Essays on Dizziness

1. COPD: COPD exacerbation (in-patient): Administer Duoneb (albuterol/ipratropium) q6H once the patient is stable to prn, prednisone 40mg qd x 5days, abx (IV levo). Similarly, once the stable switch to po. Closely monitor the patient for any side effects of fever. Follow up the patient in 7-10days to assess infection. Discharge: when discharging the patient, give her Tiotropium / Olodaterol 2.5 – 2.5 mcg to be taken once daily while at home. Also give the patient to carry home 90 mcg albuterol rescue inhaler, to take 1-2 puffs every 4-6 hours prn 2. Chronic COPD: Continue giving the patient ...

Main Risk Factors for Cardiovascular Disease

According to the World Heart Federation (WHF, 2016), the majority of cardiovascular disease (CVD)’s etiology stems from risk factors that can easily be controlled or managed or modified although a few other risk factors cannot be controlled. For that matter, the risk factors can be grouped into two broader categories (I) modifiable factors and (II) non-modifiable factors. For the modifiable factors, they include hypertension, cholesterol, unhealthy diets, obesity and overweight, physical inactivity, and the use of tobacco (WHF, 2016). On the other hand, the non-modifiable factors include age; the risk of CVD increases with age because as a ...

Age: 34 Yrs

LMP: October 28, 2015 EDC: August 10, 2016 Gestation: 40 weeks Obstetric History: Elena is a 34-year-old female who presents to the maternity clinic with labor pains. The client is a G3 P3 T3 A0 L2. The previous children were delivered by normal vaginal birth. She had a pre-pregnant weight of 137 lbs and a current weight of 176 lbs.

First Stage of Labour

The patient reports that contractions started seven hours ago at home. The contractions are regular occurring after approximately five minutes with a duration of 45 to 60 seconds. The cervical dilation is at 6cm. After two hours, the contractions ...

Scenario

In the case study provided, the patient, a 12-year-old, presents at the clinic after having hit her head while playing soccer. The mother denies any instance of loss of consciousness, but notes that the child seems “loopy” and cannot recollect what happened immediately after the fall. She collided and fell on her back on the ground. The patient denies vomiting or diplopia but admits a significant headache since then. Neurologic examination and physical examination are all normal and negative respectively. There are three possible diagnoses for this patient;

Differential diagnosis

Concussion: In the event of a fall or a collision that ...

Vestibular Projections

Vestibular projections in the central nervous system consist of vestibular end organs which communicate with the brain stem and the cerebellum via the vestibular branch of the eighth cranial nerve. These nerves are also connected to the auditory fibers. Thus damage caused to these structures can cause both vestibular and auditory disturbances. The vital function of the vestibular system is to coordinate head and eye movements. The ability of the eye to stay focused on an object even while the head is moving is brought about by the vestibular system.

Vestibular Cochlear Nerve

The vestibulo cochlear nerve or the auditory nerve is ...

According to the NHS complementary therapies, also referred to as complementary and alternative medicine, CAM, are interventions against ailments that do not fall under mainstream medicine. However, NHS purports that there is a difference between ‘complementary’ and ‘alternative’ therapies, although the terms are always used together. The National Center for Complementary and Integrative Health, NCCIH, gives a distinction between the two terms. A therapy is referred to as complementary when it is used alongside conventional medicine. Alternative therapy replaces conventional treatment, becoming the main intervention for a patient. This paper will focus on complementary therapies and how they impact ...

Risk Assessment

Teaching Plan A Model of Care Delivery to Reduce Falls in a Major Cancer Center Teaching Outline Objectives of Teaching Plan The person who will read this teaching plan will be able to: Describe falls Describe risk factors for falls Implement effectual interventions for prevention of falls Appropriately respond to the hazards of falls The Lesson This will be a learning guide for the colleagues and interdisciplinary team members. This guide will have all the necessary information like patient issue, risk factors, statistics, prevention and suggestions related to falls. This could help in fall prevention.

Preventing Falls in a Major Cancer Center

Patient Issue Falls are ...

Hit and run homicide

A hit and run are normally defined as being involved in a vehicle accident with either a pedestrian, another vehicle or an object and escaping from the scene without being identified or give any assistance to those in need. It is mostly defined by leaving the scene whether you caused the accident or not. However, if you return to the scene maybe you had gone to access emergency assistance will not be considered as a hit and run. In a hit and run accident, there are several wound and injuries that are common and they assist in reconstructing the ...

Cardiovascular diseases are the illnesses of heart and blood vessels (arteries and veins) (World Health Organization). In fact, there are many different diseases of the cardiovascular system, but I would like to highlight the most common.

Arrhythmia

Arrhythmia is a condition in which the frequency, rhythm and sequence of heart contractions are violated. The symptoms occur because of various congenital anomalies, acquired diseases of the cardiovascular system, as well as under the influence of vegetative, hormonal or electrolyte disturbances and as a result of the adverse drug action. Violated heartbeat, weakness and fainting are frequent companions of arrhythmia. The diagnosis ...

Abstract

Traumatic brain injury (TBI) is the bruising of the brain due to an impact received on the head. The brain injury can be termed as primary if its caused directly by the impact blow or secondary if its caused by reaction processes such as swelling due to inflammation. Common types TBI include hematomas, contusions, diffuse axonal injury (DAI), concussion, and coup/contrecoup lesions. The type of injuries are characterized by symptoms such as dizziness, headaches, amnesia, loss of consciousness, going into a vegetative state or a coma or death in extreme cases. There is no clearly defined body of knowledge ...

First Shift (4/7) - 8am to 4pm

I started at C-MED and then I moved to dispatcher and call taker. Basically, C-MED controls the ambulances and ER, and connects them in one line. During my shift, I observed that sixteen ambulances were directed to the Bay State Hospital, four ambulances to the Mercy Hospital, and just one call was directed to the Holyoke Hospital. Two hours later, I moved to dispatcher and using a headphone listened to how the dispatcher contacts the EMS crew. I observed how the dispatcher balanced ALS and BLS in the city, and sent ambulances to the scene. Also, I observed whether ...

Surgical Anesthesia

Pharmacology and Indications Licocaine Licocaine is a type of medication used with an aim of numbing tissues and nerves within a given area of the body, which provides that anesthetic effect for the body. The most popular brand names for this particular drug are xylocaine and lignocaine. Some of the common effects associated with this particular medication include drowsiness, muscle twitching, nausea, and confusion (1). The severity of the side effects depends wholly on a patient’s reaction to the chemical composition of the drug. Regarding its mode of action, licocaine works by blocking the voltage-gated Na+ channels, which ...

Epilepsy is a neurological disease characterized by seizures that impair the nervous system. The seizure may be defined as an interruption in the electrical conductivity in the brain

WHAT ARE THE CAUSES, RISK FACTORS AND SYMPTOMS OF EPILEPSY?

Cause and risk factors The exact cause of epilepsy in many sufferers remain unidentified . Approximately two-third of the epilepsy cases present no cause. Children are more susceptible relative to adults to suffering from epilepsy with unknown cause. There are risk factors that may predispose some individuals to epilepsy and include damage to the head or brain, tumor of the brain, Alzheimer’s disease, brain infections such as meningitis, and lack of ...

People now a day’s complaint a lot about lifestyle diseases that include blood pressure related problems, heart problems, diabetes and many more. Hypertension (High Blood Pressure or HBP) is a condition signifying raised blood pressure that affects around 78 million adults in United States alone (Go et al, 2013 p.3). This cardiovascular condition takes a huge toll of life around the globe. At times, people are not even aware of them suffering from this condition. Rest other conscious cases do not necessarily have their condition under control even after regular medications. Management of HBP is not only dependent ...

Issue Summary:

The population issue that I presented was the Heart disease. This refers to the class of diseases which entail the blood vessels, the heart or a combination of such. This is any of the disorder or disease relating to the cardiovascular system, mainly cardiac disease as well as the vascular disease of kidney and brain. This also involves the disease which affects the peripheral arteries. The heart disease is mainly caused by hypertension and atherosclerosis or a combination of both. Aging is also associated with morphological and physiological changes which alters the functioning of the cardiovascular system. This will therefore lead ...

As a nurse, I was attached to the patient because of his loneliness. As much as the subject was on his deathbed, I felt compelled to develop a relationship with him although of his unresponsiveness. The patient, Mr. Z is an old man of almost 88 years with no wife. His wife died about 14 years ago living him with two children a son and a daughter who both reside in New York. I developed a personal knowing of the patient when I spent some time with him at the hospital as his nurse. Although he had clearly lost his power of hearing, I ...

Definition

Panic disorder refers to a disorder whereby an individual experiences sudden and spontaneous attacks of anxiety and fear. The panic attacks lead to agoraphobia, which is the feeling of anxiety that one gets for the fear of being in situations where one cannot get help in case of a panic attack. These situations include, but not limited to, being in crowds, being left alone or being near bridges.

Clark’s theory of catastrophic interpretations

According to Clark’s theory, panic attacks are caused by faulty and maladaptive interpretations of the sensations within the body. For example, sensations that are normal to healthy individuals can be perceived as ...

A health professional has the responsibility of ensuring maximum safety for all individuals within an organization regardless of their gender and backgrounds. Based upon the scenario the investigation process requires adequate resource for it to be effective. Therefore, the health officer is obliged to take into consideration the importance of setting up a communication process that would facilitate identification of potential or possible causes for the employees’ dizziness and feeling sick. This would increase the chances of conducting effective and proper evaluation of workers allegations. It is fundamental to state the major reasons for conducting an investigation. This normally takes ...

(City, State)

Introduction

Blood pressure refers to the force exerted by the blood on the walls of the artery. Measuring the blood pressure is done in mmHg or millimeters of mercury and is given by two numbers. The number on the top shows the maximum pressure that is exerted by the heart while beating also known as systolic pressure. The bottom number shows the quantity of pressure in the arteries between heartbeats also known as the diastolic pressure. The difference that occurs between the top number and the lower one is referred to as the pulse pressure. Heart rate is ...

Introduction

Pregnancy is a momentous event in a woman’s life. However, it can also be overwhelming because of the changes that is undergoing through a woman’s body that generally involves a significant amount of hormonal changes. Given all these physical, physiological and emotional changes, it is natural that a pregnant woman could experience significant amount of sensations and discomforts. One of the causes of this discomfort is the increase in weight that a pregnant woman has to put up because of increased appetite and the additional mass associated with the growing fetus. However, there are instances when the weight gain becomes uncontrolled and it ...

Heart failure is mostly described as a chronicle disease where the heart is unable to pump the blood sufficiently to the body, with other terms like congestive cardiac failure often been used interchangeably. Some of the symptoms are leg swelling, excessive tiredness and breath shortness. Breath shortage is mostly the worse since lying down and sleeping at night is difficult. Most of the common causes that lead to heart failure are blood pressure, atrial fibrillation and valvular heart disease. These causes lead to failure in functioning of the heart structure mainly due to left ventricular and fain normal ejection fraction. ...

Meadowbank TAFE

HLTAP501A/B/C Analyze Health Information HLTCOM510B Provide Services to Clients with Chronic Disease or Conditions PATHOLOGY ASSIGNMENT –ASTHMA– Abstract Asthma is a chronic problem that influences lung function. Clinically asthma is identified by the variation in expiratory airflow and abnormal respiratory symptoms such as wheezing, chest congestion, cough, and shortness of breath. The aetiology of asthma is linked to a mixture of genetic and environmental factors, though; heredity or atopy also plays a role in asthma. Asthma is categorized into two types: extrinsic (allergic) and intrinsic (nonallergic). Allergic asthma is an outcome of the reaction of an antibody ...

Analysis of NSAIDs non-selective take (Ibuprofen and Naproxen)

Health impact of many diseases leaves a potential consequence on the quality of life (QOL). The frequency at which such impact occurs could vary from one disease condition to the other. Affected individuals need to encounter physical and psychological distress. However, scientific advancements have made a progress in alleviating such problems. Especially, pharmaceutical science has become a reliable branch to cater the needs of people who suffer from illnesses. Understanding the efficacy and other properties of various drugs is important for the better therapeutic application of pharmacy. In such context, the present description deals with highlighting about Analysis of NSAID take by ...

Fall 2014

Assignment Questions - Identify TWO medications that the doctor might prescribe to you to help relieve the pain you complain of in your legs? Describe what each of these medications is prescribed for, the form they are available in, their side effects, possible adverse effects and the contraindications. You MUST choose medications that would be safe for you, the client to use (consider the current health issues). (8 marks) Pain medications help relieve pain and can have side-effects. Acetaminophen is an example of a common pain reliever. NSAIDs (Non-steroidal anti-inflammatory drugs) and narcotics are other types of pain ...

Introduction

Nurses are responsible for delivering quality health care services that are acceptable to the patients. Since patient expectations and standards change frequently, quality improvement is an important part of nursing practice. The aim of quality improvement (QI) is to improve service level and promote patient outcomes. This paper is a quality improvement project that focuses on preventing falls in the mental health unit. Falls are an inherent risk for psychiatric patients such especially those with eating disorders. The objective of this paper is to improve quality of health care services by reducing falls in the mental health unit among patient ...

Introduction

The human cardiovascular system includes the heart and the blood vessels. The heart is a hollow, four chambered organ. Internally, it is divided into the upper and the lower chamber called the atrium and the ventricle respectively. The blood vessels include arteries, arterioles, capillaries and veins. The arteries carry the blood away from the heart. Arterioles regulate the blood flow to a particular region of the body. Capillaries allow the diffusion of oxygen and nutrients from the blood to the tissues. Veins function in supplying blood from the periphery back to the heart. When blood exerts a hydrostatic pressure against the walls ...

- Most frighteningly, because many of these painkillers cause slow breathing and because teens have a tendency to mix painkillers, they can even cause teens to die. - Of course the primary effect painkillers have on teens is to make pain subside. - The lucid effect painkillers provide also encourages teens to use them recreationally. - Over half of teens using painkillers do not actually need them, but only use them as a source to get high. - Continuous use of painkillers to get high may be thought to be harmless by some but it is not. ...

CLC Assignment: Home Visit with Sallie Mae Fisher CLC Assignment: Home Visit with Sallie Mae Fisher

Part A: Home Visit Essay

Introduction Sallie Mae Fisher, 82 had been discharged after three day hospitalization to treat increases dyspnea, weight gain and angina. She has a history of congestive health failure (CHF), atrial fibrillation and hypertension. She is windowed and lives alone with limited family support since her daughter has a full time job and personal family problems. A home visit is conducted after her discharge to evaluate her status. In this essay, the identified problems are prioritized and rational interventions discussed to ensure that Ms. ...

Literature Review

An appraisal is a document that gives explanation about something or someone and aims at giving the value of quality of that particular thing or person. In this essay, the appraisal of the above- mentioned article would be outlined in details. However, before the highlight of this book is done, it would be fundamental to carry out a brief comparison with other related literatures. Here, the comparisons would be done between the article and at least four other articles. The first article to be looked into is the ‘Effects of surgery, general anaesthesia, and preoperative epidural analgesia on the immune function ...

Introduction

The body is made up of various organ systems which perform various functions. One of this is the urinary system which is responsible for excretion of various metabolic wastes. An important organ in the urinary system is the kidney. In the kidney, blood undergoes ultra filtration; nutrients such as glucose are reabsorbed back while waste products such as urea and excess water form urine which is excreted. The kidney maintains electrolyte and water balance in the body. During sustained physical activity, the body looses a lot of water through sweating. This disrupts the electrolyte balance in the body and leads ...

Congestive heart Failure

Overview of the condition Congestive heart failure develops when the heart cannot pump sufficient blood to the body. The pumping power of the heart becomes weak making the blood move via the blood vessels at a slow rate increasing the pressure in the heart. The heart may respond to weakening of blood vessels by becoming stiff and thickened. Heart failure therefore makes the body fail to get enough nutrients and oxygen to meet the demand. The kidney may respond to heart failure by retaining salts and water, and this fluid may build in the ankles, arms, legs feet, lungs ...

In medical terminology, the term “addiction” is used to refer to the state in which the body becomes physiologically dependent on a substance and the mind becomes psychologically dependent on a substance, such drug substances. Removal of these drug substances usually causes withdrawal symptoms in people who are dependent on them. Addiction on drug substances can be both physiological and psychological, and despite the distinction between these two forms of addiction, they tend to overlap. Physiological dependence on a drug substance refers to the state in which someone becomes so dependent on the substance that characteristic withdrawal symptoms begin to appear ...

Introduction:

Definitely everyone experiences anxiety. This is because it is a normal and important emotion, channelling through stirrings of agony, apprehension, and definite alarm that hazard or an unexpected, menacing revolutionize is near. In this essence yet sometimes anxiety becomes an embroidered, unhealthy response. It is in this essence that we do explore anxiety among the teen, which is more reactive depending to the diverse situations presented. Anxiety is a term generally used to refer to stress or excessive worry about the tasks that you are supposed to do. It mainly results from money and job worries as well as extreme ...

Psychiatry in the Film Industry

Introduction Cinema is a medium used to entertain people. It portrays many issues about the society, science and various myths. It depicts different psychiatric disorders such as suicide and drug abuse to schizophrenia and personality disorders. Gone are the days when films were used to negatively portray psychiatric conditions. Nowadays films are used for educational purposes as well as to change the negative attitude towards people with psychiatric conditions. Film portrays that even psychiatric people are geniuses and that they can solve complex problems. Mental conditions are portrayed in different ways in the film industry. Film is used to ...

Introduction

Most educated people are aware that substance abuse – using recreational drugs or regularly consuming excessive amounts of alcohol can lead to addiction and/or cause a number of harmful effects. This paper discusses those effects which are wide ranging, can affect the health and the safety of the subject and the subject’s family and friends, and can lead to criminal activity and even the death of the subject.

The Research

- General definition of the problem. Excessive use of drugs and/or alcohol is collectively termed “substance abuse” – a recognized disease. A Florida Institute of Technology article “Facts about Alcohol and Drug Abuse” ( ...

Outline I. Air on commercial airline cabins is a combination of circulated and outside air. 1. Low humidity, 2. The requirement for cabin pressurization, 3. Possible exposure to ordinary biological and chemical contaminants B. Perform a careful scientific survey to make sure that rules governing the quality of air in business aircraft cabins are sufficient to care for public health 1. Formulate a system that regularly checks the air in the cabin to ensure it is safe for the travelers. II. Number of air travelers has almost quadrupled in the last 3 decades.

A. Number of young and old passengers has risen

1. People ...

The patient, 89 years old, was admitted because of a stroke. No family brought her to the care facility. Age seems to contribute to the stroke. Patient has also diabetes. The blood sugar after conducting tests was at 5.1, which is stable. Based on the patient’s medical history, the patient has experienced hypertension, TIA, CHF and Atrial fibrillation. Monitoring for the patients ECG was done every 48 hours. The weight of the patient was done weekly, and in case, it increased, the doctor was to be notified. Body assessment was done. She indicated signs of depression. There was weakness ...

M.P. is an 83-year-old white female who began taking furosemide 20 mg PO twice daily approximately 2 weeks ago for peripheral edema. She is being admitted to a medical surgical floor following complaints of being exhausted and a physician diagnosis of dehydration. She has been getting up several times each night to use the bathroom. The swelling in her ankles has markedly improved; however, her laboratory values and assessment indicate the need for an admission for hydration and electrolyte balance. The physician has ordered furosemide 20 mg IV daily upon admission.

Keywords: furosemide, edema, diuretic, hypotension

Furosemide Management Plan

Furosemide is a “water pill used to reduce ...