P Precipitating events What events or activities precipitated...
Words: 1868 - Pages: 8
...Case Study Three CC: Jose Santa Cruz (JS) is a 68 y/o Native American male and retired construction worker. JS no longer works at this time, except to watch his grandchildren occasionally. ID: 68 y/o Native American Male, retired construction worker. CC: Rt knee pain x many years; epigastric burning with food x 2 weeks with dark stools. HPI: Pt c/o previous history rt knee pain for many years. He also c/o epigastric burning over past 2 weeks, and newly noted dark stools with no other prior history. Onset of rt knee pain approximately 7-8 years ago and increasing at this time. Epigastric burning onset is described as 2 weeks ago with dark stools noticed over past couple days. The location of his knee pain is centered over knee joint. Epigastric pain is focused in the mid to rt upper abd per Pt. Characteristics of his rt knee pain include occasional sharpness with an ongoing ache. His epigastric pain is characterized as burning which occasionally wakes him at night. He describes his stools over the past 1-2 days as dark-black in color, but not tarry in texture. JS denotes aggravating knee pain with movement especially getting up and down, or any activities which put pressure on his knee. He states his epigastric burning is aggravated by certain foods, especially high spice foods. His stools are recently dark- no aggravating of the color change noted. Relief of rt knee pain has been attempted with Advil 800mg po tid without good pain control. JS has also tried...
Words: 2163 - Pages: 9
...2015 Introduction In the case study of Mr. J; he has been exhibiting dyspnea upon exertion and fatigue. His blood pressure was 170/95 mmHg. After reviewing his labs; his LDL level was 200 mg/dl. Upon physical examination, he was found to have peripheral edema and jugular vein distention. A chest X-ray revealed cardiomegaly and pleural effusion. An echogram has also been scheduled. Based on his signs and symptoms, the physician suspects Mr. J has new onset Stage C heart failure. Mr. J has multiple prescribed drugs for Hypertension, Hyperlipidemia, Parkinson’s, Gout and Depression. After careful reviewing Mr. J’s medications there is concerns ineffective pharmacological management. Ineffective pharmacological management refers to medication therapy prescribed that does not take into account the patient’s age, diagnoses and comorbidities; therefore leading to complications of existing health problems. Side effects, adverse reactions and drug to drug interactions have to also be considered when reviewing a patient’s medication regimen. The drug categories most commonly involved in adverse reaction are cardiovascular agents, antibiotic, diuretics, anticoagulants, hypoglycemic, steroids, opioids, anticholinergic, benzodiazepines, and non-steroidal anti-inflammatory drugs. Nurses have the unique opportunity to help identify patients at risk for ineffective pharmacological management and educate patients and families about risk reduction. In this...
Words: 4958 - Pages: 20
...History and Physical Assessment: a. Biographical Data: A.G. is a 56 year old Hispanic male who is married with three children. All three children are young adults and living at home. He completed the sophomore year of high school, and works in the fields. Patient can communicate efficiently in English, but more articulate in Spanish. He is insured by Blue Cross. The patient’s primary diagnosis is ascending colon polyp. The operative procedure is DaVinci assisted Laparoscopic right colon resection possible ostomy. Patient was able to answer most of the questions. His wife translated whatever needed more explanation. Client’s Current Health Status b. Chief Complaint: Patient stated his chief complaint was that the doctor advised surgical removal of a polyp. “I went to the doctor because of my age {56} for a colonoscopy and the doctor said I had 3 polyps. The doctor got the other two polyps but said he must cut out the polyp or it will rupture in the colon” c. Presenting Symptoms: No apparent evidence of pain. The onset of his diagnosis began when A.G. was having a diagnostic test done. A.G. went to the doctor on January 23 for a routine colonoscopy and found out during the test that the third polyp was too big, but benign. A.G. states “The location of the polyp was in the right side. It is localized in a small area, a couple of inches of the bowel” A.G. states he feels no pain. Due to the location of the bowel, there are no signs or symptoms that A...
Words: 4868 - Pages: 20
...Asian J. Pharm. Tech. 2013; Vol. 3: Issue 1, Pg 26-29 [AJPTech.] ISSN- 2231–5705 (Print) www.asianpharmaonline.org ISSN- 2231–5713 (Online) 0974-3618 RESEARCH ARTICLE Effects of Methanolic Extracts of Quisqualis indica (Aerial Parts) on Passive Smoking Induced Hyperlipidemia in Rats Jyoti Sahu*1,2, Pushpendra Kumar Patel1,2 and Balkrishna Dubey1 T.I.T. College of Pharmacy, Department of Pharmacology, Anand Nagar, Bhopal, Madhya Pradesh, India- 462021 SBRL Indrapuri, Bhopal (M.P.) *Corresponding Author E-mail: jyotisahupharma@gmail.com 2 1 ABSTRACT: In the present study the hypolipidemic activity of methanolic extracts of aerial parts of Quisqualis indica (QI) including flowers on passive smoking (PS) induced hyperlipidemia in rats had been evaluated. Hyperlipidemia was induced by passive smoking in a closed chamber having 1 burning ciggrette inside it. The hypolipidemic activity was analysed by reading the blood serum level in UV at 505 nm after treated with reagent present in auto span diagnostic kit. Dose of Methanolic extracts of QI had been prepared by using distilled water i.e. 200 mg/kg p.o. Methanolic extracts of QI significantly reduce the harmful lipid layer in blood serum at varying concentration and dose dependent manner which shows that the plant carries the hypolipidemic properties. It reduces the LDL, VLDL, cholesterol, triglyceride and raise HDL level in blood serum upto certain extent which was may be due to the inhibition of lipid peroxidation as the plants...
Words: 3376 - Pages: 14
...VELEZ COLLEGE F. Ramos St., Cebu City College of Nursing A CASE ANALYSIS REPORT ON PATIENT N.M.C., 47 YEARS OLD, FEMALE, DIAGNOSED WITH UTERINE LEIOMYOMA (s/p TOTAL ABDOMINAL HYSTERECTOMY and BILATERAL SALPINGO OOPHORECTOMY), BILATERAL OVARIAN NEWGROWTHS, METABOLIC SYNDROME, AND HYPERTENSION Submitted By: Villavelez, Carmina Anne Z. BSN III-C Submitted to: Mrs. Miraluna Echavez, RN, MN March 2013 UTERINE LEIOMYOMA/ UTERINE FIBROIDS Uterine fibroids are noncancerous growths of the uterus that often appear during your childbearing years. Also called fibromyomas, leiomyomas or myomas, uterine fibroids aren't associated with an increased risk of uterine cancer and almost never develop into cancer. As many as 3 out of 4 women have uterine fibroids sometime during their lives, but most are unaware of them because they often cause no symptoms. Your doctor may discover fibroids incidentally during a pelvic exam or prenatal ultrasound. In general, uterine fibroids seldom require treatment. Medical therapy and surgical procedures can shrink or remove fibroids if you have discomfort or troublesome symptoms. Rarely, fibroids can require emergency treatment if they cause sudden, sharp pelvic pain or profuse menstrual bleeding. Symptoms In women who have symptoms, the most common symptoms of uterine fibroids include: * Heavy menstrual bleeding * Prolonged menstrual periods — seven days or more of menstrual bleeding * Pelvic pressure or pain *...
Words: 25843 - Pages: 104
...Final exam study guide: Cancer: Know the difference between Benign and Malignant tumors. Classification of tumors Benign neoplasm Well differentiated Usually encapsulated Kidneys have their own capsule so is easier to catch Expansive mode of growth Characteristics similar to parent cell Metastasis is absent. Rarely recur Classification of tumors Malignant neoplasm May range from well differentiated to undifferentiated Able to metastasize Infiltrative and expansive growth Frequent recurrence Moderate to marked vascularity Rarely encapsulated Becomes less like parent cell Check Moles and Freckles Shows differentiation Hair growing = blood supply = no differentiation = CANCER * Know the warning signs/clinical manifestations of cancer. * CAUTION: * Change in bowel or bladder habits * A sore that does not heal * Unusual bleeding or discharge from any body orifice * Thickening or a lump in the breast or elsewhere * Indigestion or difficulty in swallowing * Obvious change in a wart or mole * Nagging cough or hoarseness Know the different staging, grading and classifications of cancer. Clinical staging classifications * 0: Cancer in situ * 1: Tumor limited to tissue of origin; localized tumor growth * 2: Limited local spread * 3: Extensive local and regional spread * 4: Metastasis * 0 – enclosed extremely localzed * 1 – only in tissue...
Words: 2889 - Pages: 12
...Abbott has sustained that high level of performance as a producer in the healthcare and pharmaceutical industry. This performance can be attributed to their consistent financial growth over its competitors. The company competes among the healthcare industry producing pharmaceuticals, medical devices and nutritional products. Abbott is among several large companies that have dominated the industry for about half a century. Abbott has experienced a consistent increase in revenue over the past five years. Due to recent acquisitions, the company has had increasing operating costs, but stable profits. Notable financial risks of the company are their smaller product pipeline and smaller cash cushion compared to competitors. Abbott Labs marketing branch is what brings the company together through new emerging markets and ideas to reach out to their patients. As the company is splitting and branching off, this will give the company time and money to focus on each department individually. A big part of Abbott’s Strategy is to learn and further develop their company to generate sales and opportunities while following a set code of guidelines to ensure...
Words: 4430 - Pages: 18