EJ is a 28-year-old female. She is being admitted for Gastric Bypass Surgery. She is 5’6 and 265pounds. She has a history of Diabetes and hypertension; she is not on any medications at this time.What do you understand by Gastric Bypass Surgery?What client education topics are important to reinforce for this client?How will this client’s diet be advanced?What complications can occur after this surgery?What is Dumping Syndrome and what are some interventions to help prevent itsdevelopment?
Dobutamine is the medication for the 5th week.is a medication used in the treatment of cardiogenic shock and severe heart failure. It may also be used in certain types of cardiac stress tests. It is given by injection into a vein or intraosseous as a continuous infusion.This will be done weekly and according to what we will be studying for that week, and will begin Week 2, and end Week 9.Each student will be responsible for preparing one presentation on pharmacological management of the disease or pharmacological applications of a drug or group of drugs.Each student will clearly write a title for this topic. Examples are ‘Pharmacological Management of Deep Vein Thrombosis and/or Pulmonary Embolisms Using Anticoagulants/Thrombolytics and Nursing Implications’ or ‘Pharmacological Effects of Anti-hypertensive Medications in the Management of Hypertension and Nursing Implications’.Nursing Implications are the nursing related consequences and what you as the nurse should be looking for in the treatment and care of your patient.Students must get their title approved by the professor before the deadline shown in your schedule. Unapproved titles will not be acceptedThe presentation must identify the Pharmacodynamic properties and actual/potential effects on the patient.This is worth 20 points.Submission Details:Submit your assignment to the Submissions Area by the due date assigned.
Dobutamine is the medication for the 5th week.is a medication used in the treatment of cardiogenic shock and severe heart failure. It may also be used in certain types of cardiac stress tests. It is given by injection into a vein or intraosseous as a continuous infusion.This will be done weekly and according to what we will be studying for that week, and will begin Week 2, and end Week 9.Each student will be responsible for preparing one presentation on pharmacological management of the disease or pharmacological applications of a drug or group of drugs.Each student will clearly write a title for this topic. Examples are ‘Pharmacological Management of Deep Vein Thrombosis and/or Pulmonary Embolisms Using Anticoagulants/Thrombolytics and Nursing Implications’ or ‘Pharmacological Effects of Anti-hypertensive Medications in the Management of Hypertension and Nursing Implications’.Nursing Implications are the nursing related consequences and what you as the nurse should be looking for in the treatment and care of your patient.Students must get their title approved by the professor before the deadline shown in your schedule. Unapproved titles will not be acceptedThe presentation must identify the Pharmacodynamic properties and actual/potential effects on the patient.This is worth 20 points.Submission Details:Submit your assignment to the Submissions Area by the due date assigned.
In this journal assignment, reflect on your learning this week, identifying the role information management plays on improving patient care technologies.In addition, reflect on the forces that are driving healthcare toward the increased use of healthcare information technologies in patient care. Are there also forces resisting this progression? What challenges are we facing in healthcare as a result of the growing use of health information technology?Attached below is a lecture to be used to help answer questions above.
The Assignment (Evidence-Based Project)Part 3: Advanced Levels of Clinical Inquiry and Systematic ReviewsCreate a 6- to 7-slide PowerPoint presentation in which you do the following:Identify and briefly describe your chosen clinical issue of interest.Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.Provide APA citations of the four peer-reviewed articles you selected.Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.
Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.To Prepare:Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.By Day 3 of Week 3Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.
Reflect back over the past eight weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #4, the MSN Essential II, and the NP Core Competencies #2.Program Outcome #4Integrate professional values through scholarship and service in health care. (Professional identity) – As a Advanced Nurse PractitionerMSN Essential II: Organizational and Systems LeadershipRecognizes that organizational and systems leadership are critical to the promotion of high quality and safe patient care. Leadership skills are needed that emphasize ethical and critical decision making, effective working relationships, and a systems perspective. (Nurse Practitioner)NP Core Competencies# 2 Leadership CompetenciesAssumes complex and advanced leadership roles to initiate and guide change.Provides leadership to foster collaboration with multiple stakeholders (e.g. patients, community, integrated health care teams, and policy makers) to improve health care.Demonstrates leadership that uses critical and reflective thinking. (as a nurse practitioner)Advocates for improved access, quality and cost effective health care.Advances practice through the development and implementation of innovations incorporating principles of change.Communicates practice knowledge effectively both orally and in writing.Participates in professional organizations and activities that influence advanced practice nursing and/or health outcomes of a population focus. (I’m from Florida)
In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results. How comfortable are you with the thought of becoming involved with such matters?Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?In this Discussion, you will reflect on the role of professional nurses in policy evaluation.To Prepare:In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.Review the Resources and reflect on the role of professional nurses in policy evaluation.Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate inpolicy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.4 to 4 References
Week 5 DiscussionDiscussion TopicTop of FormBottom of FormGuidelines: Support your responses with scholarly academic references (added at the end) using APA style format. Assigned course readings and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples that demonstrate a clear connection to the readings.Discussion QuestionConsidering your role specialization (nurse educator, nurse informatics, nurse administrator, and family or adult-gerontology NP), identify the top three current trends or issues that you believe to be most important with regard to your chosen role and the impact the role has one patient outcomes. Synthesize knowledge from values theory, ethics and legal regulatory statutes, anddevelop your personal philosophy for a career as an advanced practice nurse in DQ1.Incorporate the content of Week 5 ( audio-visuals) .Note: Review South University’s Online Participation Policy, Helpful Tips, and Late Work Guidelines available by clicking on the South University Policy and Guidelines navigation tab under Course Home. The late policy applies to late discussion question responses.Week 5Article and VideosRead the following peer reviewed article. Incorporate key points in your DQ 1 and any other assignment.A Day in the Life: Nurse Johnson & Johnson Nursing Campaign Mystery Box Unboxing ( https://www.youtube.com/watch?v=rgojAOyPvfk&list=PLU05He9EuwhlRCO5iVPgjeA7-K1lE3Y8X )Strech, S., & Wyatt, D. A. (2013). Partnering to lead change: Nurses’ role in the redesign of health care. Association of Operating Room Nurses.AORN Journal, 98(3), 260-6. doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1016/j.aorn.2013.07.006A Day in the Life: Nurse Educator A Day in the Life – Susan, Nurse Educator, MSN, RN, Ph.D. Candidate ( https://www.youtube.com/watch?v=Z_sG4GRtP-o )A Day in the Life: Family Nurse Practitioner A Day in the Life – Steve (Family Nurse Practitioner) (https://www.youtube.com/watch?v=d-kL1OFbCC8 )A Day in the Life: Palliative Care NP A Day in the Life – Lauren (Nurse Practitioner- Palliative Care) ( https://www.youtube.com/watch?v=dYvL_KhG_YM )What is Nurse Informatics? Nursing Informatics in Two Minutes ( https://www.youtube.com/watch?v=scY_9w-p0y4 )Nurse administrator talks about leadership in a hospital system Meet Clarian Health Chief Nurse Executive ( https://www.youtube.com/watch?v=oi1oCcnxvio )The Role of the Midwife The role of a midwife – 24/7 case loading midwife and what they do. ( https://www.youtube.com/watch?v=-XVcI168IeI )CRNA Career Profile – Nurse Anesthetist ( https://www.youtube.com/watch?v=AygysDUSMfk )
Case Study, Chapter 13, Fluid and Electrolytes: Balance and Disturbance1. Mrs. Dean is 75-year-old woman admitted to the hospital for a small bowel obstruction. Her medical history includes hypertension. Mrs. Dean is NPO. She has a nasogastric (NG) tube to low continuous suction. She has an IV of 0.9% NS at 83 mL/hr. Current medications include furosemide 20 mg daily and hydromorphone 0.2 mg every 4 hours, as needed for pain. The morning electrolytes reveal serum potassium of 3.2 mEq/L.What are possible causes of a low potassium level?What action should the nurse take in relation to the serum potassium level?What clinical manifestations might the nurse assess in Mrs. Dean?2. Conrad Jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. During the interview, he describes attending a family reunion and states that perhaps he “ate something bad.” Upon admission his vital signs are a temperature of 102.7°F, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm Hg. The nurse also notes the patient has dry mucous membranes and tenting of skin. The physician orders an IV to be started with 0.45% normal saline, and orders a serum electrolytes and an arterial blood gas.The following results are returned from the laboratory:Sodium (Na+) 150Potassium (K+) 5.5Chloride (Cl¯) 110BUN 42Creatinine 0.8Glucose 86pH 7.32PaCO2 35HCO3¯ 20PaO2 90O2 Sat 98%What is your interpretation of this arterial blood gas sample?Explain the high potassium in this patient.Calculate the patient’s anion gap:What is the interpretation of this anion gap?
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