...Labor with Epidural 1. What are the advantages of having an epidural as compared to narcotic analgesic? One of the advantages of using an epidural during birth is it allows the client relief of pain because it blocks the nerve impulses in the lower region. The client does not feel any pain only a numbing sensation. However, a narcotic does not offer that extend of relief. It is designed to take some of the pain away but does not provide complete pain relief. For clients whose labor is prolonged an epidural provides extensive relief of pain which is an advantage over narcotic analgesic. Another advantage that epidurals offer over narcotic is that with an epidural the client is conscious and can actively be a part of the birthing experience. Narcotic analgesic can create a feeling of sedation that...
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...Nursing 344 Week 1: Report Writing & GFHP Report Writing Pt records are sometimes called in evidence before a court of law in order to establish events that may have contributed to a pt’s death or injury. They may also be required as evidence for an inquiry or hearing by the NMB of NSW. ▪ Frequency of documentation relies on: - physical/ mental status of the pt. - the type of care provided (self care v. intensive care) - requirements of health care agency - any legal or other obligations that the health record must meet ▪ Content of documentation needs to be: - relevant - appropriate - accurate - requirements will vary according to pt acuity - content may be guided by framework (assessment, intervention, response) ▪ Documentation framework: - assessment: conclusions reached utilising subjective and objective data - intervention: reflects the action taken - response: reflects the pt’s response to the intervention ▪ Example of using framework to case: Mrs Pat Martin, a 28y/o lady has been admitted overnight via Casualty accompanied by husband. She is 16 wks pregnant and has been diagnosed with appendicitis by Dr Chan. At the moment she is only experiencing mild pain and has a low grade fever of 37.7. IMI Pethidine 50mgs was given at 2am, and may be repeated PRN. Shes been added to the theatre list at 9.30am. She remains NMB and has IV normal saline running over 10hrs. IV Keflin QID commenced, is next due 12md...
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...LECTURE 10-19 OBJECTIVES Lecture 10 1. Describe the functions of the various types of muscle * Skeletal- limb movement * Cardiac- heart movements * Smooth- movements of hollow organs 2. Describe the involvement of connective tissue in a skeletal muscle * Endomysium- surrounds and fills up spaces between individual muscle fibers * Perimysium- ensheaths muscle fascicles (bundles of muscle fibers) * Epimysium- ensheaths the whole muscle 3. Name the components of a skeletal muscle fiber and describe their function * Sarcoplasm- cytoplasm * Sarcolemma- plasma membrane * T-tubules- inward extensions of the sarcolemma * Mitochondria- provide ATP * Sarcoplasmic reticulum- endoplasmic reticulum * Myofibril- contains thick and thin filaments, myosin and actin 4. Sketch a myofibril 5. Describe the neuromuscular junction * Junction of a muscle fiber and axon of motor neuron it is attached to 6. Name the neurotransmitter used at the neuromuscular function * Acetylcholine 7. Draw a diagram showing how the thin and thick filaments are organized in the sarcomere and list the five steps involved in the contraction of a muscle fiber 8. Define what is meant by excitation-contraction coupling, and describe how it works * The coupling of nerve impulse with muscle contraction hinges around the release of calcium ions * 1, the action of acetylcholine cause a wave of electrical depolarization to spread...
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...INSTRUCTOR GUIDE Human Anatomy & Physiology Laboratory Manual MAIN VERSION, Eighth Edition Update CAT VERSION, Ninth Edition Update FETAL PIG VERSION, Ninth Edition Update ELAINE N. MARIEB, R.N., Ph.D Holyoke Community College SUSAN T. BAXLEY, M.A. Troy University, Montgomery Campus NANCY G. KINCAID, Ph.D Troy University, Montgomery Campus PhysioEx™ Exercises authored by Peter Z. Zao, North Idaho College Timothy Stabler, Indiana University Northwest Lori Smith, American River College Greta Peterson, Middlesex Community College Andrew Lokuta, University of Wisconsin—Madison San Francisco • Boston • New York Cape Town • Hong Kong • London • Madrid • Mexico City Montreal • Munich • Paris • Singapore • Sydney • Tokyo • Toronto Editor-in-Chief: Serina Beauparlant Project Editor: Sabrina Larson PhysioEx Project Editor: Erik Fortier Editorial Assistant: Nicole Graziano Managing Editor: Wendy Earl Production Editor: Leslie Austin Composition: Cecelia G. Morales Cover Design: Riezebos Holzbaur Design Group Senior Manufacturing Buyer: Stacey Weinberger Marketing Manager: Gordon Lee Copyright © 2009 Pearson Education, Inc., publishing as Pearson Benjamin Cummings, 1301 Sansome St., San Francisco, CA 94111. All rights reserved. Manufactured in the United States of America. This publication is protected by Copyright and permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means...
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