Streptokinase Thrombolytic, aka clot buster. One of our TPA (tissue plasminogen activator) used to bust clots in a pt with a stroke from an embolus or a thrombus or is having an MI from a thrombus or an embolus. Problem is if you bust the clot it will bust clots from head to toe giving biggest risk of BLEEDING.
Aminophylline/TheoDur Adrenergic bronciodilators, watch aminophylline levels bc there is I fine line between theraputic and toxic. Dilate pupils so don’t give to closed angle glaucoma. Will make you nervous jittery, decrease caffeine in their diet.
Heparin Anticoagulant, monitor dose with PTT, can be given sub-q or IV. Never ever IM because it will make the muscle bleed. #1 drug when a person has a DVT, must have drug double checked with another nurse before giving. SE: bleeding. Antidote is prodomyicin sulfate.
Morphine Opiate agonist, narcotic analgesic that all narcotics are based upon (prototype) non-ceiling drug, so keep on giving, raise dose for more pain. Used for acute pain such as post surgery and burn pain. But it is also good in severe chronic pain, such as pain from cancer. Comes in tablets (rare), liquid, injectable form, and a PCA pump form. Usual dose 10-12 mg q 2-4 hrs. biggest problem= it is a CNS depressant so need to avoid other CNS depressants (alcohol), can cause resp depression. Do not give is resp are 12 or below. Double check resp in ½ hr (inj)
Digoxin Lanoxin, cardiotonic glycoside. Slows but strengthens the heartbeat, often give a loading dose to get the heart were it is supposed to be and then back off and give a maintanence dose. Usual dose 0.25 mg. always check an apical before giving, if below 60 hold the med and call dr. biggest problem is in older patients where there glomerular filtration rate decreases, they end up with accumulation of this drug, because their ADME is decreased as well as their glomerular filtration. Have a apical pulse of like 40
Marplan MAO inhibitor, used as antidepressant, main concern is a diet that is low in fermented things (beer, cheese) can throw them into a hypertensive state.
Nitroglycerin Coronary vasodilator, used to treat angina, comes in a sublingual tablet to be used in an attack, can us one every five minutes up to 15 minutes, or 3 doses before calling 911. need to replace the bottle every 3 to 6 months, keep in a dark tight container (disenigrates when exposed to air, moisture, or light), come in a bid med, called nitrobid.
The physical properties of sulfur are a bright yellow powder. When it is burned you will see a clear blue flame and it has a strong odor. Sulfur has a melting point of 239.38 degrees Fahrenheit, a boiling point of 832.28 degrees Fahrenheit, and the density is 2.67 g/cm. Sulfur has sixteen electrons, protons, and neutrons. When sulfur reacts with the air it produces a gaseous dioxide. It does not react with water under normal circumstances. Sulfur reacts with halogens when it is heated. Sulfur makes up almost 3 percent of the Earth’s mass. At
Hitting an artery: Arterial pulsation will be felt when palpating the vessel therefore this should not happen. Bright red blood will propel out under force if an artery is penetrated. In this circumstance you should release the tourniquet, take out the needle and apply pressure for five minutes to ensure the stoppage of blood flow (haemostasis). Make sure the site has stopped bleeding prior to the patient leaving. Recommend that they return to the surgery in order to make sure they are fine and checked - a physician should always check the patient before being released. If the patient is an in-hospital patient you need to alert a nurse or on duty doctor who will make sure the patient is checked for any re-bleed.
useful in the relief of mild to moderate pain. It is also used as a cough remedy
There are many options for substance addiction treatment and utilizing medication as a means of eliminating substance use is one that has been called a double edge sword. There are two schools of thought with medically assisted treatment. First, let 's define medication assisted treatment (MAT): “it is the use of pharmacological medications, in combination with counseling and behavioral therapies, to provide a “whole patient” approach to the treatment of substance use disorders. Research indicates that a combination of medication and behavioral therapies can successfully treat substance use disorders, and for some people struggling with addiction, MAT can help sustain recovery” (Watkins, 2016). One side of this treatment option is that it provides that extra little nudge to start recovery with less or more withdrawal symptoms. For example, disulfiram is an alcohol aversion agent, that when taken with alcohol the person becomes very ill (Watkins, 2016). There are also other medications that help with reducing symptoms of withdrawal, such as methadone.
Gentrification is designed to improve the quality of life for the residents, but the fact is that it pushes out old residents to welcome in young and wealthy citizens. To analyze the demographic even further, gentrified neighborhoods in New York City have seen an increase in white population despite a city wide decrease. As Kate Abbey-Lamertz of the Huffington Post states, “The report notes that change is driven by educated people moving in, rather than by existing residents becoming more educated.” These changes are being driven by a millennial demographic who can afford the changed aesthetic. The influx of millennials are pushing out families whose lifestyle can’t keep up with the changing demographic. Even though these changes have been occurring for almost thirty years, and the city hasn’t made the changes needed for people who need low income housing. New York City’s gentrification must be slowed in order for people in low income housing to catch
“The Deeper Problems We Miss When We Attack ‘Gentrification’”exhibit their opinion on the positives of gentrification and the potential of “revitalization” in low-income urban communities. Badger argues that gentrification brings nothing more than further opportunities for urban communities while integrating citizens of different social classes.Furthermore , she continues to question if gentrification is in fact the monster that brings the prior expressions against gentrification where she says “If poor neighborhoods have historically suffered from dire disinvestment, how can the remedy to that evil — outside money finally flowing in — be the problem, too?”(Badger) Stating that the funds generated from sources external that are brought into these communities can’t be problematic. This concept is further elaborated in the article “Does Gentrification Harm the Poor” where Vigdoor list the potential positive enhancements gentrification can have on an urban area in America ,stating that gentrification can
Paracetamol (Acetaminophen) 500 mg, 1-2 tablets 4 hourly PRN: Analgesic with limited anti-inflammatory activity (Woo & Wynne, 2011, p. 887). Used to reduce the pain of
Gentrification does not follow traditional urban growth theory, which predicts ?the decline of inner city areas as monied classes move to the metropolitan fringe.? The traditional economic model of real estate says that wealthy people can choose their housing from the total city market (Schwirian 96). Once these people decide to live in the suburbs, the lower social classes move into the old homes of the upper class, essentially handing housing down the socioeconomic ladder. Gentrification is actually a reversal of this process. For a variety of reasons, many inner city areas are becoming more attractive to the wealthy, and they are selecting their housing in those areas (Schwirian 96). The problem is that now when the wealthy take over poor homes and renovate them, the poor cannot afford the housing that the wealthy have abandoned. Many researchers have argued whether gentrification has truly created problems in cities. I will analyze the arguments for and against gentrification by exploring the subject from both sides.
Stroke can be thrombotic (local formation of a clot), embolic a clot traveling from a remote place in the body), or hemorrhagic (bleeding into the brain). Ischemic stroke is characterized by the sudden loss of blood circulation to an area of the brain, reacting in a corresponding loss of neurologic function. Acute ischemic stroke is more common than hemorrhagic stroke, and is caused by thrombotic or embolic occlusion of a cerebral artery.” Hemorrhagic stroke is less common than ischemic stroke and epidemiologic studies indicate that only 8-18% of strokes are hemorrhagic. However, hemorrhagic stroke is more associated with high mortality rates than mortality in ischemic stroke is.” (Broderick, 2007)
...r of inequality in America, with so much poverty located within such a close proximity to the White House. That being said, gentrification efforts in DC appear to be focused on removing poor people, or at the very least, the visual image of crime, poverty, and corruption as it relates to the most powerful city in the country. Community activist groups have tried time and time again to stop gentrification from affecting their community, but often times, to no avail. What is truly sad is that while this cycle is continually perpetuated as a matter of “haves versus have nots” the way in which this system seems to always disproportionately marginalize one race of people in favor of another, does raise the question as to whether or not gentrification was orchestrated to operate in such a manner; and if so, what are the affected groups going to do about it.
Shorter acting opiods like fentanyl (2 mcg / ml) and sufentanil (0.8 mcg / ml) are used in nurse-controlled or Patient Controlled Epidural Analgesia (PCEA) techniques in combination with low-dose local anesthetic agents.
Nurse staffing is a complex issue. There are many factors which need to be considered when staffing a nursing unit. Evidence shows an association between Registered Nurses (RNs) having decreased workloads and better patient outcomes, including a decrease in patient mortality (Aiken et al., 2011; Needleman et al, 2011; How Lin, 2013; Patrician et al., 2011; Wiltse-Nicely, Sloane, Aiken, 2013). A small percentage of patients expire during their hospitalization as evidence suggests that a portion of these deaths can be attributed to RN staffing levels (Shekelle, 2013). As the reimbursement system for hospitals today emphasizes quality outcomes, this has an increase in the importance of the nurse’s role in patient care (Frith, Anderson, Tseng, & Fong, 2012). The quality of care is effected when there are higher RN-to-patient ratios. Mortality rates can be decreased by 50% or more when there is a lower RN-to-patient ratio. The morale of nursing staff and the hospital’s reputation are effected when there is a large nurse turnover and poor patient outcomes (Martin, 2015; Knudson, 2013). Having adequate nurse staffing levels saves lives (Martin, 2015). The purpose
Potent pain medication contains the aspects of utilizing medications such as morphine or demerol, how the medications are dispensed, and t...
These medicines are selected on the basis of symptoms and with every symptom the medicine is changed. This is a or treatment based on unique manifestation, by this statement you will manage your any kind of disturbance which has taken place in your vital force. These medicines don’t treat the disease rather it improves your body is a vital force will be with any kind of disease organically.
The purpose of this paper is to address the issue of nursing staffing ratios in the healthcare industry. This has always been a primary issue, and it continues to grow as the population rate increases throughout the years. According to Shakelle (2013), in an early study of 232,432 surgical discharges from several Pennsylvania hospitals, 4,535 patients (2%) died within 30 days of hospitalization. Shakelle (2014) also noted that during the study, there was a difference between 4:1 and 8:1 patient to nurse ratios which translates to approximately 1000 deaths for a group of that size. This issue can be significantly affected in a positive manner by increasing the nurse to patient ratio, which would result in more nurses to spread the work load of the nurses more evenly to provide better coverage and in turn result in better care of patients and a decrease in the mortality rates.