Physiology homework help
\nnursing writing
\nIn this third and final submission of your Course Project, you will be completing a comprehensive care plan. This written assignment should include the following:<\/p>\n
Comprehensive Plan of Care<\/p>\n
Develop a comprehensive plan of care\/treatment with short and long term goals and include safety needs, special considerations regarding personal needs, cultural\/spiritual implications, and needed health restoration, maintenance, and promotion.
\nFUNDAMENTALS COURSE PROJECT (GROUP)<\/p>\n
Introduction
\nClient name Mr. Brown
\nClient age: 72yrs
\nGender: Male
\nReligion: Jewish
\nEthnic: African American
\nIllness: T3 burst fracture
\nFamily History: Mr. Brown is from a family of six. He\u2019s the only male child in the family with five siblings. He lost both his parent to high blood pressure when he was at the age of 35. Currently, Mr. Brown has been battling this condition for the past six years. During my assessment, his blood pressure was 165\/90 which indicates that he is also experiencing high blood pressure, which is family heredity. Our focus for this project ( help with nursing paper writing from experts with MSN & DNP degrees) is the disease Mr. Brown is experiencing the T3 disease
\nQuestion One<\/p>\n
Drug Name Trade & generic name, dose, route & frequency\tPharmacological & therapeutic drug class & Expected action in the body\tWhat medical diagnosis is your patient taking this drug for? How will it help them?\tSide Effects & Adverse Reactions\/ Complications\/Top drug interactions\tNursing Administration Special Instructions and Assessments\tClient Education Assessment of Medication Effectiveness (e.g. Pain Scale)
\n– Dosage:
\n5mg
\n– route:
\nrectally
\n-frequency:
\n3 days daily
\n– generic:
\nBisacodyl
\n-Trade:
\nDulcolax
\n(Gunnstr\u00f6m et al., 2022).\t– Therapeutic:<\/p>\n
Fluid is altered
\nthat results in colon.
\nfluid buildup<\/p>\n
– T3 burst
\nFracture:
\n-the patient has
\nagonized injury in the spinal
\ncord, this
\nwill Help in colon
\nclearing.<\/p>\n
– also the patient has a problem in his
\nbladder and bowel . This medication
\naids in making the bowel soft when he is constipating.
\n-Anxiety, memory loss, blurred vision, insomnia, depression, fatigue, dizziness,<\/p>\n
– interactions:
\nno
\napplicable drug
\ninteractions<\/p>\n
(Vallerand, 2021).\t– Assess for abdominal distention and bowel function<\/p>\n
– evaluate
\nintake and
\noutput ratios in the body.<\/p>\n
– Do not take the dose twice or skip the dose as prescribed.<\/p>\n
– if a dose is
\nskipped it
\nought to be taken immediately and given a duration of 6 hours before the next dosage
\n(Gunnstr\u00f6m et al., 2022).
\nTrade:
\nGablofen,<\/p>\n
– route:
\nOrally.<\/p>\n
– dose:
\n5mg
\n-frequency:
\nDaily4 times<\/p>\n
– generic:
\nbaclofen\t– Therapeutic:
\nMuscle
\nskeletal
\nrelaxant<\/p>\n
– contains
\nimpulses at the
\nspine.<\/p>\n
Therapeutic
\neffects:
\nbladder and bowel purpose may
\nalso be enhanced
\n(Gunnstr\u00f6m et al., 2022).\tThe patient has a problem in his bowel and
\nBladder hence the medication may
\nhelp mend his
\nbowel and bladder
\nfunction
\n(Vallerand , 2020).\tSide effects<\/p>\n
nasal congestion, insomnia, headache, hypotension,
\npruritus, and fatigue,<\/p>\n
– interactions:
\nHypnotics,
\nAnalgesics, and alcohol
\n(Vallerand, 2020).\t– Assess<\/p>\n
– Monitor
\npatient closely
\nduring test
\ndose.<\/p>\n
-preventive
\napparatus
\nought to be
\npresent for
\nunendurable
\neffects in the body
\n(Gunnstr\u00f6m et al., 2022).\t– Advice the patient to take medication as prescribed.
\n– instruct the patient to avoid continuous usage of alcohol while undergoing medication.
\n(Vallerand, 2020).
\nTrade:
\nSertraline
\nDose: 100mg
\nFrequency: Daily
\nGeneric: Zoloft\t– Therapeutic:
\npharmacologic:
\ndiscerning
\nserotonin
\nreuptake
\ninhibitors<\/p>\n
-Contains
\nserotonin in the
\nCNS hence
\nHelping Serotonin activities.<\/p>\n
Therapeutic
\neffects:
\ndecreased
\nincidence of
\nPanic attacks and Antidepressant
\nAction
\n(Vallerand, 2020).\t-Patient lives alone and does not have close family members.<\/p>\n
-He has
\npersistent
\npainful damage which has made him
\nbecame paralyzed
\nfrom the abdomen
\ndownwards. Sertraline
\ncan Help him in lessening
\nhis depression
\nand anxiety
\n(Vallerand, 2020).\tSide effects:
\nnervousness,
\nSuicidal
\nthoughts, diabetes and agitation<\/p>\n
Interactions:
\nSimultaneous use
\nof alcohol is
\nprohibited
\n– Monitor
\nappetite and
\nnutritional
\nintake.<\/p>\n
– evaluate for
\nserotonin
\nsyndrome,
\nparticularly in
\npatients
\ntaking other
\nserotonergic
\ndrugs<\/p>\n
– Evaluate for
\nsuicidal
\ntrends,
\nspecifically
\nduring therapy
\n(Gunnstr\u00f6m et al., 2022).\t– Instruct client
\nto take
\nmedication
\nregularly
\nwithout
\nmissing a dose.
\n– Advise
\npatient to
\nconsult the doctor if side effects persist.
\n– emphasize on alcohol avoidance during therapy sections
\n(Vallerand ,
\n2020).<\/p>\n
Route: orally
\nFrequency: after every six hours
\nDosage:
\n5\/325
\n-generic: hydrocodone<\/p>\n
-Trade:
\nAnexsia Norco\t– Therapeutic:
\nallergy, cold,
\nand cough
\nremedies,
\nopioid
\nanalgesic.<\/p>\n
-Therapeutic
\neffects:
\n-Decrease in
\nrigorousness of
\npain and dominance of
\nthe cough
\nreflex
\n(Gunnstr\u00f6m et al., 2022).\t– Patient has a
\nstage 3 pressure
\nulcer to his
\ncoccyx. The hydrocodone will
\nHelp in relieving pain in the body.<\/p>\n
-Hydrocodone is
\nalso an
\nanticholinergic
\nand could aid
\nwith his urine
\nincontinence
\n(Vallerand, 2020).\t side effects
\n-Sedation, euphoria, hallucinations, diplopia, dyspepsia,<\/p>\n
– interactions:
\nUse with
\nbenzodiazepines
\nas alcohol may
\ncause profound
\nsedation leading to death
\n(Vallerand,
\n2020).\t– Assess blood pressure before and periodically
\nin the course of intake.
\n– Check the functioning of the bowel frequently (Vallerand,
\n2020).\t– Instruct
\npatient on how
\nand when to
\nask for and take pain medication.<\/p>\n
-Recommend to the patient that hydrocodone is a drug to make him heal.<\/p>\n
– instruct patient to inform the doctor if pain persists. (Vallerand, 2020).
\nFrequency: after every three days
\nRoute: Taken Orally
\n-Trade
\nProAmatine
\n-Generic:
\nMidodrine
\nDosage: 10mg\t– Therapeutic:
\nvasopressor
\n–
\npharmacologic:
\nalpha-1
\nagonists
\n-Stimulation of
\nalpha1-
\nadrenergic
\nreceptors in veins and
\narteries<\/p>\n
Therapeutic
\neffects:
\n-blood
\npressure and
\nvascular tone
\nincrease
\n(Vallerand
\n2020).\tParaplegia:
\n-This
\nprescription is
\nused in the
\nindicative monitoring of
\nhypotension in impaired patients.<\/p>\n
-Urinary
\nsickness
\nthis
\nmedicine can
\nHelp in preventing
\nurinary
\nincontinence
\n(Vallerand, 2020).\tSide effects
\n– hypertension, dizziness, urinary urge, nervousness, and confusion<\/p>\n
-Drug interaction:
\nSimultaneous use of alcohol
\n(Vallerand,2020).
\n– check the patients\u2019 blood pressure often.
\n– analyze if the drug
\ntherapy is
\nsuccessful in the incidence of reducing
\nhypotension
\n– monitor and
\nreport signs of
\nCNS toxicity
\n– if the medication is used to
\nProtect the
\nIncontinence in the urine,
\nevaluate the
\ninconsistency to
\nHelp in
\ndetermining if
\ndrug therapy
\nis effective
\n– evaluate for
\nparesthesia
\n(Gunnstr\u00f6m et al., 2022).\t– Ask the patient to report cases of side effects in the body
\n(Gunnstr\u00f6m et al., 2022).<\/p>\n
Question Two<\/p>\n
Labs and Diagnostic Tests
\nCMP lab test might be considered in order to monitor glucose levels. Normal range would be 65-110 mg\/dL if an abnormal finding is seen it could indicate pre-diabetes or diabetes for our client (Rasmussen University, 2021). A CBC could also be considered in this case in order to check his WBC due to his pressure ulcer. White blood cell normally ranges the count between 5,000 to 10,000 mm\u00b3, while an eminent white blood cell count ranges more than 11,000, which would indicate inflammation or invasive infection (Rasmussen University, 2021). A diagnostic test could be used to determine the level of depression experienced by the patient.
\nMost depressed people will score between 50 and 69; if he scores between these ranges, he is at greater risk for depression (Gunnstr\u00f6m et al., 2022). A CRP test could be ordered to determine the amount of CRP in the blood. If our patient\u2019s CRP is persistently high following his surgery, it could indicate the presence of postoperative infection.<\/p>\n
Conclusion
\nA set of core competencies can help advance adherence to rules of a newly designed health care system as shown by the report, which aims to provide patient-centered treatment, work in multidisciplinary teams, use evidence-based procedure, implement improvement activities, and utilize informatics. Finally, as the committee stresses, narrowing the quality gap can be realized at least in part by transforming health professions\u2019 education.<\/p>\n
References
\nGunnstr\u00f6m, M., Zdolsek, J. H., & Hahn, R. G. (2022). Plasma volume expansion and fluid kinetics of 20% albumin during general anesthesia and surgery lasting for more than 5 hours. Anesthesia & Analgesia, 134(6), 1270-1279.
\nRasmussen University. (2021). Laboratory Values Resources.
\nVallerand, A. H. (2020). Davis’s Drug Guide for Nurses (17th Edition). F. A. Davis Company.<\/p>\n
Part 2
\nFUNDAMENTALS<\/p>\n
Medical history
\nMr. Brown comes from a family of six and is the only male child out of the six children. He states that he lost his parent to high blood pressure when he was 35. He reports that he has been battling this condition for the last six years. During my assessment, the patient\u2019s blood pressure was found to be 165\/90, indicating high blood pressure due to family heredity. The Assessment and analysis show that Mr. Brown is experiencing the T3 disease.
\nSummary of the admitting diagnosis
\nThe admitting diagnosis is T3 disease since the patient was diagnosed with T3 burst. The patient has a fracture characterized by agonized injury in the spinal cord. T3 disease is associated with high total T3 levels or high free T3 levels, implying that the patient may have hyperthyroidism. Low T3 levels suggest that the patient\u2019s body is producing excess thyroid hormone patient may have hypothyroidism, a condition whereby the body does not make sufficient thyroid hormone. The thyroid produces a hormone known as triiodothyronine, recognized as T3. It also creates a hormone known as thyroxine, identified as T4. These hormones regulate body temperature, heart rate, and metabolism (Shahid et al., 2022). A T3 test is often ordered if the patient is suspected of having a problem with their thyroid. In this case, the patient was diagnosed and admitted for T3 disease, whereby his thyroid was not producing enough thyroid hormone. The symptoms associated with T3 disease include but are not limited to fatigue, dry skin, constipation, muscle weakness, depression, elevated blood cholesterol level, puffy face, hoarseness, and others.<\/p>\n
Secondary Medical diagnosis
\nPrediabetes or Diabetes
\nThe other possible diagnosis for the patient is Prediabetes or diabetes. The Pathophysiology of Prediabetes is the same as type 2 diabetes, which causes insulin resistance and early beta cell failure. In Prediabetes, rapid oscillations of insulin secretion and a decrease in amplitude of large pulses are lost. The causes of Type 2 diabetes are multifactorial and entail environmental and genetic elements that affect the functioning of beta-cell function and muscle, adipose tissue, liver, or pancreas tissue (Skyler et al., 2017). It is often associated with insulin resistance, whereby cells do not use insulin properly. As a result, the pancreas cannot produce sufficient insulin to meet the increased demand.
\nPressure Ulcer
\nPressure ulcers occur due to injuries caused to the skin and the underlying tissue, mainly due to prolonged pressure on the skin. Pressure ulcers nearly affect anyone but often affect individuals confined to a bed or those sitting in a wheelchair or chair for extended periods (Zaidi & Sharma, 2022). The symptoms associated with pressure ulcers include discolored skin, warm or spongy patches on the skin, itchiness or pain in the affected area, and discolored patches when the skin is pressed.
\nInflammation or Invasive Infection
\nInvasive bacteria are pathogens invading the body where bacteria are generally absent, such as soft tissues such as muscle, meninges, and the bloodstream. Examples of bacteria that cause invasive infection include Streptococcus pneumonia, Haemophilus influenza, and Neisseria meningitides (von Lilienfeld-Toal et al., 2019). When invasive infections occur, they often present very severe diseases that need proper care and can lead to death.
\nDepression
\nThe Pathophysiology of depression is associated with a deficiency of dopamine, serotonin, or norepinephrine in the central nervous system. The brain uses several chemicals as messengers to communicate with the nervous system and other parts of itself. Neurons constantly exchange neurotransmitters as a way of communicating with each other. All brain functions require this kind of communication system. Depression is associated with imbalances in brain neurotransmitters, including dopamine, serotonin, or norepinephrine (Kaltenboeck & Harmer, 2018). Serotonin regulates several essential psychological functions, including aggression, sexual behavior, sleep, eating, and mood. A decrease in serotonin production results in depression in some individuals particularly associated with suicidal thoughts.<\/p>\n
Head to toe Assessment<\/p>\n
I conducted an assessment on Mr. Brown I obtained his permission by explaining what was expected of him and what I will be doing during the process, The assessment started by staying in an enclosed room to provide privacy and ensure the environment was conducive. I washed my hands and began asking focused interview questions while inspecting skin color for the presence of cyanosis or pallor, nail discoloration, jugular vein distention, and edema. I also inspect his neck; I ask Mr. Brown to dorsiflex (extend) the neck and swallow a sip of water. Palpation of the thyroid gland by standing behind the patient. Both lobes and the isthmus of the thyroid gland are palpated for any nodules or diffuse enlargement. Mobility of the thyroid gland with swallowing was assessed with palpation. Nodules arising from the thyroid gland typically move with swallowing. Examination of the thyroid gland is completed by palpating the regional cervical lymph nodes for any enlargement. inspecting his rate, and rhythm and I checked for chest symmetry with inspiratory and expiratory movement. After the inspection, I listen to the heart sound using the diaphragm and bell of the stethoscope depending on what I am listening for. I listened at the aortic, pulmonic, tricuspid, mitral areas, and Erb\u2019s points respectively. I also listened for carotid pulses checking for bruits; I listened to lung sounds. I palpated and compared the rate, rhythm, and quality of arterial pulses bilaterally, including the carotid, radial, brachial, posterior tibialis, and dorsalis pedis pulses. I check for skin tenting or swelling, using the palm of my hand I check at the mitral area for the presence of heaves or thrill. I palpated the anterior and posterior chest for tactile fremitus while asking her to say 99. I percussed the chest, and clear, low-pitched sounds were heard in all areas. I asked about past medical history, any past hospitalizations, or surgeries.<\/p>\n
Questions asked include:
\n\u2022\tDo you have a past medical history of blood pressure, stroke, heart attack, and COPD? Yes, he has a family history of blood pressure
\n\u2022\tDo you have a family history of Thyroid disease or lung infection such as pneumonia or tuberculosis?
\n\u2022\tDo you have any difficulty swallowing?
\n\u2022\tAny pain around your neck?
\n\u2022\tDo you have any chest pain?
\n\u2022\tAny shortness of breath?
\n\u2022\tDo you have difficulty breathing?
\n\u2022\tDo you Smoke?
\n\u2022\tDo you take alcohol?
\n\u2022\tAny swelling on your feet?
\n\u2022\tHave you ever thought of killing your self<\/p>\n
Techniques used are:
\nInspection
\nPalpation
\nAuscultation<\/p>\n
Subjective Data:
\n\u2022\tPatient has a past family history of heart disease
\n\u2022\tPatient denies any allergic reaction to medication or food.
\n\u2022\tPatient denies swelling of the feet
\n\u2022\tThe patient taking any medications blood pressure
\n\u2022\tReports taking the yearly flu vaccine, up to date on the COVID vaccine<\/p>\n
Objective Data
\n\u2022\tInspect his neck, asks Mr. Brown to dorsiflex (extend) the neck, and swallow a sip of water.
\n\u2022\tPalpation of the thyroid gland by standing behind the patient. Both lobes and the isthmus of the thyroid gland are palpated for any nodules or diffuse enlargement. Mobility of the thyroid gland with swallowing was assessed with palpation. Nodules arising from the thyroid gland typically move with swallowing.
\n\u2022\tListen to the patient\u2019s heart and lung sounds. No murmurs or rubs were heard in the heart sound; lung sounds were clear.
\n\u2022\tInspected chest expansion. Chest expansion is rhythmic and symmetrical during inspiratory and expiratory breathing.
\n\u2022\tPulses were 2+ bilaterally in all extremities, capillary refill <3 seconds, no swelling, tenting, or pitting was noted.
\n\u2022\tNo heaves or lifts were noted in the sternum and anterior chest wall<\/p>\n
References
\nKaltenboeck, A., & Harmer, C. (2018). The neuroscience of depressive disorders: A brief review of the past and some considerations about the future. Brain and Neuroscience Advances, 2, 2 39821281879926. https:\/\/doi.org\/10.1177\/2398212818799269
\nZaidi, S. R., & Sharma, S. (2022). Pressure Ulcer. StatPearls Publishing. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK553107\/
\nShahid, M. A., Ashraf, M. A., & Sharma, S. (2022). Physiology, Thyroid Hormone. StatPearls Publishing. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK500006\/
\nSkyler, J. S., Bakris, G. L., Bonifacio, E., Darsow, T., Eckel, R. H., Groop, L., Groop, P., Handelsman, Y., …& Ratner, R. E. (2017). Differentiation of Diabetes by Pathophysiology, Natural, History, and Prognosis. American Diabetes Association, 66(2), 241-255. https:\/\/doi.org\/10.2337\/db16-0806
\nvon Lilienfeld-Toal, M., Wagener, J., Einsele, H., Cornely, O. A., & Kurzai, O. (2019). Invasive Fungal Infection. Deutsches Arzteblatt International, 116(16), 271-278. https:\/\/doi.org\/10.3238\/arztebl.2019.0271<\/p>\n","protected":false},"excerpt":{"rendered":"
Physiology homework help nursing writing In this third and final submission of your Course Project, you will be completing a comprehensive care plan. This written\u2026<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8968,8959,8960,8964,8969,7685,8965,8970,8967,8963,8962,8971,1470,8966],"tags":[7678,631,7679,7682,7677,7681,7656,7680],"class_list":["post-101423","post","type-post","status-publish","format-standard","hentry","category-australia-nursing-writing-help","category-criminal-justice-essay-writers","category-criminology-paper-writing-service","category-essay-roo","category-healthcare-case-study-help","category-my-assignment-help","category-need-nursing-assignment-help-in-australia","category-nursing-assignments","category-nursing-essay-help-by-australian-academic-writers","category-nursing-essay-writing-help-australia","category-nursing-homework-assignment-help","category-nursing-writing-helpers","category-reliable-nursing-writing-help","category-treat-assignment-help","tag-best-custom-paper-writing-service","tag-best-paper-writing-services","tag-help-writing-papers-for-college","tag-paper-help-writers-term-write","tag-paper-writing-help-free","tag-pay-people-to-write-papers","tag-someone-to-write-my-paper","tag-write-my-paper-for-free"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/101423","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=101423"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/101423\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=101423"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=101423"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=101423"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}