NR 508 Week 1 Discussions 1 (Part Three) Recent

discussion part three

emily subsequently returns to your clinic 5 months later, and decides to inform you that within the first 3 months after treatment, she struggled with a severe bout of depression. instead of returning to your clinic to be prescribed, yet another pharmaceutical, she consulted her herbalist who told her about the anti-depressant, over-the-counter, herbal formulation, st. john’s wort. NR 508 Week 1 Discussions 1 (Part Three) Recent

she decided to begin taking st. john’s wort in conjunction with her prescribed oral contraceptive medication, and she has now reappeared at your clinic because she is pregnant, and is distraught about how this occurred since she took her oral contraceptive compliantly since its prescription.

why then, is she pregnant?
please include detailed pharmacological mechanisms of how this occurred, and your subsequent steps in her management.

discussion part one

cynthia is a 65-year-old african american female who presents to the clinic for a check-up. her last examination was ~5 years ago. she has no specific, significant, or urgent complaint. she explains that her only issues are thirst, fatigue, and leg numbness and tingling, which is beginning to occur more often. you decide to do a physical exam, as well as draw labs and receive the following results: NR 508 Week 1 Discussions 1 (Part Three) Recent

social history: no smoking or alcohol consumption.

physical examination:

gen: well nourished, slightly obese female

vs: bp 180/103 hr 73 rr 13 t 98.4 weight 90 kg, height 5’6”

heent: perrla

cor: rrr, nmrg

chest: cta

neuro: monofilament test shows decreased peripheral sensation

ext: normal

laboratory (fasting):

na 139 meq/l

k 3.8 meq/l

alt 34 u/l

ca 9.1 mg/dl

cl 102 mmol/l NR 508 Week 1 Discussions 1 (Part Three) Recent

hco3 22 meq/l

ast 39 u/l

tp 6 g/dl

bun 33 mg/dl

scr 2.0 mg/dl

alb 4.1 g/dl

cholesterol 254 mg/dl

bg 300 mg/dl

tsh 0.12 mu/ml

ua: sg 1.013 mg/24h, ph 6.5, +++ protein

what are the major problems in this patient, and what diagnoses do these values indicate?

additionally, what is your assessment and pharmacological plan for each of these problems including the medication, dose, and mechanism of action? NR 508 Week 1 Discussions 1 (Part Three) Recent

Description

Please, I need “Concept Map DM (Diabetes Mellitus), NURSING 450 CARE PLAN WORKSHEET map” to be done based on the Case Study 91 which I uploaded. I uploaded the step 1, 2, 3, 4 to follow to do it.

I uploaded the “step 1, 2, 3, 4 to follow in order to do it. I uploaded the grading criteria to look and see how it is going to be graded. So, you have to follow the grading criteria as well in order to do it correctly. I uploaded the template map which is “NURSING 450 CARE PLAN WORKSHEET map” and it is the one that you are going to fill out and as well as the “Concept Map DM.”

To make it easier for you to follow, I am going to upload two examples that another student have already done which you can follow as a guide, remember not to put what is in the student example, it is there just as a guide because he is in the same class as me, if you put his information in my work, they will consider it as plagiarism which is bad. NR 508 Week 1 Discussions 1 (Part Three) Recent

Please see instructions below for more information on how to do the homework. Thank you so much.

Description

Please answer all the questions in Case Study (Questions #1-14), and please do the Stroke Concept Map.

Please see instructions in the files below for more information on how to do the homework. Thank you so much. Note: this concept map steps that I uploaded it is not based on stroke case, it is another case different than stroke. I just put it there, just for you to follow in order to do the stroke concept map NR 508 Week 1 Discussions 1 (Part Three) Recent