...Systemic Lupus Erythematosus Systemic Lupus Erythematosus (SLE) is considered one of many immune system disorders(5). SLE is a chronic inflammatory disease that affects many parts of the body through an autoimmune process(2). A natural immune system creates antibodies to fight antigens which are harmful substances such as viruses and bacteria. Whereas in SLE, the immune system does not differentiate between the natural tissues of the body and the foreign particles(5)(6). Auto-antibodies are produced that mistakenly attack the immune system itself and cause inflammation and damage to various body tissues(6)(7). The disease course is marked by remissions and relapses and may vary from mild to severe. Just like many immune system disorders,...
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...The Lupus Foundation of America approximates that there are around 1.5 million Americans affected by a form of lupus (Rooney 54). There are two main factions of lupus: systemic lupus erythematosus (SLE) and discoid lupus erythematosus (DLE). The popular depiction of lupus as a disease associated with lesions and superficial symptoms is not necessarily an accurate portrait. Although Lupus Erythematosus gets its name from the Latin word lupus (wolf) because the lesions resembles the pattern of a wolf bite, the most common form of the disease is SLE which does not require lesions as a criteria for diagnosis (Rooney 56). The underlying concern that both DLE and SLE share is their label as an autoimmune disease. Autoimmune diseases work by attacking self antigens and tissues as if they were foreign (McKinley, O’Loughlin and Bidle 856). By analyzing a deconstructed look at lupus we hope to gain an insight into lupus’ pathological effect on the body and its relation to the immune system. SLE occurs when the body begins to attack its own tissues without known cause. Although there is not a definitive known cause for SLE, autoantibodies can combine to form immune complexes which can effectively damage internal tissue and the hyperactivity of b-cells contributes to the symptoms (Pullen, Brewer and Ballard 23) (Porth 1422). Genetic predisposition to SLE is evidenced by an increased concordance rate in twins (10-fold), increased incidences within family members (10%-16%), and increased...
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...Abstract There are four types of lupus, systemic lupus erythematous, discoid, drug-induced, and neonatal lupus. Systemic lupus erythematous, also known as SLE or lupus and is sometimes called the “great imitator” due to the fact that it mnemonics so many other diseases. Family practice offices often misdiagnose lupus due to lack of symptoms at the time of visit, patients being poor historians and lab work that is inconclusive at that time. Discoid lupus affects only the skin and causes rashes and lesions mostly of the face, neck and scalp. During drug-induced lupus the person will experience lupus like symptoms. These symptoms usually resolve within six months after the drug is stopped. Individuals with drug- induced lupus may have a positive Antinuclear Antibody test more years after the episode. Neonatal lupus occurs when a child is born to a women with lupus. The infant may have lupus symptoms including rashes, anemia and liver problem which usually resolve within a few months. Some infants born to mothers with lupus may have serious heart defects. For the purpose of this paper the focus will be on systemic lupus erythematous. Systemic Lupus Erythematous Systemic lupus erythematous is a complex multisystem autoimmune disease in which the body’s immune system misfires and makes autoantibodies that attacks its own tissue. Lupus affects as many as 1.5 million people in America. (U.S. Department of Health and Human Services, 2007) Women are more commonly affected...
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...Pantothenic Acid, Vitamin B5 for Acne Virtually everyone remembers the frustrating experience of acne with small inflamed dots called pimples or blackheads. For the young woman concerned about self-image, skin complexion is important. One or two strategically placed pimples can be intolerable. For some, acne can progress, leading to scarring and disfigurement, with pitting and nodularity called Acne Vulgaris. While some are spared this chronic ordeal, others endure many years of ineffective treatments by a succession of dermatologists. Although some treatments such as Accutane™ may offer success, there is a price in terms of serious adverse side effects. What Causes Acne? Acne is caused by excess oil called sebum which originates in the sebaceous glands at the root of the hair follicles. This oily build may occlude the duct in the skin causing blockage and infection. "Popping the pimple” is a home remedy which forces the occluding plug to pop out of the pore, providing drainage and temporary relief. Common Causes of Acne Acne is a common adverse side effect of synthetic birth control pills which mimic testosterone. Elevated testosterone levels in males and females are associated with increased oil production in the skin resulting in acne. A common genetic mutation called atypical CAH (congenital adrenal hyperplasia) causes increased testosterone in females resulting in acne. PCOS (polycystic ovary syndrome) syndrome is associated with increased testosterone...
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...characteristics. These overlapping characteristics include the diseases systemic lupus erythematosus (SLE), systemic sclerosis, and polymyositis (http://lup.sagepub.com/content/15/3/132.short). Though the disease is somewhat unknown and presumably hereditary, the uncovered cause and criteria for diagnosis is linked through like antibodies and antigens (http://www.nejm.org/doi/pdf/10.1056/NEJM197611182952101). MCTD affects numerous body systems i.e. skeletal, muscular, skeletal, digestive, and nervous (https://my.clevelandclinic.org/health/diseases_conditions/hic_Mixed_Connective_Tissue_Disease). Treatment for this disease is patient specific depending on the severity of each case; while the medications prescribed are ailment specific, creating a huge risk of developing side effects due to contraindications and normal use. In diagnosing these side effects, one must first explore the history of MCTD. What is Mixed Connective Tissue Disease (MCTD)? In 1972 (Venables) Mixed Connective Tissue Disease (MCTD) was first recognized for its overlapping features by its like or “mixed” similarities noticed in patients presenting with signs and symptoms of three autoimmune connective tissue diseases. The like featured diseases that make up Mixed Connective Tissue Disease (MCTD) are systemic lupus erythematosus (SLE) (an autoimmune disease where healthy tissue is mistakenly attacked by the body’s immune system), systemic sclerosis (characterized as both an autoimmune and connective tissue...
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...Dietary Supplements Summary James Johnson SCI/241 Abstract In this paper I am going to discuss and identify what are dietary supplements, some benefits of taking dietary supplements, some risks from taking dietary supplements, the government regulations surrounding dietary supplements, I will be discussing Rheumatoid arthritis and the use of an herbal supplement to treat it called cat’s claw. What are Dietary Supplements? Dietary supplements in the United States are classified as substances that you consume by the way of eating or drinking them. Dietary supplements can be herbal, vitamins, minerals, or amino acids, or even a part of all of these substances. Some benefits of taking these dietary supplements are boosting energy, losing weight, stress, heart health, liver health, and even to reduce wrinkles. These are just a few benefits of taking supplements, there are experts that say that there are places in our diet that has a definite need for supplements, but there primary goal is to fill in the gaps that we lose as nutrients. There are risks that are involved with taking dietary supplements and people need to pay close attention when taking to many supplements. Like all drugs there are side effects, Exposures to supplements (such as vitamins, herbs, protein powders, and botanicals) accounted for more than 35,000 calls to US poison control centers in 2011. Of these calls, more than 4,000 people were reportedly treated in health care facilities. More than 800 cases...
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...POLYMYOSITIS The following paper presents a summary of the latest information available on polymyositis physiopathology, the symptomatology, diagnosis, and treatment options and research protocols. History: Through medical history there have been reports of different ailments related to the muscular system. In the case of Polymyositis, the first case of a rare muscle disease was reported in 1863, with cutaneous lesions by E. Wagner in 1863 . He described a muscular disorder with a diversity of symptomatology and immunological alterations. In 1887, Hans Unvericht , wrote of an acute weakness, and pain in the arms, and legs, and back, including facial edema with swelling in the extremities, and evening fevers. The illness worsened rapidly to shortness of breath, hoarseness, difficulty swallowing and death. This became known as...
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...Lacrisha Lewis Patrick Anyanetu Eng.120 11/18/10 Research Paper “A Good Man Is Hard To Find” by Flannery O’Connor who is a Southern American novelist and short story writer, O’ Connor’s career expanded in the 1950sand early 60s, a time when the South was dominated by Protestant Christians.O’Connor was born and raised a Catholic. She was a fundamentalist and aChristian moralist whose powerful apocalyptic fiction is focused in the South.Flannery O’Connor was born March 25, 1925 in Savannah, Georgia. O’ Connorgrew up on a farm with her parents Regina and Edward O’ Connor. At the age offive, she taught a chicken to walk backwards. O’Connor attended Georgia StateCollege for women, now Georgia College, in Milledgeville, majoring in sociology.She had showed a gift for satirical writing, as well as cartooning since she wasa child. By the end of her undergraduate education, O’Connor knew that writingwas her true passion. She spent two years at the prestigious School for Writersat the State University of Iowa on scholarship. She received a master’s degree infine arts in 1947. In 1950, she had a near fatal attack of systemic lupus erythematosus, a chronic inflammatory connective tissue disorder that causes periods of joint pain and fatigue, and can attack the hearts, lungs, and kidneys. Her father died of the disease when she was fifteen. She would have to walk with crutches for the rest of her life. By her death at the age of 39, Flannery O’Connor won a prominent place in modern...
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...A kid with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley...
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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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...Essentials Ruth E. McCall, BS, MT (ASCP) Retired Program Director and Instructor Central New Mexico Community College Albuquerque, New Mexico President, NuHealth Educators, LLC Faculty, Emeritus Phoenix College Phoenix, Arizona Fifth Edition Cathee M. Tankersley, BS, MT (ASCP) Acquisitions Editor: Peter Sabatini Product Manager: Meredith L. Brittain Marketing Manager: Shauna Kelley Designer: Holly McLaughlin Production Services: Aptara, Inc. Fifth Edition Copyright © 2012, 2008 by Lippincott Williams & Wilkins, a Wolters Kluwer business. Two Commerce Square 2001 Market Street Philadelphia, PA 19103 351 West Camden Street Baltimore, MD 21201 Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at permissions@lww.com, or via website at lww.com (products and services). 9 8 7 6 5 4 3 2 1 Library of Congress...
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...00_078973706x_fm.qxd 1/14/08 2:42 PM Page i NCLEX-PN ® SECOND EDITION Wilda Rinehart Diann Sloan Clara Hurd 00_078973706x_fm.qxd 1/14/08 2:42 PM Page ii NCLEX-PN® Exam Cram, Second Edition Copyright © 2008 by Pearson Education All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately...
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