...To Do List 5/8/12 M.G. Goal 2: Resident will become self reliant with medication Resident will identify pills by color and learn the purpose - Invega- Light pink in color, small oval in size with pal 9 on it. Paliperidone is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Paliperidone is in a class of medications called atypical antipsychotics - Levothyroxine- Light blue in color tiny oval in size with LG and M written on it. Levothyroxine, a thyroid hormone, is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Without this hormone, the body cannot function properly, resulting in: poor growth; slow speech; lack of energy; weight gain; hair loss; dry, thick skin; and increased sensitivity to cold. - Asprin- Yellow in color, small round in size with a triangle stamped on it. Aspirin is in a group of medications called salicylates. It works by stopping the production of certain natural substances that cause fever, pain, swelling, and blood clots. - Amlodipine- White in color medium round in size with g 1540 and 10 written on it. Amlodipine is used alone or in combination with other medications to treat high blood pressure and chest pain (angina). Amlodipine is in a class of medications called calcium channel blockers. It lowers blood pressure by relaxing the blood vessels...
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...Pharmaceutical Sector of Bangladesh The pharmaceutical industry in Bangladesh is one of the most developed technology sectors within Bangladesh. Manufacturers produce insulin, hormones, and cancer drugs. This sector provides 97% of the total medicinal requirement of the local market. The industry also exports medicines to global markets, including Europe. Pharmaceutical companies are expanding their business with the aim to expand the export market. History Right after liberation war three fourth of the pharmaceutical industries was dominated by multinational companies. The National Drug Policy (NDP) in 1982 and 2005 has major impact in the development and growth of the Bangladesh pharmaceutical industry. Key points of National Drug Policy of 1982 To provide administrative and legislative support for ensuring quality of essential drugs which are relevant to the national health need. To reduce the price of medicine by ensuring the lowest competitive price. To eliminate non-essential medicine from the market To promote production of local drug and raw materials. To develop proper drug monitoring and information system to prevent wasteful misuse and to ensure the proper utilization of the drugs. To ensure GMP and qualified pharmacist in manufacturing companies. Drug Regulatory Authorities in Bangladesh • The Directorate General of Drug Administration (DGDA) • The Pharmacy Council of Bangladesh (PCB) Local Market Overview The Bangladesh...
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...RATIONALES FOR PRESCRIBED MEDICATIONS: Routine meds (scheduled) and any PRN given within past 24 hours DIRECTIONS: add pages as needed to include all you client’s current prescribed meds and PRNs |MEDICATION (generic and Trade name, drug|Dose, route, |MECHANISM OF ACTION |EFFECT ON CLIENT |WHY CLIENT IS TAKING THIS MED | |classification |frequency | | | | |Loperamide, Imodium; anti- diarrheal |2 mg PO per loose |Inhibits peristalsis and prolongs transit |Relief of diarrhea |Loose stool | | |stool PRN up to 20 |time by a direct effect on nerves, reduces| | | | |mg/day |fecal volume, increases fecal viscosity | | | |calcium carbonate/ |30 cc PO Q 4hrs PRN |neutralizing the acid in the stomach. |Reduction in gastric acid |Upset GI | |magnesium carbonate, Mylanta; ...
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...------------------------------------------------- Peptic ulcer A peptic ulcer, also known as PUD or peptic ulcer disease,[1] is the most common ulcer of an area of the gastrointestinal tract that is usually acidic and thus extremely painful. It is defined as mucosal erosions equal to or greater than 0.5 cm. As many as 70–90% of such ulcers are associated with Helicobacter pylori, a spiral-shaped bacterium that lives in the acidic environment of the stomach; however, only 40% of those cases go to a doctor. Ulcers can also be caused or worsened by drugs such as aspirin, ibuprofen, and other NSAIDs.[2] Four times as many peptic ulcers arise in the duodenum—the first part of the small intestine, just after the stomach—as in the stomach itself. About 4% of gastric ulcers are caused by a malignant tumor, so multiple biopsies are needed to exclude cancer. Duodenal ulcers are generally benign. ------------------------------------------------- ------------------------------------------------- [edit]Classification By Region/Location * Duodenum (called duodenal ulcer) * Oesophagus (called esophageal ulcer) * Stomach (called gastric ulcer) * Meckel's diverticulum (called Meckel's diverticulum ulcer; is very tender with palpation) Modified Johnson Classification of peptic ulcers: * Type I: Ulcer along the body of the stomach, most often along the lesser curve at incisura angularis along the locus minoris resistantiae. * Type II: Ulcer in the body in combination...
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...Introduction The purpose of this chapter is to Identify the anatomical components of the digestive system as well as their functions Discuss neural control of the digestive system Compare and contrast mechanical and chemical digestion Discuss the effects of again and disease on the digestive system The GI tract is long tube that is open at both ends for the transit of food during processing Named portions of the tube include the esophagus, stomach, small intestine, large intestine, and rectum Accessory structures are not part of the GI tract, but they do contribute to food processing Accessory structures include the teeth, tongue, salivary glands, liver, gall bladder, and pancreas Digestive Processes There are 6 basic processes involved in digestion The Digestive System The GI tract, and accessory organs like the liver and pancreas, are responsible for facilitating the body’s metabolic processes. Catabolism: Larger molecules are broken into smaller molecules (mouth, stomach, duodenum). In the GI tract, this is called digestion and can occur by either mechanical or chemical means. Anabolism: Smaller molecules are used as building blocks for larger molecules (liver). The Digestive System Mechanical digestion includes all movements that facilitate catabolic processes: Mastication Swallowing Mixing Increase contact of food with digestive chemicals Peristalsis Movement of muscles within the GI tract that facilitates movement of food The Digestive...
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...50 Celiac Disease Dascha C. Weir, MD Ciaran Kelly, MD Celiac disease (CD) is an immune-mediated enteropathy secondary to permanent sensitivity to wheat gluten and related proteins in rye and barley. It results in characteristic histologic changes consisting of inflammation, crypt hyperplasia, and villous atrophy of the small intestine in genetically susceptible individuals. Significant variability in the clinical presentation of CD in the pediatric population complicates recognition of the disease in many patients. Treatment for CD consists of a lifelong strict gluten-free diet (GFD). Adherence to this diet is associated with resolution of most related signs and symptoms and a decreased risk of related complications. With an explosion of new knowledge over the span of two decades, our understanding of CD has changed dramatically. CD has gone from a rare condition causing gastrointestinal symptoms in children of European origin to a common disorder causing symptoms that affect multiple organ systems in all ages virtually worldwide.1 The overall prevalence of CD is similar in Europe and North America affecting up to 1% of the population.2,3 A large multicenter study in the United States, using serologic screening with biopsy confirmation to identify cases of CD, showed a prevalence of CD of 1:133 in individuals with no evident risk factors. Prevalence of CD in symptomatic patients was 1:56. The prevalence of diagnosed CD is much lower, especially in the...
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...NCSBN ON-LINE REVIEW 1.A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. reason for the nurse to elevate the casted leg is to A) Promote the client's comfort B) Reduce the drying time C) Decrease irritation to the skin D) Improve venous return The most important D: Improve venous return. Elevating the leg both improves venous return and reduces swelling. Client comfort will be improved as well. 2. The nurse is reviewing with a client how to collect a clean catch urine specimen. What is the appropriate sequence to teach the client? A) B) C) D) Clean the meatus, begin voiding, then catch urine stream Void a little, clean the meatus, then collect specimen Clean the meatus, then urinate into container Void continuously and catch some of the urine A: Clean the meatus, begin voiding, then catch urine stream. A clean catch urine is difficult to obtain and requires clear directions. Instructing the client to carefully clean the meatus, then void naturally with a steady stream prevents surface bacteria from contaminating the urine specimen. As starting and stopping flow can be difficult, once the client begins voiding it’s best to just slip the container into the stream. Other responses do not reflect correct technique 3. Following change-of-shift report on an orthopedic unit, which client should the nurse see first? A) B) C) D) 16 year-old who had an open reduction of a fractured wrist 10 hours ago 20 year-old...
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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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