...Martha back to the treatment area to do an ultrasound of the bladder to see if there were still more uroliths in the bladder. Upon examining the ultrasound we did find what looked to be a stone but it wasn't clear enough to be 100% sure, so we then did a Radiograph. We put the dog in right lateral recumbancy and took a radiograph of the abdominal region. Upon examination of the X-Ray we found there were a bunch of smaller stones and one large stone. After taking radiographs we obtained a sample of urine via Cystocentesis. I then ran a urinalysis. The sediment exam showed RBC’s TNTC along with cocci bacteria ++ and also found a Struvite crystals TNTC and squamous cells ++. After the diagnostic tests we Diagnosed Martha with Struvite Urolithiasis. We then recommended two scenarios for Martha to the owner. First scenario was she would need to be on a strict diet of Royal Canin urinary S/O to aid in breaking down the struvite uroliths so that they would be easier to pass in the urine along with taking antibiotics. We then...
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...Kidneys, being the organs that filter our blood to eliminate waste, play a key role maintaining many homeostatic functions. A disruption in normal kidney function can lead to other diseases, which may increase the severity of the kidney disease itself. One of the most common types of kidney disease is a urolithiasis, or commonly known as kidney stones. About 10% of individuals will have a kidney stone in his or her lifetime (National Kidney Foundation, n.d.). Kidney stones range in size, shape, and components. Although kidney stones can be extremely painful and sometimes require removal by surgery, they are easy to treat. Something that is even easier than treatment of kidney stones is their prevention. Many studies are now showing that a change in lifestyle and diet can reduce an individual’s risk for kidney stones. As nurses we can play a key role in patient education and implementation of these ways to reduce the risk of kidney stones. Since the prevalence of kidney stones is so high, it is important for a nurse to be knowledgeable in the etiology...
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...“Effects of nutrition choices and lifestyle changes on the well-being of cats, a Carnivore that has moved indoors” Debra L. Zoran and C.A. Tony Buffington Journal of the American Veterinary Medical Association, Vol. 239, No. 5, September 1, 2011 Genevieve Ball Animal Nutrition 505, Dr. Shapiro October 13, 2011 Main Summary The domestication of cats can be perilous as their nutritional changes in dietary protein and caloric intake effects their metabolism, muscle mass, water intake, urine acidity levels, and immunity against diseases, all of which effect their overall feeding behavior, well-being, and physical health. 70% protein intake is considered adequate in a cat’s daily diet, however studies show that a more accurate formula for protein intake should reflect 3.3 times the cat’s body weight in kilograms (Zoran, 2011, p. 597). Adversely, persistent insufficient protein intake results in deficiencies such as loss of muscle mass and a weakened digestive and immune system, all of which result in an increased susceptibility to disease and a shortened lifespan. In order for a cat to sustain its preferred body condition and avoid obesity, whether a cat is active versus inactive and neutered versus intact, veterinarians prefer controlled meals of 25% to 35% caloric intake versus free-feeding in order to supervise the caloric and protein intake (Zoran, 2011, p. 603). Furthermore, female neutered cats only require 60 to 70 kcals to maintain a decent body condition...
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...VIII. RENAL A. Glomerulonephritis: Acute can lead to chronic. 1. Pathophysiology: a. Inflammatory reaction in the _______________________. b. Antibodies lodge in the glomerulus; get scarring & _____________ filtering. c. Main cause: _______________________ 2. S/S: a. Sore throat b. Malaise and headache c. BUN & Creatinine _______ d. Sediment/protein/blood in urine e. Flank pain (costovertebral angle tenderness) f. BP_________ g. Facial ________ h. UO ________ i. Urine specific gravity ______ Client going into fluid volume ______________. 3. Tx: a. Get rid of the strep. Renal b. Balance activity with rest. c. I & O and daily weights d. Monitor blood pressure. e. How is fluid replacement determined? • Fluid replacement = 24 hour fluid loss + __________. f. Dietary needs: • 110 Protein? ______ Na? __________ Carbs? _______ Copyright protected. Reproduction prohibited without authorization and release by Hurst Review Services. g. Dialysis h. Diuresis begins in ___ to ___ weeks after onset. i. ___________ and protein may stay in the urine for months. j. Teach S/S of_________________________. • Malaise, headache, anorexia, nausea, vomiting, decreased output, weight gain. B. Nephrotic Syndrome: 1. Pathophysiology: It’s an inflammatory response in the ________________→ big holes form so protein starts leaking out in the urine (what do we call this? ______________)→ Now the client is hypoalbuminemic (low albumin in the blood)→...
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...Michelangelo’s birth and childhood Michelangelo was born, Michelangelo di Lodovico Buonarroti Simon, commomly known as Michelangelo. His date of birth was recorded as March 6, 1475. Michelangelo was born in a small village of Caprese, in Tuscany Italy, near Arezzo, Republic of Florence, to Ludovico di Leonardo di Buonarroti Simoni and Francesca Neri. Michelangelo was born the second of five brothers, to his mother, who died when he was only six years old (“Britannica,” 2012). Michelangelo’s childhood was considered to be low key, grim in nature, lacking in affection, and very silent. He appeared a bit touchy and quick to respond with agitated or fierce words when he was approached by others. Michelangelo was considered to be shy and most of the time he kept to himself, leaving little to no room to trust his fellow friends. After the death of his mother, Michelangelo was sent to live with a stonecutter and his family in a town called, Settignano, where he learned the craft of a hammer and chisel. Michelangelo went to his father, and told him he wanted to be an artist, and that made his father furious at the thought and he flew into a rage (“Britannica,” 2012). Bonner (2009) noted that his father recognized his intelligence and sent him to study grammar in Florence. While studying the principles of Latin, Michelangelo befriended a student, Francesco Granacci who encouraged him to follow his own desire for an artistic vocation. At the age of thirteen, Michelangelo infuriated...
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...CHRONIC KIDNEY DISEASE Helen T. Ocdol, MD, FPCP, FPSN Chronic Kidney Disease (CKD) is a dreaded condition . CKD includes a continuum of kidney dysfunction from mild kidney damage to end-stage renal disease (ESRD). Chronic renal disease is interchangeably used for CKD but to be unifom in usage, we will use the term Chronic Kidney Disease or CKD. In the U.S., there are 20 million adults who have chronic disease and over 400,000 persons have ESRD and require dialytic or transplantation therapy. In the Philippines, annually we have about 6,ooo patients started on dialysis most of which are caused by diabetis mellitus. Complications of this condition have also made this the 9th cause of death in our country. This is how important this disease entity has become over the last decade. Each of us has 2 kidneys, one on each side of our flanks. Chronic kidney disease is a permanent damage to both kidneys that persists for at least 3 months. If the kidney damage is temporary and has occurred less than 3 months, this is referred to as acute kidney or renal failure. Acuteness does not refer to the severity of the condition, but to a recent and temporary event, therefore, almost always reversible. Chronicity implies long-term event that is permanent and irreversible. This is probably why most patients fear to hear that they have kidney disease and would need dialysis. CKD has five (5) stages based on the kidney function as estimated by the glomerular filtration rate (GFR).The best overall...
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...Chronic kidney diseaseFrom Wikipedia, the free encyclopedia Jump to: navigation, search Chronic kidney disease Classification and external resources Uremic frost on the forehead and scalp of a young man who presented with complaints of chronic anorexia and fatigue with blood urea nitrogen and serum creatinine levels of approximately 100 and 50 mg/dL respectively. ICD-10 N18 ICD-9 585.9 585.1-585.5 403 DiseasesDB 11288 MedlinePlus 000471 eMedicine article/238798 MeSH D007676 Chronic kidney disease (CKD), also known as chronic renal disease (CRD), is a progressive loss in renal function over a period of months or years. The symptoms of worsening kidney function are non-specific, and might include feeling generally unwell and experiencing a reduced appetite. Often, chronic kidney disease is diagnosed as a result of screening of people known to be at risk of kidney problems, such as those with high blood pressure or diabetes and those with a blood relative with chronic kidney disease. Chronic kidney disease may also be identified when it leads to one of its recognized complications, such as cardiovascular disease, anemia or pericarditis.[1] It is differentiated from acute kidney disease in that the reduction in kidney function must be present for over 3 months. Chronic kidney disease is identified by a blood test for creatinine. Higher levels of creatinine indicate a lower glomerular filtration rate and as a result a decreased capability of the kidneys...
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...Albularyo o Doktor? Karaniwan sa ating mga Pilipino ang nagkakasakit ng ubo. Nagmumula ito sa mga iba’t ibang mga dahilan tulad ng paglanghap ng usok mula sa mga sasakyan tulad ng kotse, jeepney, motorsiklo, bus at iba pa. Nakukuha rin ito kapag allergic ang isang tao sa mga alikabok sa paligid dahil sa karumihan. Maaari rin itong makuha mula sa paggamit o paglanghap ng usok mula sa sigarilyo. Isa rin sa pwedeng maging dahilan ng pag-ubo ang maruming hangin dahil sa polusyon na nakukuha sa mga usok ng mga sasakyan at mga planta ng krudo. Malaki ang tsansa na lumala ang sakit ng ubo ng isang tao kung hindi ito malalapatan ng tamang lunas. Napakamahal na ng gamot na ipinagbibili sa mga botika sa panahon ngayon. Minsan, hindi nasusunod ng mga Pilipino ang nireseta ng kanilang doktor kung kaya’t naghahanap sila ng ibang paraan. Karamihan sa ating mga Pilipino ang hindi makabili ng mga gamot sa botika dahil sa kawalan ng pera at dahil rin sa kamahalan nito. Dahil sa ganitong sitwasyon na nararanasan ng mga Pilipino, ibinabalewala na lamang nila ang kanilang nararamdaman kung kaya’t lumalala ito at hindi naaagapan. Nanininiwala ang karamihan sa atin na ang katapat lamang nito ang pag-inom ng maraming tubig at pahinga. Isa sa mga gawain nating mga Pilipino ang paghingi ng tulong mula sa mga albularyo o Quack Doctor sa ingles. Namana natin ito mula sa ating mga ninuno at isa ito sa ating mga tradisyon na ipinagpapatuloy na sundin. Walang siyentipikong kasiguruhan kung epektibo...
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...Available online at www.scholarsresearchlibrary.com Scholars Research Library Der Pharmacia Lettre, 2011, 3(2): 141-164 (http://scholarsresearchlibrary.com/archive.html) ISSN 0975-5071 USA CODEN: DPLEB4 Traditional uses, phytochemistry and pharmacological properties of Moringa oleifera plant: An overview Garima Mishra1*, Pradeep Singh1, Ramesh Verma1, Sunil Kumar1, Saurabh Srivastav1, K. K. Jha1 and R. L. Khosa2 Department of Pharmacognosy, Teerthanker Mahaveer College of Pharmacy, Teerthanker Mahaveer University, Moradabad, Uttar Pradesh, India, 2 Deptt. of Pharmacy, Bharat Institute of Technology, Partapur Bypass, Delhi Road, Meerut ______________________________________________________________________________ ABSTRACT Moringa oleifera, an important medicinal plant is one of the most widely cultivated species of the family Moringaceae. It is highly valued from time immemorial because of its vast medicinal properties. The present article provides all necessary information regarding its phytochemical investigations, pharmacological actions and medicinal properties like anemia, anxiety, asthma, blackheads, blood impurities, bronchitis, catarrh, chest congestion, cholera, conjunctivitis, cough, diarrhoea, eye and ear infections, fever, abnormal blood pressure, pain in joints, scurvy, semen deficiency, headaches and tuberculosis. It gives an account of all the data and reports which have been appeared to prove its medicinal and nutritional importance. Its utility as a nonfood...
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...This report is to be submitted as "2008 Korea Pharmaceutical Industry Directory" as part of the "Actual analysis of Korean pharmaceutical Industry", Korea Health Industry Development Institute(KHIDI)'s own project. December 2008 ￭ ￭ ￭ • ⅰ Chapter 1. Outline of The Project 1. Objectives and Background of Investigation ◦The existing directory book has indicated limitations in promoting Korean pharmaceutical industry internationally or domestically, failing to offer practical help. ◦For this reason, this investigation is to have a thorough grasp of ranges of business and current status of investments and technology by pharmaceutical and companies to utilize and in to strengthen their industrial by competitiveness promoting them overseas collecting and offering basic data needed for promoting transfer of technology with home and abroad institutions. ◦Also, necessity for systematic and detailed data of industrial current status that can be utilized by companies who are making commitment for the development of pharmaceutical industry. 2. Targets and Contents of Directory Book 1) Targets for directory book •Korean Pharmaceutical companies: 81 companies. 2) Contents of directory book •Investigation items 3. Method and Way for Utilization 1) Method □ Ways to select investigation targets and to promote them were developed through consultation from consultation committees and domestic pharmaceutical companies (including unlisted ones) ◦Investigated...
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...Clinical guidelines Diagnosis and treatment manual for curative programmes in hospitals and dispensaries guidance for prescribing 2010 EDITION © Médecins Sans Frontières – January 2010 All rights reserved for all countries. No reproduction, translation and adaptation may be done without the prior permission of the Copyright owner. ISBN 2-906498-81-5 Clinical guidelines Diagnosis and treatment manual Editorial Committee: I. Broek (MD), N. Harris (MD), M. Henkens (MD), H. Mekaoui (MD), P.P. Palma (MD), E. Szumilin (MD) and V. Grouzard (N, general editor) Contributors: P. Albajar (MD), S. Balkan (MD), P. Barel (MD), E. Baron (MD), M. Biot (MD), F. Boillot (S), L. Bonte (L), M.C. Bottineau (MD), M.E. Burny (N), M. Cereceda (MD), F. Charles (MD), M.J de Chazelles (MD), D. Chédorge (N), A.S. Coutin (MD), C. Danet (MD), B. Dehaye (S), K. Dilworth (MD), F. Fermon (N), B. Graz (MD), B. Guyard-Boileau (MD), G. Hanquet (MD), G. Harczi (N), M. van Herp (MD), C. Hook (MD), K. de Jong (P), S. Lagrange (MD), X. Lassalle (AA), D. Laureillard (MD), M. Lekkerkerker (MD), J. Maritoux (Ph), J. Menschik (MD), D. Mesia (MD), A. Minetti (MD), R. Murphy (MD), J. Pinel (Ph), J. Rigal (MD), M. de Smet (MD), S. Seyfert (MD), F. Varaine (MD), B. Vasset (MD) (S) Surgeon, (L) Laboratory technician, (MD) Medical Doctor, (N) Nurse, (AA) Anaesthetist-assistant, (Ph) Pharmacist, (P) Psychologist We would like to thank the following doctors for their invaluable help:...
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...ARTIFICIAL NEURAL NETWORKS METHODOLOGICAL ADVANCES AND BIOMEDICAL APPLICATIONS Edited by Kenji Suzuki Artificial Neural Networks - Methodological Advances and Biomedical Applications Edited by Kenji Suzuki Published by InTech Janeza Trdine 9, 51000 Rijeka, Croatia Copyright © 2011 InTech All chapters are Open Access articles distributed under the Creative Commons Non Commercial Share Alike Attribution 3.0 license, which permits to copy, distribute, transmit, and adapt the work in any medium, so long as the original work is properly cited. After this work has been published by InTech, authors have the right to republish it, in whole or part, in any publication of which they are the author, and to make other personal use of the work. Any republication, referencing or personal use of the work must explicitly identify the original source. Statements and opinions expressed in the chapters are these of the individual contributors and not necessarily those of the editors or publisher. No responsibility is accepted for the accuracy of information contained in the published articles. The publisher assumes no responsibility for any damage or injury to persons or property arising out of the use of any materials, instructions, methods or ideas contained in the book. Publishing Process Manager Ivana Lorkovic Technical Editor Teodora Smiljanic Cover Designer Martina Sirotic Image Copyright Bruce Rolff, 2010. Used under license from Shutterstock.com First published March, 2011 Printed in...
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...NE 2012 DANO LITY ABI TAIN SUS RT EPO R ance Perform and Strategy IC RATEG TS ST LIGH HIGH For All, Health, Nature People, E RmAnC fo GRI pERoRS T IndICA SUSTAINABILITY REPORT 2012 STRATEgY 4 EDITORIAL FRANCK RIBOUD 6 KEY SOCIAL TOPICS NUTRITION AND HEALTH ISSUES SOCIAL ISSUES ENVIRONMENTAL ISSUES 7 10 12 14 STRATEgY 2012 HIgHLIgHTS HEALTH FOR ALL PEOPLE NATURE 15 22 28 34 40 MEASURINg PROgRESS AND PERFORMANCE THROUgHOUT THE VALUE CHAIN DANONE WAY RESPECT DANONE’S EVALUATION BY NON-FINANCIAL RATING AGENCIES 41 46 56 HISTORICAL APPROACH AND HIgHLIgHTS REFERENCE DOCUMENTS HIGHLIGHTS AND KEY DATES 1972-2012 57 58 50 2 Danone Sustainability Report 2012 PERFORMANCE 62 gRI INDEx Self-evaluation of the application of GRI according to version 3.0 guidelines for the GRI with approval by KPMG Audit. 72 IMPACTS AND RESPONSIBILITIES IN BUSINESS, FROM END TO END 74 COMPANY PROFILE AND REPORT PARAMETERS COMPANY PROFILE REPORT PARAMETERS VALIDATION OF THE REPORT BY AN EXTERNAL THIRD PARTY 75 76 83 86 PERFORMANCE INDICATORS GOVERNANCE, COMMITMENTS AND DIALOGUE ECONOMIC ENVIRONMENTAL SOCIAL HUMAN RIGHTS SOCIETY PRODUCT RESPONSIBILITY 86 94 102 134 152 158 166 176 CONTACTS Danone Sustainability Report 2012 3 SUSTAINABILITY REPORT 2012 EDITORIAL FRANCK RIBOUD he year 2012 confirmed in spectacular manner the profound shift in the global economy that is gathering pace. On the one hand, new economic powers...
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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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...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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