Essays on Morphine

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This case study presents J.W., a patient who went to the emergency room of the Community Hospital due to a persistent and severe headache over the last couple of days. Patient displayed signs and symptoms that her condition required blood testing and a head CT scan. However, Nurse Jackie, the nurse assigned to handle the patient’s case, only charted the symptoms but did not act on it or report it. The triage nurse, together with Nurse Jackie, also interviewed J.W. about previous neurological problems, headaches, or incidences of cerebral hematoma. But due to J.W.’s disorientation caused by ...

Thesis Statement: War completely changes soldiers who participate in it. The experiences during war directly affect the mental, physical and emotional behavior of particular individuals who fight in it more so when loss of close friends is involved. Permanent and lasting scars occur to the personality of any soldier which may be relived through nightmares or worse still lose of limbs, faculty of speech or mental trauma. In the Three Day Road, this is exhibited when Xavier and Elijah who are best friends from childhood are separated by the cruelty of war with Elijah consumed as collateral damage in ...

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‘Institution’ 9.1 What if You are struggling with letting Scotty pass? You want the physician to do whatever is possible to help Scotty survive. How can you look past this and accept Scotty’s wishes? As a healthcare practitioner, we will encounter a critical event in the patient’s lives. As part of the healthcare team, we all want our patient to recover and prolong their lives. There will be times that our patient’s will is different from what we want for him. During this situation, as a professional I should know how to disregard my emotion towards ...

Introduction

The United States has over the years continued to establish different laws to help in the fight against drugs. According to Sacco (2014), in 2012 alone, state and local law enforcement agencies apprehended over 1.3 million suspects for drugs related offenses. Although the government has adopted different measures to help in curbing the manufacture, distribution, and access of illegal substances, the number of illicit drugs under the possession of the public has continued to increase over time. This essay examines three harmful drugs considered legal in the late 19th century, including how they were used and later illegalized. What ...

Certainly, Will’s request to reprogram the morphine machine is guided by an ethical right to decide the course of his own death. In Will’s case, in fact, Will has at least a couple of ethical rights to decide the course of his own death, in his case. As an individual, Will has the right to decide what to do with his body and life. That is, the argument can be made that, as individuals have rights about the decisions they make with respect to what they do with their bodies and lives, Will has the right to ...

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Question 1: Pathophysiology of Mr. Jensen’s post-operative hypovolemia

Hypovolemia is a surgical condition that indicates the rapid fluid loss that may result in organ failures. The outcomes of the hypovolemia are mostly due to insufficient circulating volume or scarce perfusion. Often hypovolemia is secondary to hemorrhage the reason of which includes severe internal or external blood loss and GI, thoracic and abdominal bleeding maladies (Devitt, 2001). Hypovolemia involves significant fluid loss other than blood that can be further accompanied by refractory gastroenteritis and widespread burns. Hypovolemia may develop in post-surgical incidence, bone fracture, due to ...

Literature review

Kaasa, S. (2015). Is Cancer Pain Control Improved by a Simple WHO Pain Analgesic Ladder Approach Combined With Tumor-Directed Treatment?.Journal of Clinical Oncology, JCO647537.

Article summary

This article takes into consideration the role that the WHO analgesic ladder plays in addressing cancer pain in palliative care patients. The authors identify that cancer pain occurs in 90% of cancer patients but only half them are under proper pain management. To this effect, therefore, there is the need for applying opioids under the WHO ladder guidelines as a way of addressing cancer pain in oncology care patients.

This is a narrative qualitative research ...

At the point when regularly utilized, opium poppy to mitigate extreme torment viable yet in the event that anomalous utilized it might bring about nerve tip diseases and additionally misery of opiate reliance. Poppy seeds can without much of a stretch be fermented into a foul tasting tea which delivers a sedative impact because of its morphine, codeine, and so forth content. Poppy seeds don't contain morphine, yet when the seeds are removed from the poppy little measures of opium are left on the outside of the seeds. Opium is exceptionally addictive and can bring about death if consideration ...

Ray WA, Chung CP, Murray KT, Hall K, Stein C. Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain. JAMA. 2016;315(22):2415-2423. doi:10.1001/jama.2016.7789.

Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain Wayne A. Ray, PhD1; Cecilia P. Chung, MD, MPH2; Katherine T. Murray, MD2,3; Kathi Hall, BS1; C. Michael Stein, MB, ChB2,3 [+] Author Affiliations JAMA. 2016;315(22):2415-2423. doi:10.1001/jama.2016.7789.

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Abstract ABSTRACT | INTRODUCTION | METHODS | RESULTS | DISCUSSION | CONCLUSIONS | ARTICLE INFORMATION | REFERENCES Importance  Long-acting opioids increase the risk of unintentional overdose deaths but also may increase ...

Marijuana should be legalized for recreational use because it is a relatively safer drug and can help to relieve stress better than smoking cigarettes, plus its common use might prevent people from smoking lethal drugs. Aspirin is used to relieve fever and pain, such as a headache, toothache, the common cold, etc. An overdose or allergic reaction to the drug can cause a rash, heartburn, upset stomach, nausea, gastritis and even lead to bleeding. It may even lead to Reye’s syndrome (WebMD). Morphine and Opioids are used for pain-relief and mostly as analgesics when a person is in ...

Poppy seeds are acquired from the opium poppy. The opium has a smooth sap or latex contains alkaloids, alluded as opium alkaloids, including the opiate specialists, codeine and morphine, that have been utilized by man for the treatment of extreme pain for many years now. Opium alkaloids are likewise subject to abuse. The alkaloids are combined, kept and metabolized in the poppy plant's latex. The latex penetrates all parts of the plant, with the exception of the seeds and is to be found specifically in the pericarp of the case. The latex of the immature cases, which is discharged ...

Abstract

The term "opiate" combines substance extracted from opium, the most important of which is morphine, codeine, papaverine, which is widely used as medicines and paramorphine - used mainly in medical industry to produce medications, as well as synthesized derivatives of morphine, which belong to the semi-synthetic opiates and among which the most famous for their narcotic properties is heroin. Substances, differ in structure from the structure of morphine but operating on a similar mechanism (through opioid receptors), are belonged to the opioids (Kuehn, 2007). A rich lexicon of slang in relation to opiates (especially heroin) reflects not only the " ...

Abstract

The high prevalence of substance use in the society has made more users to depend on opioid drugs to relieve pains and discomfort because of addiction. The problem contributes to high number of hospital visits and increasing admission rates in hospital’s acute care departments. The following paper aims at reviewing the literature on the acute pain management in chronic pain patients and opioid dependent patients. The outcome of the review plays a critical role in the field nursing practice by assisting professionals to develop strategies that help prevent adverse effects for the patient suffering from acute pain. The ...

Nursing intervention

On admission of the patient to the hospital, several interventions will be conducted to help analyze the client's conditions. First, I will review Mrs. J conditions by comparing with other set factors and conditions that stress the heart. If Mrs. J has acute and chronic diseases, the circulation of the blood in the heart may be compromised due to the excessive demand on the heart. Secondly, I will check the client's laboratory data such as cardiac markers, complete blood cell count, creatinine, ABG's. Through monitoring these elements, a clear identification of contributing factors to the client's condition will be ...

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications? 1.IV furosemide (Lasix) 2.Enalapril (Vasotec) 3.Metoprolol (Lopressor) 4.IV morphine sulphate (Morphine) Lasix is used to reduce fluid retention that occurs as a side effect of heart failure. It is additionally used to treat hypertension and lessen effect such as the shortness of breath, swelling of limbs and the abdomen. It is used as an IV to treat the immediate consequences of ...

Objective Data

On April 28, 2016, I cared for a terminally ill patient, S.G., along with a group of nurses. The 84-year-old Caucasian female was admitted for heart failure and failure to thrive. She had a medical history of myocardial infarction, hypertension, and renal insufficiency, had not eaten since two days, and had gained 3 pounds in one week. Although alert to time, S.G. showed decreased consciousness. Her blood pressure was hypotensive (96/56), heart rate was tachycardia (120 beats/minute), and the respiratory rate was tachypnea (24/minute). Physical assessment revealed cold-to-touch lower extremities, crackles over all the lobes, and hypoactive bowel sound ...

Acute coronary syndrome is an umbrella term for a group of clinical symptoms indicative of acute myocardial ischemia. These conditions include non-ST-segment elevation myocardial ischemia (NSTEMI), unstable angina, and ST-segment elevation myocardial infarction (STEMI). These conditions are high-risk manifestations of atherosclerosis in the coronary artery and significant causes of utilization of emergency services and hospitalization (Kumar and Cannon, 2009). STEMI causes 30% of all acute coronary syndromes in Australia (Harper and Lefkovits, 2010). This paper will describe the expected presentation, pathophysiology, ECG findings, pre-hospital management, and initial 24-hour management of STEMI in hospitals settings. These aspects will be described ...

Summary

Over the past few years, there has been a growing interest among neurosurgeons on the potential for therapies that impact on diseases, over and above the movement disorders and pain. One of the biggest targets of this increasing interest has been the nucleus accumbens. It has been studied for long, as an area of the brain that mediates a variety of behaviors, including reward and satisfaction (Salgado & Kaplitt, 2015). With this in mind, the modulation of the biology of the Nucleus Accumbens through either deep brain stimulation or through biological therapies like gene therapy or the transplantation of cells ...

What is Cholecystitis and the common signs and symptoms associated with it?

Cholecystitis is termed for a disease of the gallbladder which is accompanied by the presence of the inflammation of the gallbladder. Most cases of gallbladder are not accompanied by symptoms and people with gallstones would not necessarily develop Cholecystitis. One of the major reasons for Cholecystitis is the blockage of the cystic duct by gallstones. Abdominal pain is a common sign of Cholecystitis but is often associated with the build-up of bile which increases the pressure within the gallbladder (Nikfarjam, M., et al. 2011). The inflammation of the gallbladder is mainly caused due to bacterial infection of the gallbladder ...

Things happen…Indeed, they do happen when you are not waiting for them. And the worst is that bad things happen to you when you are not waiting for them at all, when you are disarmed, they like stab you into your back with a knife, like a traitor…the next feeling is devastation, despair and darkness. These three ‘Ds’ overwhelm you like a big wave and it seems that the world has collapses. Not so long ago I’ve had these very feelings – my world stopped functioning for me. Its engines broke down and the whole system of ‘worldbuiling’ collapsed – ...

Drug abuse has become a worldwide issue, where each and every nation is struggling to control and prevent the ever increasing rate of drugs and substance abuse. As of today, the issue has become part of debate in almost all communities and nations in the world, and the question on who should take charge and how these issues should be solved without major effects on the society at large, has also raised more concern.

Drug and substance abuse refers to a maladaptive pattern of frequent use of a certain drug substance, which is not considered dependent (Abadinsky, 2010). While this definition may ...