Long et al., states that numerous studies indicate that a combination therapy with drugs of different classes is more effective than a single dose treatment (2009). Also, Apfel et al., suggest in their study that increasing the number of antiemetics reduces the incidence of PONV from 52% when no medication is given to 37%, 28%, and 22% when one, two, or three anti-nausea drugs are administered (2004). Use of multiple medications to decrease the incidence of PONV will improve patient outcomes
Vertigo and Its Treatment In our everyday lives, we almost take for granted this idea of balance or equilibrium that is maintained within our bodies. In general, no real thought processes are required. It is only when something is disturbed within our balance system that one is able to take notice of changes in the equilibrium. There may be several different factors that cause a disturbance to our bodies. One major area pertains to dizziness. Dizziness is found to be "the chief complaint in
PHULWANI DI #4 (SIMULATED): Question : Patient from local jail with a substance abuse history is being treated with sumatriptan injections and ibuprofen tablets. Sumatriptan or any other 5HT-1 agonists are non formulary. What other medications could be used in this patient? SUBJECT : Discussion of therapies other than triptans for treatment of migraine headache in a patient with a substance abuse history. Introduction: Opiates, ergot alkaloids, corticosteroids, dopamine antagonists or NSAIDs and
Working with children who have cancer is both one of the most challenging and humbling experiences of my professional and personal life. Some of my most remembered patients were the children and families that I cared for from their initial cancer diagnosis, through chemotherapy treatments, to remission or unfortunately occasionally death. This is an area that I am truly passionate about and it is essential that all nurses be an active part of the healthcare team in order to ensure safety and accuracy
Headaches Headaches are a neurologic disorder that causes pain to any region of the head, scalp, face and neck area. Determination of the type of headache primary or secondary is necessary for proper treatment. A complete history to include age needs to be obtained to include family history, furthermore information on frequency, location, duration, time of day, precipitating factors, related factors, and types of medications used, a must be took in account to identify the specific headache. Factor
Implicit bias is the inadvertent or unconscious negative or positive assessment of a group and its members relative to another group. Since such bias is not directed by one’s intention or awareness, recognizing and controlling it presents challenges (Fitzgerald & Hurst, pg.71). A number of studies have been conducted on implicit bias within the healthcare field and its effect on quality of care, clinical judgment, and patient outcomes. “The National Institute of Health ranks this issue third among
symptoms of fatigue, weight loss, nausea, and vomiting. Based on my assessment, as part of my interdisciplinary team, I would include Mrs. Paul’s primary physician, dietary, physical therapy, and palliative care team. Her physician can prescribe antiemetic medications for the nausea and vomiting, and blood work to determine her metabolic state. The nurse should approach the primary physician and explain her findings and Mrs. Paul’s concerns, signs and symptoms,
Labyrinthitis Overview: The labyrinthitis is an inflammatory disease of the ' inner ear, whose main symptoms are dizziness, nausea and loss of balance. Inflammation of the labyrinth, which is that part of the inner ear that governs our sense of balance, it is in usually caused by an infection of viral or bacterial origin. Causes: Labyrinthitis can happen to individuals of all ages. It can be brought about by an assortment of elements, including: 1. Respiratory diseases, (for example, bronchitis)
Postparathyroidectomy Management The immediate postoperative management of the postparathyroidectomy patient focuses particular attention on the airway. The patient must be observed to ensure that there is no expanding hematoma in the surgical wound. Antiemetics should be used to limit nausea and vomiting, which could also lead suture dislodgement. The majority of endocrine surgeons used to place their patients on oral calcium supplementation, which can be weaned over the course of a few weeks.40. Howevr
1 Organizing Veterinary Drugs For my final essay, I will be classifying different veterinary drugs we use daily into proper categories to help others learn and study each group to know which type of drug is necessary. The categories I will be explaining today are some of the more crucial drugs we use daily on animals and should be well known and categorized for optimal treatments. These include the following: 1. Analgesic opioids and anesthetics are common pain-relieving drugs and help us induce
from hypovolemia. Cool and clammy skin, decreased skin turgor, dry mucous membranes, increased capillary refill time are signs of hypovolemia. I would start two IV lines and would be prepared to administer IV fluids along with antidiarrheal and antiemetic medications as per doctor’s order. Rationale: Volume loss requires rapid replenishment. Medications would treat the cause of the problem. Most of antidiarrheal drugs act by suppressing the GI motility, thus increasing fluid absorption and increasing
• Discuss the questions that would be important to include when interviewing a patient with this issue. The PQRST mnemonic guide can be used for a complete abdominal pain history is as follows: P3 – Positional, palliating, and provoking factors; Q – Quality; R3 – Region, radiation, referral; S – Severity; T3 – Temporal factors (time and mode of onset, progression, and previous episodes). This mnemonic will help to ensure a thorough history is obtained by asking question such as; 1. Where do you
Pancytopenia a type of anemia that can be define as a decrease in three blood cell types, red blood cells, white blood cells, and platelets. Prior to my pathophysiology course, I had never actually came across a patient in practice with this diagnosis. However, a few weeks ago, as I was receiving report from the off going nurse, she informed me my patient had recently been released from University of Hospital (U of L) with similar symptoms and had been treated for Helicobacter pylori infection. After
Koch, Kathy. "Medical Marijuana." CQ Researcher 20 Aug. 1999: 705-28. Web. 28 Feb. 2012. Levitt, M.; Faiman, C.; Hawks, R.; and Wilson, A. Randomized double-blind comparison of delta-9-tetrahydrocannabinol (THC) and marijuana as chemotherapy antiemetics. Proc Am Soc Clin Oncol 3:91, 1984. Louie, Wason, and Ryan Wippler. "Marijuana: It's Role in the Medical Arena." Alternative Medicine. Creighton University Medical Center, Feb. 2005. Web. 28 Feb. 2012 Tart, C.T. Marijuana intoxication: Common
therapy. A patient should remain on bed rest and receive well balanced nutrition. Patient should be restricted from school and or work until fever is reduced and jaundice diminishes. If patient is vomiting and or has diarrhea, they can be treated with antiemetic medications. Also, an adequate water intake is necessary. An infected person should avoid alcohol and limit consumption of drugs that are damaging to the liver, such as acetaminophen. Hospitalization is rare during the treatment of Hepatitis A.
The study’s methods may be deemed internally valid. Case-control studies are especially vulnerable to selection bias during the selection of cases and controls. This study selected all participants from a population-based surveillance system. Since the presence or absence of NVP, the exposure, had no influence on the registration of NTD cases and matched controls, selection bias due to faulty sampling procedures was minimized. Likewise, the high participation rates (>80%) and low levels of missing
This scenario based assignment will discuss the pre-operative and post-operative care of 56 years old lady name Lucy who will be going under thyroidectomy. Lucy suffers from Graves’ disease and is diabetic. If Lucy was a real patient, her name will not be mentioned in the assignment to maintain confidentiality (NMC, 2008). Holistic assessment will be performed once Lucy is admitted to the ward before surgery. Pathophysiology and essential care of her medical condition will be discussed following
These medical treatments include oral or IV fluids for dehydration and antiemetic drugs for nausea (Leifer, 2011). A combination of Unisome (doxylamine) and Vitamin B6 is effective against nausea and vomiting (Burd, 2015). If the woman cannot eat enough to get the nutrients for herself and for her baby, then total parenteral
Nationalism has had a huge effect on the entire world by inspiring some of the most brutal and destructive wars in history. Nationalism is a form of patriotism and loyalty towards a country. During the interwar years, the Zionist group was trying to end prejudice and discrimination towards Jews. Similarly, Gandhi wanted India to have independence from Great Britain. A country can be nationalist without becoming violent, but many times in the past a strong nationalist country has spiraled into war
without any acid-base disturbances. When there is an increase of sodium bicarbonate, they do not bind with the cation and are reabsorbed causing an imbalance (Schreiber, 2013). Sodium bicarbonate amounts exceed the capacity of the kidneys and cause Antiemetics would be administered to reduce vomiting. 0.9% normal saline at 50-100 ml rate would be given to correct fluid losses. If continuous gastric suction is necessary, an H2 blocker or PPI would be added to decrease gastric secretions and let the stomach