NUR 502
Dialogue 2
Hematopoietic: J.D. is a 37 years ragged white girl who items to her gynecologist complaining of a 2-month historical previous of intermenstrual bleeding, menorrhagia, elevated urinary frequency, soft incontinence, rude fatigue, and weak point. Her menstrual duration occurs each and each 28 days and as of late there had been 6 days of heavy waft and cramping. She denies abdominal distension, assist-ache, and constipation. She has no longer had her frequent vitality stages since sooner than her final pregnancy. Previous Scientific Historical previous (PMH): Upon reviewing her previous scientific historical previous, the gynecologist notes that her patient is a G5P5with four pregnancies interior four years, the final runt one having been delivered vaginally four months in the past. All 5 pregnancies had been unremarkable and with out start complications. All infants had been born wholesome. Affected person historical previous also unearths a 3-year historical previous of osteoarthritis in the left knee, potentially the discontinuance results of sustaining necessary trauma to her knee in an MVA when she used to be 9 years ragged. When asked what OTC medications she is at the second taking for her pain and for the system long she has been taking them, she unearths that she started taking ibuprofen, three tablets day after day, about 2.5 years in the past for her left knee. Due to a slowly innovative develop in pain and a loss of enough reduction with three tablets, she doubled the each day dose of ibuprofen. Upon the advice from her nurse practitioner and on memoir of long-duration of time ibuprofen use can map peptic ulcers, she began taking OTC omeprazole veritably to give up gastrointestinal bleeding. Affected person historical previous also unearths a 3-year historical previous of HTN for which she is now being handled with a diuretic and a centrally performing antihypertensive drug. She has had no outdated surgical procedures. Case Look Questions
1. Title the contributing components on J.D that will build her at risk to manufacture iron deficiency anemia.
2. Right by the case survey, sing the the the explanation why J.D. would possibly well possibly be presenting constipation and or dehydration.
3. Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency would possibly well possibly map on the pink blood cells?
4. The gynecologist is suspecting that J.D. would possibly well possibly be experiencing iron deficiency anemia. In give an explanation for to enhance the prognosis, list and sing the clinical symptoms that J.D. would possibly well possibly like definite for Iron deficiency anemia.
5. If the patient is identified with iron deficiency anemia, what enact you query to salvage as signs of this make of anemia? Listing and sing.
6. Labs results came assist for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; pink blood cells are smaller and paler in coloration than commonplace. Research list and sing for acceptable solutions and coverings for J.D.
Cardiovascular Mr. W.G. is a fifty three-year-ragged white man who began to journey chest discomfort while playing tennis with a buddy. At the start, he attributed his discomfort to the warmth and having had a shiny breakfast. Gradually, nevertheless, discomfort intensified to a crushing sensation in the sternal situation and the pain regarded to spread upward into his neck and decrease jaw. The nature of the pain did no longer appear to commerce with deep respiration. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis accomplice used to be bright that his buddy used to be having a heart attack and known as 911 on his cell cell phone. The patient used to be transported to the ED of the nearest health center and arrived interior 30 minutes of the onset of chest pain. In route to the health center, the patient used to be positioned on nasal cannula and an IV D5W used to be started. Mr. G. obtained aspirin (325 mg po) and a pair of mg/IV morphine. He’s allergic to meperidine (rash). His pain has eased moderately in the final quarter-hour but is nonetheless necessary; used to be 9/10 in severity; now7/10. Within the ED, chest pain used to be no longer relieved by 3 SL NTG tablets. He denies chills. Case Look Questions
1. For patients at risk of increasing coronary artery disease and patients identified with acute myocardial infarct, sing the modifiable and non-modifiable risk components.
2. What would you query to witness on Mr. W.G. EKG and which findings described on the case fit with the extreme coronary event?
3. Having handiest the different to settle one laboratory test to substantiate the extreme myocardial infarct, which would be the most explicit laboratory test you would possibly well well possibly settle and why?
4. How enact you uncover that Mr. W.G temperature has elevated after his Myocardial Infarct, when that can be seen and for the system long? Rotten your answer on the pathophysiology of the event.
5. Impart to Mr. W.G. why he used to be experiencing pain at some level of his Myocardial Infarct. Account for and enhance your answer.
Submission Instruction
It’s most reasonable to whole each and each case research
· Your initial post has to be at the very least 500 words in total, (250 words per case survey), formatted and cited in recent APA model with enhance from a minimal of two tutorial sources PER CASE STUDY which would be no older than 5 years ragged. Your initial post is value 8 aspects.
· It’s most reasonable to answer to at the very least two of your peers by extending, refuting/correcting, or including additional nuance to their posts. Your answer posts are value 2 aspects (1 level per response.)
· All replies must be constructive and use literature such as one intext quotation from one scholarly source.
· You possibly can query feedback from the teacher interior Forty eight to 72 hours from the Sunday due date.
· Slack work policies, expectations referring to ethical citations, acceptable technique of responding to witness feedback, and varied expectations are at the discretion of the teacher.
Rubric
This criterion is linked to a Finding out OutcomeIdentification of Predominant Factors, Concerns, and Ideas
5 to >4.0 pts
Illustrious
Identifies and demonstrates a refined plan of the components, complications, and ideas.
4 to >3.0 pts
Gorgeous
Identifies and demonstrates an performed plan of most components, complications, and ideas.
3 to >0.0 pts
Colorful
Identifies and demonstrates an acceptable plan of most components, complications, and ideas.
0 pts
Poor
Identifies and demonstrates an unacceptable plan of most components, complications, and ideas. Or nothing used to be posted.
5 pts
This criterion is linked to a Finding out OutcomeUse of Citations, Writing Mechanics and APA Formatting Systems
3 pts
Illustrious
Successfully makes use of the literature and varied sources to expose their work. Distinctive use of citations and prolonged referencing. Excessive stage of APA precision and free of grammar and spelling errors.
2 pts
Gorgeous
Successfully makes use of the literature and varied sources to expose their work. Average use of citations and prolonged referencing. Average stage of APA precision and free of grammar and spelling errors.
1 pts
Colorful
Ineffectively makes use of the literature and varied sources to expose their work. Average use of citations and prolonged referencing. APA model and writing mechanics need extra precision and consideration to part.
0 pts
Poor
Ineffectively makes use of the literature and varied sources to expose their work. Unacceptable use of citations and prolonged referencing. APA model and writing mechanics need serious consideration. Or nothing used to be posted.
3 pts
This criterion is linked to a Finding out OutcomeResponse to Posts of Peers
2 pts
Illustrious
Scholar constructively spoke back to two varied posts and either prolonged, expanded or offered a rebuttal to each and each.
1 pts
Colorful
Scholar constructively spoke back to one varied post and either prolonged, expanded or offered a rebuttal.
0 pts
Poor
Scholar offered no response to a perceive’s post.
2 pts
NUR 512
Dialogue 2
Compare the main care NP position with varied APN roles. What are the similarities amongst the roles, what are the variations, and how would you keep up a correspondence the position to a healthcare provider and a consumer?
Submission Instructions:
· Your initial post has to be at the very least 500 words, formatted and cited in recent APA model with enhance from at the very least 2 tutorial sources. Your initial post is value 8 aspects.
· It’s most reasonable to answer to at the very least two of your peers by extending, refuting/correcting, or including additional nuance to their posts. Your answer posts are value 2 aspects (1 level per response.)
· All replies must be constructive and use literature where seemingly.
· You possibly can query feedback from the teacher interior Forty eight to 72 hours from the Sunday due date.
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