...London School of Engineering and Materials Science Laboratory report writing instructions DEN101 - Fluid Mechanics 1 Flow Rate Measurement Experiment A. Student Student Number: 1234567 Version 2.0, 27 November 2010 Template for Word 97-2003 Abstract This document explains what is expected in your Fluids 1 lab report. The sections that should be covered are outlined and a structure you could follow is proposed. Detailed advice on how to edit the report is given. The document concludes with the marking criteria for this lab report. Table of Contents Abstract 2 1. Introduction 3 1.1. Writing 3 1.2. Editing and formatting 3 1.3. Content of the introduction 4 2. Background and theory 4 3. Apparatus 4 4. Test 4 5. Experimental procedure 4 6. Results 5 7. Discussion 5 8. Conclusions 5 9. References 5 10. Appendix A: Marking criteria 6 Introduction Before starting to write a report, you should think about what is your audience. Am I writing for colleagues who want a lot of detail how it is done, or am I writing for my boss who just wants an executive summary as he has no time for details? In general, there is not a single type of audience and we have to make our writing suitable for the detailed read, as well as the fast perusal. To understand what is required from you in this report, please have a look at the marking criteria in the Appendix. 1 Writing To limit...
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...year. Bleeding seems to be worsening monthly. Patient reports y days of bleeding with the first 2-3 so heavy that she is soaking through a super plus tampon and pad hourly day and night. She is fatigued all of the time but has increased fatigue the week of her cycle. She has large clots and very heavy cramping and back pain associated with cycles. She denies having a history of anemia aside from during pregnancy. She does feel occasionally dizzy or lightheaded with position changes the week of her cycle. Past Medical History Childhood illnesses: denies measles, mumps, rubella, varicella, rheumatic fever, and pertussis Major illnesses: none Hospitalizations and surgeries: History of Catheter Ablation Atrial Supraventricular Tachycardia 2012. Significant injuries: denies Health Maintenance General health screening: a. Frequency of dental exams/treatment: biannual exam & cleaning; most recent: 5/2015 b. Last eye exam: 4/2015 c. Colonoscopy and rectal exam: not performed d. Lab work: denies any lab work for the past 10 years e. Immunizations: Reports TDaP in 8/2013; received all routine childhood Immunizations. Substance use a. ETOH: denies b. Tobacco: denies c. Street drugs: denies Family History Family History of: a. HTN: mother b. Heart disease: denies c. Hypercholesterolemia: maternal grandfather d. Hypothyroidism: mother e. Cancer: denies f. Diabetes mellitus:...
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...Case Study Two: HTN, CKD, & Hypothyroidism Managing Co-Morbidities in Primary Care Primary care providers treat many patients with co-morbidities. It is important for primary care providers to utilize the most current evidence-based research and guidelines to treat and manage patients with co-morbidities in order to reduce risk factors and improve overall health. The following case study will be utilized to apply current guidelines for the treatment and management of hypertension (HTN), chronic kidney disease (CKD) and hypothyroidism including patient education, monitoring, and clinical end points. Case Study A 45 year old African American male returns for a six month follow-up for blood pressure (BP) control. The patient complains of on-going symptoms over the past few months of dry cough, sleep disturbances, fatigue, constipation, weight gain, and dry skin. The patient denies pain, shortness of breath, edema, or sputum production. Pulse is 80 and regular, BP is 148/110, and BMI is 28. He is six feet tall and weighs 205 pounds. Labs reveal TSH of 5.2, free T4 of 0.8, free T3 1.8, Creatinine 2.1, BUN 22. Family history includes stroke, heart attack, and high cholesterol. Current medications are daily multivitamin, Lisinopril 10 mg once daily, over-the-counter (OTC) Robitussin, and OTC laxative as needed (University of Phoenix, 2014, Week Seven Case Study). The patient can be diagnosed with uncontrolled HTN, subclinical hypothyroidism, and may have chronic kidney disease...
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... A chest x-ray (CXR) revealed no abnormality and lungs were determined to be grossly clear. However, TC was checked for a pulmonary embolism via a pulmonary artery angiogram with IV contrast and found to have a large clot burden with a small saddle embolism. TC also complained of right ankle pain. An X-ray of her right ankle revealed a distal tib/fib fracture, which was presumed to be related to her fall during her hypoxic episode. With these findings, TC was admitted to the Intensive Care Unit of Kingman Regional Medical Center and placed on an NPO diet in preparation for placement of an inferior vena cava (IVC) filter. TC’s past medical history is rather extensive and includes the following: Lupus; Crohn’s Disease; hypertension; hypothyroidism; depression; acid reflux; diabetes; kidney disease; Multiple Sclerosis (diagnosed in 2010); history of DVT (in 2002); and multiple pulmonary emboli. Surgical history includes a complete hysterectomy, appendectomy, and a tonsillectomy. Patient has...
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...Winningham’s Critical Thinking Cases in Nursing: Case Study 20: “Obstructive Sleep Apnea” Directions: * Answer the following questions and statements. * Each question is assigned a point value. * Submit the completed worksheet to the Dropbox no later than Day 7 of Unit 3. * Your instructor will post the grade for this Assignment in the Gradebook no later than Day 7 of Unit 4. Scenario: S.R. is a 69-year-old man who presents to the clinic because his “wife complains that his snoring is difficult to live with.” 1. As the clinic nurse, what routine information would you want to obtain from S.R.? (2 points) I would want to obtain a smoking history (if any). I would want to know about their sleep: the hours of sleep obtained per night, if they are waking frequently through the night, their posture during sleep. Information I would want to obtain would also include if they wake up feeling tired, if they awake frequently during the night, if they fall asleep during the day, if they awake with a headache, and if they are irritable or angry in the morning. I would want to assess vital signs (to include oxygen saturation level), history of recent illness/respiratory infection, any changes in weight, trouble breathing through the nose, stressors, and difficulty concentrating. I would also ask the wife how loudly he snores and if she notices a pause in his breathing. CASE STUDY PROGRESS After interviewing S.R., you note the following: * S.R. is...
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...Lithium: Ther. class. mood stabilizers Indications Manic episodes of manic depressive illness (treatment, maintenance, prophylaxis) Therapeutic Effect(s): Prevents/decreases incidence of acute manic episodes S/E: CNS: SEIZURES, fatigue, headache,impaired memory, CV: ARRHYTHMIAS, ECG changes GI: abdominal pain, anorexia, bloating,diarrhea, nausea, GU: polyuria,Derm: acneiform eruption, folliculitis, Endo: hypothyroidism, Hemat: leukocytosis. MS: muscle weakness Neuro: tremors.S Lithium Toxicity: Assess patient for signs and symptoms oflithium toxicity (vomiting, diarrhea, slurred speech, decreased coordination, drowsiness, muscle weakness, or twitching). If these occur, report before administering next dose.The therapeutic range for lithium has been established at 0.6 - 1.2 mmol/L." Shellys list Block1 lithium: • Tx of Manic (opposite of depression) Depression • Monitor lithium lab level PP 24 • Tx of bipolar disorder involves variety of drugs used to stabilize mood. Lithium, valproate, divalproex, carbmazepine, olanzapine, oxcarbazepin, lamotregine, quetiapine, and risperidone are examples of drugs used. Only lithium is approved by FDA for use in those 12-18 years. Early treatment is key to preventing chronic, serious mental illness. Nurses are instrumental in identifying children with this disorder, providing info to families and monitoring drugs and psychotherapy. Nurses should observe for side effects to specific drug regimen used and assist parents to find...
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...Interdisciplinary Care Assignment Name Chamberlain College of Nursing Background Information The patient (‘AB’) was an obese (body mass index = 32.75) 62-year-old Caucasian female initially admitted to the emergency room with pneumonia, then transferred several hours later to the intensive care unit (ICU). AB’s diagnosis of pneumonia took place upon admission. AB was diagnosed with type II diabetes 6 years ago. AB is on Metformin (2,000 mg twice daily) and Lisinopril (20 mg once daily). AB does not report having been diagnosed with pneumonia previously. AB’s diagnosis of type II diabetes was made 15 years ago, and the diagnosis of hypertension was made 11 years ago. AB reports that both her diabetes mellitus and hypertension...
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...weakness and dehydration. This client has history of underlying lung cancer 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...
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...NUR 641E Complete Class Click Link Below To Buy: http://hwcampus.com/shop/nur-641e-complete-class/ Advanced Pathophysiology and Pharmacology for Nurse Educators Discussion Questions week 1-8 Week 1: Question 1= Find an article on a genetic disorder and summarize in two or three paragraphs the genetic component causing the disorder and any multifactorial inheritance components that may contribute to the disorder. Discuss the usual age of disease onset and if the sex-specific threshold model fits the disorder. What education could you present to high-risk patients to reduce the risk of disease onset if a multifactorial component exists? Question 2= Genetic screening has become widely available to the public including prenatal screening of the fetus in utero to screening adults for genetic disorders, such as Parkinson's disease and breast cancer. Share your thoughts on the legal, ethical, and social implications that may be related to genetic screening. How would you educate your patient that is considering having genetic screening? Week 2: Question 1= Choose an FDA-approved prescription medication and discuss the pharmacokinetics and pharmacodynamics of the medication, including any differences that would be expected based on the patient's age, a condition of pregnancy, or lactation. Address any adverse effects the medication may have based on age, pregnancy, or lactation. Question 2= Active acquired immunity can be achieved through the...
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...DO NOT delegate what you can EAT! E - evaluate A - assess T - teach addisons= down, down down up down cushings= up up up down up addisons= hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia cushings= hypernatremia, hypertension, incrased blood vol, hypokalemia, hyperglycemia No Pee, no K (do not give potassium without adequate urine output) EleVate Veins; dAngle Arteries for better perfusion A= appearance (color all pink, pink and blue, blue [pale]) P= pulse (>100, < 100, absent) G= grimace (cough, grimace, no response) A= activity (flexed, flaccid, limp) R= respirations (strong cry, weak cry, absent) TRANSMISSION-BASED PRECAUTIONS: AIRBORNE My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB or remember... MTV=Airborne Measles TB Varicella-Chicken Pox/Herpes Zoster-Shingles Private Room - negative pressure with 6-12 air exchanges/hr Mask, N95 for TB DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or meningeal pneumonia An - Adenovirus Private Room or cohort Mask 1 CONTACT PRECAUTION MRS.WEE M - multidrug resistant organism R - respiratory infection S - skin infections * W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis SKIN INFECTIONS VCHIPS ...
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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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...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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...DO NOT delegate what you can EAT! E - evaluate A - assess T - teach addisons= down, down down up down cushings= up up up down up addisons= hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia cushings= hypernatremia, hypertension, incrased blood vol, hypokalemia, hyperglycemia No Pee, no K (do not give potassium without adequate urine output) EleVate Veins; dAngle Arteries for better perfusion A= appearance (color all pink, pink and blue, blue [pale]) P= pulse (>100, < 100, absent) G= grimace (cough, grimace, no response) A= activity (flexed, flaccid, limp) R= respirations (strong cry, weak cry, absent) TRANSMISSION-BASED PRECAUTIONS: AIRBORNE My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB or remember... MTV=Airborne Measles TB Varicella-Chicken Pox/Herpes Zoster-Shingles Private Room - negative pressure with 6-12 air exchanges/hr Mask, N95 for TB DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or meningeal pneumonia An - Adenovirus Private Room or cohort Mask 1 CONTACT PRECAUTION MRS.WEE M - multidrug resistant organism R - respiratory infection S - skin infections * W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis SKIN INFECTIONS VCHIPS V - varicella zoster C - cutaneous diphtheria H -...
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...Nursing Process Focus: Patients Receiving Phenelzine (Nardil) |Assessment |Potential Nursing Diagnoses | |Prior to administration: |Sorrow, Chronic related to | |Obtain complete medical history including allergies, neurological , |depressive state. | |cardiac, renal, biliary, and mental disorders including blood |Thought Processes, Disturbed related to | |studies: CBC, platelets and liver enzymes,. |effects of drug therapy | |Obtain patient’s drug history to determine possible drug interactions|Adjustment, Impaired related to inadequate | |and allergies |drug effectiveness. | |Obtain 24 hour dietary history to identify |Knowledge, Deficient, related to drug | |tyramine containing foods ingested |action and side effects. | |recently |Suicide, Risk for related to inadequate drug ...
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...Running head: PAIN CASE STUDY Case Study: Pain Amit Dhir, Omeid Heidari, Sean Mayer, Ololade Ikuomola & Adam Boyce NR110.542 Physiological/Pathophysiological Basis for Advanced Nursing Practice I 09/29/2015 Johns Hopkins University School of Nursing On our honor, we pledge that we have neither given nor received any unauthorized assistance on this assignment. 1 Running head: PAIN CASE STUDY CASE STUDY Pain Use this document in documenting your response to the Patient Case Questions. CHIEF COMPLAINT “My back is killing me. The pain is mostly sharp and stabbing, and sometimes it’s a dull ache. You’ve got to do something. Those Tramadol pills aren’t cutting it and they’ve bound me up.” “I am not sleeping because of the pain.” MEDICAL HISTORY P.M. is a retired, 81yearold male being seen for a routine health maintenance visit. He has a history of lower back pain, morbid obesity, hypertension, hypothyroid, occipital lobe stroke, bilateral total knee arthroplasty, GERD and sleep apnea. Now reporting pain in feet. He has been a smoker for the past 64 years, reporting 12 ppd. He is accompanied by his wife of 62 years. CURRENT MEDICATIONS Tramadol 50100 mg p.o. Q 12 hrs prn back pain Atenolol 25 mg p.o. Q a.m. Levothyroxine sodium 125 mcg p.o. Q a.m. Clopidogrel 75 mg p.p. Q a.m. Ibuprofen 600 mg ii p.o. prn knee pain Aspirin 650 mg p.o. prn “when I can’t get to sleep” ...
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