The nurse first to prepare to administer protamine sulfate while receiving heparin to treat a pulmonary embolus.
How much heparin is given for pulmonary embolism?Heparin in a stable low dose of 5000 U SC every 8 or 12 hours is an effective and safe form of prophylaxis in medical and surgical patients at the chance of venous thromboembolism. Low-dose heparin lowers the risk of venous thrombosis and fatal PE by 60% to 70%. Heparin works by operating antithrombin III to slow or prevent the progression of DVT and to reduce the size and frequency of PE.
Heparin does not solvate existing clots. Unfractionated heparin most usually is used to treat patients with PE, although LMW heparin also is safe and effective. Only enoxaparin and tinzaparin have received formal FDA approval for use in the treatment of PE.
So we can conclude that The majority of patients with acute PE are still treated with heparin products, most commonly intravenous unfractionated heparin.
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upon assessment of a client's wound, the nurse notes the formation of granulation tissue. the tissue bleeds easily when the nurse performs wound care. what is the phase of wound healing characterized by the nurse's assessment?
The proliferation phase is the phase of wound healing characterized by the nurse's assessment
During the proliferation phase, granulation tissue, which is made up of a sizable number of fibroblasts, granulocytes, macrophages, and blood vessels in combination with collagen bundles, replaces the temporary wound matrix created during haemostasis. The wounded skin's structure and functionality are somewhat restored as a result.
Proliferation entails "rebuilding" the wound with fresh collagen and granulation tissue made of extracellular matrix, which is where angiogenesis—the development of new blood vessels—occurs.
The development of granulation tissue, epithelialization, and neovascularization are characteristics of the proliferative phase. This stage might last for a while. The wound is at its strongest during the development and reconstruction phases.
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a 64-year-old man has sought care because of recent lower leg pain that occurs when he walks and diminishes when he rests. the nurse recognizes that this patient is experiencing intermittent claudication. what should the nurse suspect from this finding?
The nurse suspect from this finding as the nurse recognizes that this patient is experiencing intermittent claudication i that he affected person has arterial insufficiency to his decrease extremities.
Claudication is mostly a symptom of peripheral artery disease, wherein the arteries that deliver blood to the palms or legs, normally the legs, are narrowed. The narrowing is normally because of a buildup of fatty deposits (plaques) at the artery walls.
Intermittent claudication is muscle ache that occurs while you're energetic and forestalls while you rest. It's normally a symptom of blood glide issues like peripheral artery disease. Over time, this will worsen and result in severe fitness issues and complications.
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nurses work to serve the population, and they know that which priority population needs to be served by care coordination?
Nurses work to serve the population, and they know that most vulnerable and the frail population needs to be served by care coordination.
Health equity is achieved when everyone has a fair and just opportunity to be as healthy as possible. Nurses are well positioned to play a major role in addressing the underlying causes of poor health by understanding and recognising the wide range of factors that influence how well and long people live, helping to create individual- and community-targeted solutions, and facilitating and working with interdisciplinary and multi sector teams and partners to implement those solutions. Nurses have the potential to reshape the landscape of health equity over the next decade by expanding their roles, working in new settings and in new ways, and markedly expanding efforts to partner with communities and other sectors.
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a study aims to evaluate a smoking cessation program between two groups. the first group received one supportive phone call from a nurse 10 days after attending an educational program. the second group received weekly phone calls from a nurse after attending an educational program. what is the dependent variable?
Since the smoking cessation program is the outcome (the dependent variable), exclusion of smoking behavior is correct.
What are the most successful smoking cessation programs?A smoking cessation program is an individualized treatment plan to help you quit smoking. A smoking cessation program provides personalized support to stop smoking. This includes: One-on-one consultation with a MinuteClinic provider. Recognized as one of the most effective smoking cessation programs in the country, Freedom From Smoking has helped hundreds of thousands of people quit smoking permanently and is now available in a variety of formats. What is the initial treatment for smoking cessation?First-Line Therapy - First-line pharmacotherapy for smoking cessation includes nicotine replacement therapy (NRT), varenicline, and bupropion. These treatments are aimed at reducing nicotine withdrawal symptoms and making it easier to quit smoking.
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psilocybe mexicana and psilocybe cubensis are examples of 1. anticholinergics. 2. psychoactive mushrooms. 3. plants containing mescaline. 4. poisonous fungi.
Psilocybe mexicana and psilocybe cubensis are examples of: psychoactive mushrooms. It is because psilocybin is obtained from Teonanacatl mushroom.
What is a psychoactive mushroom?Psychoactive mushroom, psilocybin mushroom, commonly known as the magic mushroom is a group of fungi that releases psilocybin to increase the dopamine in our brain. The psilocybin from this mushroom works by fostering a greater connection between different regions of the user’s brain and freeing them from excessive self-focus. It also activates the serotonin and dopamine receptors. They work similarly to LSD and affect our brains the same way. Because of this effect, magic mushrooms are used for medicines to recreational drugs.
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the nurse is caring for a client who is a newly diagnosed type 1 diabetic. the client appears willing to learn how to manage the disease by stating, 'i will take insulin regularly to maintain my blood sugar levels. which inference would the nurse make from this information?
The inference the nurse should make from this is that the client is extrinsically motivated with self determination.
Diabetes type 1 is a chronic illness also referred to as juvenile diabetes or insulin-dependent diabetes. The pancreas produces little or no insulin in this situation. Insulin is a hormone that the body utilizes to let glucose (sugar) into cells where it can be used to make energy.
Type 1 diabetes may be brought on by a variety of factors, including genetics and some viruses. While type 1 diabetes typically first manifests in childhood or adolescence, it can also strike adults.
There is still no cure for type 1 diabetes, despite much research. The goal of treatment is to prevent problems by controlling blood sugar levels with the use of insulin, food, and lifestyle changes.
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which extrapyramidal side effect is noted by a client who has bradykinesia and a shuffling gait?
Answer:
My answer would be tremors.
the nurse understands that which of the following medications will be administered to the client for 6 to 12 weeks following prosthetic porcine valve surgery?
a) Warfarin
b) Digoxin
c) Furosemide
d) Aspirin
assessment of an older adult reveals that the client is experiencing loneliness. when developing the plan of care for this client, which intervention would be most appropriate for the nurse to include to address this problem?
The intervention which would be most appropriate for the nurse is -Referring client to the nearest senior center.
Loneliness is an unpleasant emotional response to perceive the isolation. Loneliness is also described as the social pain – a psychological mechanism which motivates the individuals to seek social connections.
It is often associated with the unwanted lack of connection and intimacy. Loneliness overlaps and yet is distinct from the solitude. Solitude is simply the state of being apart from the others, not everyone who experiences solitude feels lonely.
As a subjective emotion, loneliness can be felt even when the person is surrounded by other people.
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which stage of a client's grieving is the family likely to require more emotional nursing care than the client?
The stage of a client's grieving is the family likely to require more emotional nursing care than the client is known as the stage of acceptance.
What is the stage of acceptance?The stage of acceptance deals with the frequent detachment of the client from the environment who may become indifferent to family members.
In addition to this, the family of the client may take some longer time to accept the inevitable death of the respective client and make it possible for others as well.
Therefore, the stage of acceptance is the stage of a client's grieving is the family likely to require more emotional nursing care than the client.
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a nurse is caring for a client at a health care facility who is undergoing nicotine withdrawal therapy and has been prescribed a nicotine patch. which is true with regard to the application of a transdermal patch?
If a nurse is caring for a client at a health care facility who is undergoing nicotine withdrawal therapy and has been prescribed a nicotine patch, then the statement the patch is applied to a skin area with adequate circulation is true with regard to the application of the transdermal patch (Option 2).
What is a nicotine patch?A nicotine patch is a medically approved treatment against smoking, which is one of the most important causes of death in the world and it is associated with lung cancer among others health complications.
Moreover, a transdermal patch can be defined as a medical tool attached to the skin in order to release a drug in a progressive way.
Therefore, with this data, we can see that a nicotine patch is used to avoid smoking and it should be applied to a skin area with adequate circulation in order to ensure the appropriate release of the medication.
Complete question:
A nurse is caring for a client at a health care facility who is undergoing nicotine withdrawal therapy and has been prescribed a nicotine patch. Which is true with regard to the application of a transdermal patch?
A new patch is placed in exactly the same location as the previous one.
The patch is applied to a skin area with adequate circulation.
The patch is mostly applied to lower parts of the body.
The drug becomes inactive immediately after the patch is removed.
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the nurse is providing dietary instructions to the client with anemia. the client tells the nurse that the iron pills are very expensive, and it will be difficult to pay for the pills and buy the proper food. what is the most appropriate nursing response?
The nurse who is giving dietary instructions to the client dealing with anemia should instruct the client that the client will be fine as long as he takes Iron pills.
In the question, it is stated that the nurse is dealing with a client who is suffering from Anemia. The nurse is providing dietary instructions to the client. The client has an issue regarding difficulty maintaining the expenses of pills and proper food.
In such a situation, the nurse should instruct the client to continue the Iron pills and not stop them as it regulates the Iron level in the body. The nurse should tell the client that the situation will be fine as long as Iron Pills are included in his diet.
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the nurse is caring for a 3-year-old girl who is hospitalized following repair of a fractured femur. the child's parents have asked that the hospital chaplain visit this sunday. based on the child's developmental stage, what activities would be appropriate during the chaplain's visit? select all that apply.
The activities that would be appropriate during the chaplain's visit are:
Reading of a short prayerChurch hymns being sungMaking religious figure drawingsWhat is femur?
The femur is the bone in your thigh. This is the longest and most durable bone in your body.
The upper leg bone or the rear leg is the femur, also referred to as the thighbone. At the acetabulum, the head and hip come together as a ball-and-socket joint.
The ligamentum teres femoris, located in the socket, as well as powerful surrounding ligaments, keep the head in place.
Usually, a femoral shaft fracture results in excruciating agony very away. The wounded limb won't be able to bear weight, and it can appear deformed—shorter than the other leg and no longer straight.
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The nurse determines that teaching has been effective when the mother makes which statements about administering levothyroxine (Synthroid) to her infant child?
Select all that apply.
a. "I will give the medication with meals three times a day."
b. "I can mix the medication in a small amount of applesauce for my infant."
c. "Levothyroxine therapy will help resolve the symptoms of diarrhea, and weight loss."
d. "I can dissolve levothyroxine in a small amount of water and administer by syringe to the infant."
e. "I understand the dose of levothyroxine may change as my child grows."
f. "I understand the dose of the medication is changed based on lab values."
The nurse determines that teaching has been effective about administering levothyroxine (Synthroid) to her infant child when the mother makes the statement that "I can mix the medication in a small amount of applesauce for my infant."
Levothyroxine tablets is also crushed and suspended in five to ten milliliters of water before administration. The suspension ought to lean imme- diately by a spoon or pipet. The crushed pill may additionally be wet over atiny low quantity of food (applesauce or hard-boiled cereal).
Levothyroxine (Synthroid) is a artificial version of the T4 hormone created by your endocrine. Thyroid hormones have necessary functions like dominant metabolism, blood heat, heart rate, and more.
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a primary health care provider's prescription reads acetaminophen liquid, 450 mg orally every 4 hours prn (as needed) for pain. the medication label reads 160 mg/5 ml. the nurse prepares how many milliliters to administer 1 dose?
14mL is prepared by the nurse for a single dosage.
By adding a zero to the percentage quickly do this. Next, multiply the concentration by the desired dosage.
The nurse prepares the patient for the recommended primary care, once the dosage has been provided.
(Desired ÷ Available) × Volume = mL per dose
(450 mg ÷ 160 mg) × 5mL = 14mL
The typical time it takes for oral, liquid, and tablet acetaminophen to begin functioning is 45 minutes. In around 20 minutes, the orally disintegrating pills begin to function. Rectal suppositories may take up to two hours to begin functioning.
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a case-control study was carried out to assess the impact of estrogen treatments on endometrial cancer. a total of 230 women with endometrial cancer, and a total of 170 control subjects were recruited into the study
In order to assess the impact of estrogen treatments on endometrial cancer, a case-control study was conducted. This study recruited 230 women with endometrial cancer and 170 control subjects. This content from above text consists entirely of statements, with no associated questions. As a result, the responses will solely address what endometrial cancer is.
What is endometrial cancer?Endometrial cancer is a type of cancer that develops in the uterus. Endometrial cancer starts in the layer of cells that makes up the uterine lining (endometrium). Endometrial cancer is also known as uterine cancer. This type of disease is typically found at an early stage since it frequently causes irregular vaginal bleeding. If endometrial cancer is diagnosed early, surgically removing the uterus often resolves it.
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The combining form that means urea nitrogen is?
Using the theories of nitrogen, we got that the combining form that means urea nitrogen is Azot.
Nitrogen is very reactive element. It actually belong the p-block elements in periodic table. Its atomic number is 7 and atomic mass is around 15g.
Urea contains the following atoms.
1. 4 hydrogen
2.1 carbon
3. 1 oxygen
4.2 nitrogen
The molecular weight/ molar mass/urea mass of urea is and its density is . It appears as a white solid and its melting point is . Urea mainly consists of the nitrogen, carbon, and oxygen. It turns into the urine in the concentrate form.
Hence, The combining form that means urea nitrogen is Azot.
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the nurse should advise a client with iron deficiency anemia to take which action in order to prevent staining of the teeth?
To avoid tooth staining when taking the liquid supplement in blood cells
the nurse should advise the client with iron deficiency anemia to use a straw or place a spoon at the back of their mouth.
Anemia is a disorder in which the blood does not contain enough healthy red blood cells. Iron deficiency anemia is a prevalent type of anemia. The body's tissues receive oxygen through red blood cells.
Iron deficiency anemia, as the name suggests, is brought on by a lack of iron. Your body needs iron to produce enough of a component in red blood cells that makes it possible for them to carry oxygen (hemoglobin). Thus, iron deficiency anemia may make you feel lethargic and breathless.
Iron supplements are typically effective in treating iron deficiency anemia. Sometimes extra iron deficiency anemia tests or treatments are required, especially if your doctor detects internal bleeding.
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mark is experiencing the following symptoms after taking a drug: he feels an initial rush of ecstasy, has great self-confidence and has lost all his worries and fears. at the same time, he is feeling drowsy and relaxed. which of the following drugs is mark most likely to have taken?
Based on the symptoms that Mark is experiencing, the drug that he is most likely to have taken is HEROIN. Mark experiences an initial rush of ecstasy, has a high level of self confidence, and has overcome all of his worries and fears. He is drowsy yet calm at the same time.
What is heroin?Heroin is a highly addictive morphine-based drug. It can be smoked, inhaled, or injected. Heroin is a depressant drug, meaning it slows down some functions of the brain and nervous system. Feelings of well-being and relief from physical discomfort are some of the immediate effects of heroin.
Heroin is highly addictive. The body adapts to regular heroin usage and may become dependent on the substance to operate "normally."
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a 39-year-old male sustained a stab wound to the groin during an altercation at a bar. as you approach the patient, you note that he is conscious, is screaming in pain, and is attempting to control the bleeding, which is bright red and spurting from his groin area. you should:
In this case apply direct pressure to the wound is the best option you have
Apply direct pressure on the cut or wound with an easy fabric, tissue, or piece of gauze till bleeding stops.
If blood soaks thru the material, don’t get rid of it. put more material or gauze on pinnacle of it and retain to apply pressure.
If the wound is at the arm or leg, raise the limb above the coronary heart, if possible, to help slow bleeding.
Wash your arms once more after giving the first useful resource and earlier than cleansing and dressing the wound.
Do not apply a tourniquet except the bleeding is severe and not stopped with direct pressure.
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the nurse is preparing a subcutaneous dose of bethanechol prescribed for a client with urinary retention. before giving the dose, the nurse checks to see that which medication is available on the emergency cart for use if needed?
Atropine Sulfate is the drug on the emergency cart that can be used if necessary.
A cholinergic overdose might occur if bethanechol chloride is administered. Atropine sulfate, an anticholinergic, is the remedy and should be accessible in case of overdose.
The treatment for acetaminophen overdose is acetylcysteine. Heparin's antagonist is protamine sulfate. The warfarin-antidote is vitamin K. (Coumadin).
Atropine Sulfate is used to relax smooth muscles and prevent nerve activation of glands and muscles. Additionally, it is utilized to speed up the heartbeat, lessen secretions, and alleviate the side effects of several toxins. It is a specific kind of tropane alkaloid and antimuscarinic agent.
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your patient has been injured by a fall down a flight of steps. he is alert and oriented but complains of back and neck pain. you immobilize him on a long spine board with a cervical collar on his neck as a precaution because you know that the:
A patient who has been injured by a fall down a flight of steps who is alert and oriented but complains of back and neck pain is immobilized on a long spine board with a cervical collar on his neck as a precaution because you know that the cervical spine is the most vulnerable part of the spine.
What is the spine?The spine encompasses the bones, muscles, tendons, and other tissues that reach from the base of the skull to the tailbone.
The spine encloses the spinal cord and the fluid surrounding the spinal cord.
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which specialized care training would the nurse include when preparing families of high-risk newborns for discharge?
The specialized care training that a nurse would prepare the families of high-risk newborns for discharge is the respiratory evaluation as it is the highest priority for newborn care.
What is high-risk newborn care?The high-risk newborns is the group of newborns who will very likely develop a severe acute condition or disease. Neonatologists are faced with the high-risk newborns which represents the majority of patients admitted to the neonatal intensive care units in the hospital.
Newborns are highly susceptible to infections, and thus prevention is required. The prevention of infection constitutes a major part of nursing care and parent teaching. The Cracks in skin, particularly on the newborn's hands, feet, and the umbilical cord, are the most vulnerable sites for infection. In every newborn contact, the respiratory evaluation is necessary as this is the highest priority in the case of newborn care. They can easily get respiratory tract infections which could cause dead.
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10.In what situations should one attempt to correlate the glucose results with the ketone results?
The circumstance which may warrant correlating glucose results with the ketone results is a condition is ketoacidosis.
What is meant by ketoacidosis?Ketoacidosis simply refers to a medical condition which makes the blood system to be more of acidic concentration as a result of high level of ketones in the blood glucose levels.
That being said, the results of glucose and tests when they correlate together is sometimes considered ketoacidosis condition. This condition is also known as diabetic ketoacidosis.
In conclusion, it can be deduced from above that high levels of glucose and ketones in the blood is a serious life threatening health condition.
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The situation in which one should attempt to correlate the glucose results with the ketone results is when glucose is in short supply, to better manage diabetes.
What is Diabetes?This refers to the medical condition that a person has when the pancreas is unable to produce insulin which leads to excess blood sugar in the bloodstream.
Hence, it can be seen that based on the insulin resistance or inability of the body to produce insulin and regulate blood sugar, this is the reason why there is an urgent need to correlate the glucose results with the ketone results
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the nurse working on a pediatric floor understands the importance of diagnosing inborn errors of metabolism early. a child with a suspected problem must have blood urea nitrogen (bun) and creatinine testing done. which is the purpose of these two tests?
The purpose of these two tests is creatinine take a look at is used to peer in case your kidneys are running normally. It's regularly ordered along side every other kidney take a look at known as blood urea nitrogen (BUN) or as a part of a complete metabolic panel (CMP).
Creatinine is determined in serum, plasma, and urine and is excreted via way of means of glomerular filtration at a steady charge and withinside the identical awareness as in plasma.
Creatinine is a extra dependable indicator of renal characteristic than BUN due to the fact it's far much less inspired via way of means of different elements including weight-reduction plan and hydration.
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a 49-year-old client is admitted to the emergency department frightened and reporting hearing voices telling the client to do bad things. which intervention should be the nurse’s priority?
The nurse’s priority for a client is admitted to the emergency department frightened and reporting hearing voices telling the client to do bad things is to administer a neuroleptic medication.
Antipsychotics, additionally called neuroleptics or neuroleptic medication, are a category of mind-altering medication primarily wont to manage psychopathy, primarily in psychosis however additionally in a very of different psychotic disorders. They're additionally the mainstay along side mood stabilizers within the treatment of emotional disturbance.
When a client reports that he or she is hearing voices, it's necessary for the nurse to grasp that the voices have intending to the client, however acknowledge to the client that the nurse doesn't hear the voices.
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in choosing between two types of canned soup with regard to the best source of calcium, what information would you look for?
The information you would seek for is the Percent Daily Value for calcium when deciding which of two varieties of canned soup is the best source of calcium.
The 2,000 calories per day requirement for adults is used to calculate percent daily values (DV). They are nevertheless helpful as a sign that a food is high or poor in a particular nutrient even if you are eating less or more than that. A food is regarded as poor in a nutrient if it has less than 5% of the DV. A food may be marketed as "an excellent source" of a nutrient if it contains 10 to 19% of the DV, and as "rich" in a nutrient if it contains 20 percent or more of the DV. Try to find foods that are low in sodium and cholesterol and abundant in vitamins and minerals. The fact that an item can be labelled "trans-fat free" if it contains less than 0.5 g per serving is meaningless because there are no daily values for either trans-fat or sugar.
The most prevalent mineral in the body, calcium, can be obtained as a dietary supplement and is added to various meals and medications (such as antacids). Calcium carbonate and calcium citrate are the two types of calcium that are seen in supplements the most frequently. The solubility rate of calcium carbonate is reduced in individuals with low stomach acid, which may limit calcium absorption from calcium carbonate supplements unless they are taken with a meal. Calcium citrate can be taken without food since it absorbs calcium less dependently on stomach acid than calcium carbonate.
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the nurse is assessing a newborn with heart failure before administering the prescribed digoxin. in reviewing the laboratory data, the nurse notes that the newborn has a digoxin blood level of 1.6 ng/ml (2.05 mmol/l) and an apical heart rate of 90 beats/min. the mother also tells the nurse that the newborn just vomited her formula. which intervention should the nurse take?
A newborn's apical pulse rate ranges from 120 to 160 beats per minute. Digoxin levels should be between 0.5 and 0.8 ng/dL (0.64 and 1.02 mmol/L) for therapeutic purposes. The nurse would withhold the medicine and inform the medical professional since the patient's apical pulse rate is low and their blood level of digoxin is elevated, which indicates toxicity.
Heart failure is treated with digoxin, typically in combination with other drugs. Additionally, several forms of irregular heartbeat are treated with it (such as chronic atrial fibrillation). Treating heart failure may increase your heart's durability and maintain your capacity to walk and exercise. Your capacity for exercise may also be improved by treating an irregular heartbeat. Digoxin is a member of the cardiac glycosides class of drugs. It functions by having an impact on certain minerals (sodium and potassium) within cardiac cells. As a result, the heart is put under less stress and is better able to keep up a regular, steady beating.
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the nurse is aware of the importance of synchronization of the atrial and ventricular events in the maintenance of normal cardiac function. what are the physiologic characteristics of the nodal and purkinje cells that provide this synchronization? select all that apply.
Purkinje cells have different physiological characters related to cardiac function.
they conduct cardiac action potentials more quickly and efficiently than any other cells in the Heart's electrical conduction system.
Purkinje fibers allow the heart's conduction system to create synchronized contractions of its ventricles and are essential for maintaining a consistent heart rhythm.
Cardiomyocytes of Purkinje are part of whole complex of cardiac conduction system, which is today classified as specific heart muscle tissue responsible for the generation of the heart impulses.
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after moving a 36 week pregnant trauma patient to your stretcher, you note she sudden becomes pale and her blood pressure decreases to 90/42. you should first:
A 36-week pregnant trauma patient is transferred to your stretcher, and you observe that she suddenly turns pale and her blood pressure drops to 90/42. We ought to check her into an urgent care facility.
What does pregnancy mean medically?The term "pregnancy" is used to describe the time when a fetus develops inside a woman's uterus or womb. From the last menstrual cycle to delivery, the average pregnancy lasts roughly 40 weeks, or just over 9 months. Trimesters are the names given to the three phases of pregnancy by healthcare professionals.
Do medical emergencies arise when pregnant?Life-threatening emergencies require ambulances; labor is not one of those situations. It's vital to go over the symptoms of a typical labor with your midwife while you're pregnant.
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