...Intercessory Essay Intercessory Essay Grand Canyon University: HLT-302 June 17, 2012 Intercessory Essay The article by Holly well and Walker in my opinion proves to be true in my perspective because your mind and soul has to be right in order to heal or except the healing that God is trying to provide for you. The saying that “Change only takes place through action, not through meditation and prayer” (Dalai Lama), in my opinion is so incorrect and I feel that prayer can and will bring you out of your worst situations and for me it has. If I can be truly honest and reflect on what the article is saying and share some of my life situations then I will and it is a testimony at the same time. I was recently diagnosed with pulmonary embolisms, and I always considered myself a praying and God fearing woman, but when I was told that I automatically thought I was going to die it was over, and even though I could have died I did not because of my faith in God and prayer, along with my determination to not let this defeat me. They ran all kinds of test on me to where they were able to show and prove to me that this was something that I had, automatically I prayed and called family and church members and they got there prayer warriors and so on and so forth, but that bible says: “For two or more gathered in my name I am there with them”, Matthew 18-20. So power is prayer and it can and will heal if you ...
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...Product Liability Research Paper Michelle Wright Professor Ellen Kapalko Law Ethics & Corporate Governance Yaz The Product Liability of Bayer Pharmaceuticals The Bayer Pharmaceuticals Company was founded in 1893 by Friedrich Bayer and Johann Wescott in Barmen, Germany. Bayer is known for their trademarked Bayer Aspirin which was created in 1899. Bayer spent decades marketing heroin worldwide as a cough medicine for children. The side effects of selling heroin to children were not a concern for them. Although they originated as a pharmaceutical company they turned their attention to manufacturing chemical weapons. Bayer formed a close relationship with German firms during the World War which formed the conglomerate called IG Farben. They became the largest donor to Hitler’s army. In the post-war years Bayer grew to become the third largest pharmaceutical company in the world. In the mid-1980s Bayer was one of the companies which sold a product called Factor VIII concentrate to treat haemophilia. Factor VIII turned out to be infected with HIV and in the U.S. alone; it infected thousands of haemophiliacs, many of whom died in one of the worst drug-related medical disasters ever. But it was only in 2003 that the New York Times revealed that Bayer had continued producing and selling this infected product to Asia and Latin America after February 1984 when a safe product had become available, in order to save money. Dr. Sidney M. Wolfe, who investigated...
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...Heart Valve Surgery Once a valve problem has been diagnosed and surgery scheduled, you’ll have some things to do. Some preparations will help make your surgery go smoothly. Some will help you get set up for your return home from the hospital. And others will help you feel more at ease. Your doctor will talk with you about the risks. Write down all your questions in advance so you don’t forget to ask them. The Week Before Surgery Steps you take before your surgery can help make both the surgery and recovery go smoothly. Follow your doctor’s instructions. • Ask your doctor about scheduling any dental work you might need. Dental work could let bacteria into your bloodstream, which can cause infection on a new valve. • Give your doctor a list of every medication you take, including supplements and over-the-counter products. Your doctor may have you stop taking some of them or start taking others before surgery. • If you smoke, quit right away. You will do better during and after surgery. • Arrange for an adult family member or friend to drive you home from the hospital. Have a helper available for your first week or two at home. • Prepare and freeze food or arrange to have food brought in while you recover. • Make adjustments around your home to simplify movements, such as reducing the need to climb stairs. The Day Before Surgery • You may be asked to wash with special soap the night before surgery. The morning of surgery, don’t use deodorant, lotion, or perfume. • Don’t...
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...Warfarin (brand names Coumadin and Jantoven) is a prescription medication used to prevent harmful blood clots from forming or growing larger. Beneficial blood clots prevent or stop bleeding, but harmful blood clots can cause a heart attack, stroke, deep vein thrombosis or pulmonary embolism. Because warfarin interferes with the formation of blood clots, it is called an anticoagulant. Many people refer to anticoagulants as “blood thinners”; however, warfarin does not thin the blood but instead causes the blood to take longer to form a clot. The client will be taught that any major change in their diet could affect how the body responds to the medication (Q&A). Foods that are rich in Vitamin K should be eaten in moderation and if there should be an increase in the consumption of Vitamin K over a week, the client should have another INR test. Foods that are rich in Vitamin K include green leafy vegetables, chick peas, liver, egg yolks, cereals containing wheat bran and oats, mature cheese, blue cheese, avocado, and olive oil (Q&A). The client will be taught that compliance while on Warfarin is very important. It is crucial to be aware of certain medications that can interact with Warfarin, to include but not limited to analgesics, antibiotics, NSAIDs, and oral diabetic agents (Nurses Pharm p. 56). Also, the client needs to be aware that herbs can also interfere with the medication. The herbs include ginseng, ginkgo, biloba, garlic, chamomile, and ginger all can affect...
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...Health Care Communications Method I am a Communications coordinator from the Pharmaceutical Industry, and I am here to talk about recent claims that Yaz has had such as negative effect on people that are using Yaz, as well as the generic counterpart which is Ocella. I will be discussing the side effects and how you can go about learning what you should do as a patient and your responsibilities. I will also talk about the releases of the information to our society. We protect the people and their rights of their own medical records. Yaz is a birth control pill that is for women overall to prevent pregnancy. However, there are some risks and affects you could have faced are facing with taking this drug. Yaz is a form of birth control that eliminates severe PMDD (Pre-menstrual dysphoric disorder) and acne in women which was released in 2006. Yaz is a form of contraceptive that was made for women to prevent pregnancy. It is known for this pill do be amazing for women. It is known that Yaz produces blood clots that can be harmful to a woman’s body. Yaz contains drospirenone, a fourth- generation progestin (Gilman Law, 2012,). This is how Yaz is different from other birth controls that are on the market for woman. Having drospirenone which is associated with hyperkalemia allows potassium levels to become high in the women’s body, which can result with blood clots in the body. Blood clots are the number one leading problem women are facing while taking this drug. It also interrupts...
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...the DVT. He did not have an appointment to see the vascular specialist until next week. He and his wife discussed the fact that the woman who gave them the test results interpreted them as normal and that it should be safe for him to get out and run again. The patient and his wife went out for what they planned to be a three-mile run. However, two miles into the run, the patient developed severe chest pain and shortness of breath and collapsed. His wife called for help, and he was taken to the Anytown General emergency room (ER). Soon after arrival, he was pronounced expired due to an embolism. The ER physician discussed what happened with the patient’s wife and explained that he had reviewed the Doppler study they had picked up, and it clearly demonstrated that the DVT was still present. He explained that when the patient was running, the clot became mobile and migrated to the pulmonary artery. The patient’s wife explained to the ER physician that the woman who provided copies of their records interpreted the results for them and told them that the...
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...of breath for 2 weeks. She went to ER 6 days ago with fever of 100.4 ḟ. She reports a Computed Tomographic Pulmonary Angiography (CTPA), which was negative for Pulmonary Embolism (PE) but found positive for Pneumonia. Patient reports to take antibiotic started during the ER visit but has not been taking the breathing treatment at home. The patient has no known drug allergy. Patient denies postnasal drip and sneezing and no hemoptysis. Patient denies any abdominal pan, nausea, vomiting, diarrhea, lower extremity swelling nor dysuria. He also denies smoking. Past Medical History is coronary artery disease with stent, hyperlipidemia, hypertension, diabetes mellitus, CKD, Stage 3 (GFR 30-59), anxiety disorder, stridor 2nd to history of intubation and tracheostomy, gastric rectal bleeding with chronic anemia, major Depression – recurrent, non-alcoholic cirrhosis, obesity (BMI-30-39.9), obstructive sleep apnea and venous stasis. OBJECTIVE: PHYSICAL ASSESSMENT Ht. 5’1, Wt. 175 lbs. BMI = 33.1 VS are BP 155/69, HR= 83-97, T 37.7, RR 32, SpO2 91-93% @ 2L O2 by nasal cannula General: She appears to be calm and breathing fairly, saturating well without oxygen but once you start talking to patient, she becomes very anxious. Overweight. AOx4, comfortable, in no distress HEENT: pinkish conjunctivae, non-icteric sclera, no tonsillo-pharyngeal congestion, no lymphadenopathy Pulmonary: clear bilateral breath sound both anterior and posteriorly Cardiovascular: regular rate and rhythm w/o murmur...
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...Pulmonary Embolism Pulmonary embolism is an occlusion of the pulmonary artery or one or more of its branches by matter carried in the blood current. The matter is called “embolus”. Which is most commonly a blood clot; However, it maybe a fat particle, air, amniotic fluid, tumor or other tissue fragment, parasite, or foreign body. PE refers to pulmonary arterial occlusion by a blood clot (thromboembolism), unless it is qualified by other causes such as fat embolism, and air embolism. Pulmonary embolism result from clots formed in the veins of the calf, legs, and pelvis that can radiate to the lungs. Signs and symptoms of PE include: cardiac arrythmias, dyspnea, chest pain, tachycardia, dizziness/fainting, hemoptysis, coughing, anxiey, tachypnea, and pleuritic pain. Diagnosis is based on serum lab results, EKG, Spiral chest CT, Ultrasound, Chest xray, and Arterial blood gases. Subjective Data: Patient Profile and Medical History E. R. a 40 year old African American male presented to the Emergency room with a history of Hypertension, Pleurisy, and Pulmonary Embolism to Left shoulder post rotator cuff surgery times 4 years ago with treatment of Coumadin times 6 months. History of Vasectomy in 1999. Primary Diagnosis: Pulmonary Edema Recent Development and Current complaints: of low grade fever, SOB, Pleuritc left side chest pain, and nonproductive cough times 2 days. Objective Data: Physical Examination: B/P- 153/99 HR-108 Resp-22 Temperature- 100.3 orally ...
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...NURSING PROCESS PAPER Student Name: Date of Care: 10/14/09 Date of Admission: 10/10/09 I. HEALTH STATUS | Admitting Dx: COPD Exac/Chest Pain | Pt. Init.D.R | Rm No.353 | Age60 | SexM | RaceCaucasion | ReligionCatholic | OccupationDisabled | Surgery: Medical Treatment: Back Surgery/ Coronary Artery Bypass Grafting COPD Exac/Chest Pain | Chief Complaint/Reason for Hospitalization & Hx. of Present Illness (with 1-8 critical characteristics, Jarvis pg. 85) Chest Pain | | 1.Location: Midsternal chest pain radiating to left arm. 2. Quality/characteristics: Squeezing, tightening, felt like chest was going to explode. 3. Quantity: 8 on a scale from 1-10 4. Setting: at rest 5. Associative factors: SOB and nausea 6. Aggravating/relieving factors: Aggravated by activity, unable to relieve in any position 7. Timing (Onset, duration, frequency): Sudden and constant pain 8. Patient perception: Thought he was having a heart attack. | Other illness or conditions & year of onset. | | AllergiesNKA | COPD- 2004 Deep Vein Thrombosis -2002Anxiety-2000Depression-1998Lumbar/Cervical Spondylosis-1982HTN- 19XX-Patient cannot recall exact year | | Immediate Teaching Needs | | Hospital safety- Reminded patient to call for assistance, call light within reach, non skid footwear for reduction of falls. Talked with patient regarding fall safety. Teach non-pharmachological...
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...and her oxygenation began to improve with saturations in the low 90’s. Upon arrival to the emergency department, TC’s vital signs were as follows: T 97.4; P 97; BP 120/95 mm Hg; RR 15 per minute; and O2 sats of 98% via NRB oxygen mask on 8L. 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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...Blood vessel Case study 1. Trace blood flow from the L popliteal vein to the lungs? Left popliteal vein to Left femoral vein to external iliac vein to common iliac vein to inferior vena cava to right atrium to tricuspid valve to right ventricle to pulmonary valve to pulmonary artery to lungs. 2. What is a DVT and why is heparin prescribed? A deep vein thrombosis (DVT) is a blood clot that forms in a vein deep inside the body which can lead to a serious condition. Typically, these blood clots form in your lower leg or thigh, but they can also form in other areas of the body. Heparin is an anticoagulant which will make her blood thinner and less of a risk for Jenny’s blood to clot. In Jenny’s case it will also keep her thrombus from growing in size and decrease her risk of developing more clots. 3. Explain what a PE is and why the physician is concerned that Jenny may develop this condition. A pulmonary embolism (PE) is a sudden blockage in a lung artery and is often a complication of a DVT. Which in Jenny’s case is a concern because her blood clot could break free and travel through the blood stream to the lungs and block an artery. If this was to happen and the clot was small, then Jenny could have some damage to her lungs. If the clot is large it could stop blood flow to the lungs and could cause death. 4. Jenny asks the physician if the DVT could lead to a heart attack and the physician says no. Explain why the physician is right. The physician...
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...quantities that will be sold at a certain price, and the higher the price the higher the quantity supplied” (Hekla, 2012). This in turn increases revenue because with high demand, comes high supply due to wanting or needing the product. With high supply and low price, than comes high demand due to the lower price. Demands and supply for health care products and medications continues to be in high demand as products are developed. The newer the product, the higher the demand, and the higher the price. Product Lovenox is a product used to treat and prevent deep vein thrombosis or pulmonary embolisms. This medication is given subcutaneously by a care giver or the patient may be trained to give their own. Lovenox is also known by the generic name of Enoxaparin. Lovenox is used in the treatment of many other diagnosis such as thrombophlebitis, carotid artery dissection, peripartum cardiomyopathy, pulmonary infarction, and Factor V Leiden thrombophilia. Lovenox is a low molecular weight heparin and thins the blood to prevent clotting (MEDgle, 2012). A study conducted in 176 centers, in...
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...Medications: * Bronchodilators: * Beta2-agonists: terbutaline, albuterol, metaproterenol * Short: rescue meds. ADEs: increased SNS response. STOP if chest pain. * Parasympatholytics: Atrovent * Given in combo with beta 2 agonists. AntiACh effect * Xanthines: theophylline, aminophylline * Increase SNS response, broken down into caffeine. STOP if chest pain. Not maintenance med. * Magnesium * Relaxes bronchioles. Acute use only. Can cause HOTN * Expectorants: guaifenesin * Can cause drowsiness. HYDRATE. * Mucolytics: acetylcysteine (mucomyst) * Decrease viscosity of secretions. Used to tx Tylenol OD, and given to protect kidney from contrast dyes. * CAUTION: sedatives (if anxiety r/t hypoxia fix hypoxia), antitussives (hydrododone, codeine) Medications: * Bronchodilators: * Beta2-agonists: terbutaline, albuterol, metaproterenol * Short: rescue meds. ADEs: increased SNS response. STOP if chest pain. * Parasympatholytics: Atrovent * Given in combo with beta 2 agonists. AntiACh effect * Xanthines: theophylline, aminophylline * Increase SNS response, broken down into caffeine. STOP if chest pain. Not maintenance med. * Magnesium * Relaxes bronchioles. Acute use only. Can cause HOTN * Expectorants: guaifenesin * Can cause drowsiness. HYDRATE. * Mucolytics: acetylcysteine (mucomyst) * Decrease viscosity...
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...The Medicines Company Case Write-Up: Terence Cho, Felipe Duarte, Aleks Loiko, Robert Shaw, and James Wang Section 4, Group 10 Medicines Company’s drug, Angiomax, outperforms Heparin, but incurs significantly higher costs to produce, making the drug difficult to attractively price. This difficulty in pricing stems from a poor positioning strategy for Angiomax which does not maximize the perceived value (PV) that the drug provides to its key customer segments. Therefore, Medicines Co., must develop a positioning strategy that maximizes the perceived value of Angiomax. Medicines Co. must first determine the critical characteristics its key customer segments (doctors, hospital administrators, and pharmacists) value in an anticoagulant (Appendix A). Medicines Co. should then develop a positioning statement that highlights Angiomax’s strengths for its most compatible customer segment – doctors. The positioning statement for doctors would be “Angiomax outperforms Heparin in high-risk patients resulting in significantly fewer complications while performing angioplasty procedures”. The focus should be on doctors because of the high overlap between Angiomax’s benefits and doctors’ values in an anticoagulant. Additionally, by providing doctors with information (Appendix B) that quantifies the cost savings from reduced complications in high-risk patients, Medicines Co. bridges the gap between the true economic value (TEV) and the PV that doctors have for Angiomax. This solution...
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...Nick Klepper Professor Walker English 101, Sec. 30 21 April 2014 What is a Procrastinator? For centuries the word procrastinator has been used with one who usually likes to be an irresponsible person and one who is lazy. And most of the time it is very easy to recognize one when it’s right of front of you. So the question I have always asked myself is what really makes a procrastinator, and how do you know if you are one? A procrastinator is one who puts off doing something, especially out of habitual carelessness or laziness. And really that explains the gist of what one actually is. But that still leave people wondering if they actually are one. Similar terms that come to mind to describe one include such synonymous as postpone or prolong and adjectives such as lazy or irresponsible. But people that are procrastinators may not even be lazy at all, it’s just that they prefer to delay things as much possible because they work better under time constraints and under pressure. It’s funny because some of the greatest people ever to live where procrastinators and they still ended up doing great things in life and helping the better of this country. It seems though that in most cases a procrastinator will end up completing every task like everyone else just in a more stressed time frame. There is always that saying of, “it doesn’t matter how you finish the race as long as you cross the finish line.” This saying is absolutely perfect to describe procrastinators and there...
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