I. Introduction of EB problem to be researched The topic of choice is urinary catheters. Many patients have or will have catheters in their hospital stay or in their lifetime. Catheters come in a variety of different types of shapes and tips. A one-way catheter also known as a “straight cath” is a quick way to get urine out of the bladder for clean collection or to just remove urine. The one-way catheter does not have a balloon at the tip, therefore, it does not remain in the patient. The two-way
1.2 PROBLEM STATEMENT Care of critically ill patient in the ward is a challenging process especially in the low resource countries. This is due to deficiency/ inadequate specialized or competent skilled personnels and absence of monitoring of patients closely. As the nurses are in constant contact with patients, they are in prime position to identifying problems at an early stage with the use of systematic patient assessment According to the standard of care, systematic assessment framework is
In Leviticus, a section of the Torah, it says that ailments like skin diseases mean that there is something wrong with that person. The disease was a punishment for a sin that the afflicted person committed. Now this is quite ironic because there are many diseases that affect mainly Jews. These include diseases such as Tay-Sachs disease, Bloom Syndrome, Cystic Fibrosis, Polyglandular Syndrome, and much more. These genetic studies of Jewish genetic diseases would be nowhere without a person that some
1. List the structures and functions of the cardiovascular system. Do not forget blood and vessels are part of this system. The cardiovascular consists of the heart, blood vessels and blood. It has three functions one of them is that it transports nutrients, oxygen and hormones to cells throughout the body and removes wastes such as carbon dioxide and nitrogenous waste. It also regulates the body’s temperature, fluid pH and water contents of cells. And also it protects it by white blood cells, antibodies
Warfarin Going to Kill Us Too? Texas Ag Commissioner, Sid Miller, has recently approved the use of Warfarin, a poison, to eradicate hogs. Although this seems like a good idea, it has previously been shown to have detrimental effects on unintended animals, otherwise known as non-target species. Similar types of poison such as Compound 1080 have previously been used in New Zealand, but it had adverse effects. Not only did it poison non-target bird species and mammals, it also poisoned nine invertebrate
currently does not provide any direct, hands-on patient care; instead, the nurse educates patients for health related issues over phones. The nurse notices that one of her patients, an 89-year-old male, takes Warfarin, an anticoagulant therapy, after a cardiovascular disease was diagnosed. Warfarin inhibits the enzyme vitamin K epoxide reductase to prevent the reduction of vitamin K, which is a step necessary for activation of clotting factors II, VII, IX, and X (Van Berkel, Crannage, & Murphy, 2013)
aspirin and ibuprofen because she already taking Warfarin. This would cause her blood to thin out too much and cause internal bleeding. That's why they have to watch out for bruises and purple toes and fingers. There are two types of Warfarin, one activates clotting factor and the other slows down the clotting factor. Warfarin works against the liver to produce Vitamin K, which is needed for the proteins that help blood clotting. The treatment for Warfarin is an increase of Vitamin K to help clot internal
conclusion on which medication should ultimately be decided by both the practitioner and the patient. For instance, as discussed above, Xarelto and Warfarin each have their own pros and cons. If a patient would be more compliant using Xarelto, a FNP can look at that patient’s insurance formulary to see if there will be any restrictions in using Xarelto versus Warfarin. Some formularies such as BlueCross BlueShield has Xarelto listed with dispensing limits (BlueCross and BlueShield of Illinois, 2016). Therefore
Factor V Leiden mutation. The treatment for these disorders is heparin injections in the acute setting. Long term treatment consists of anticoagulation with warfarin for patients with Protein C, S, or Factor V Leiden deficiency. People who are homozygous for Protein C deficiency require periodic transfusions of blood plasma rather than oral warfarin
Medicine has come a long way from taking roots and plants and making vaccines and medication. Although most medicine is beneficial, some do not help or fight diseases in certain people’s bodies. Precision Medicine is a modern phenomenon that has recently become a big deal amongst many doctors. Patients who have tried chemotherapy, for example, to disrupt the spread of cancer realize this treatment will not work, and they need a doctor to create personalized medicine to try to cure their disease a
be careful of this mixture. Concerns that bee pollen may increase the bleeding risks and combine with warfarin. One reported case, a patient on warfarin had a balance international normalized ratio (INR) of 1.9 to 3.3 for nine months. The INR of patient was discovered to be expanded to 7.1 after he began taking bee pollen granules one teaspoon two times every day for about one month. The warfarin dosage of patients was diminished by pretty nearly 11% in order to diminish the international normalized
in the patients shoes to get an idea about how patients adhere to their regimens in the real world. Through this activity I have learned that it is not always easy to take medications at the right times. For this assignment I was required to take warfarin 2 mg tabs by mouth on Monday, Wednesday, and Fridays, and on all other days two tablets at 4 PM. The other drug I needed to take was metoprolol tartrate 25 mg tablets twice daily with food. During this assignment
A 54-years-old man presents to the cardiology unit for the evaluation of palpitations he has been feeling for 1 week. He had no significant past medical or surgical history, except for asthma. He is a non-smoker. On examination, he has a blood pressure of 120/80 mmHg and heart rate of 98 beats/minute with an irregularly irregular rhythm, and the rest of the examination was unremarkable. His EKG is shown below: 19) What is your diagnosis? A) Atrial flutter B) Atrial fibrillation C) Ventricular
Illustrate the clotting cascade and compare the mechanisms of action of the anticoagulants and their clinical indications. The Clotting Cascade occurs when several circulating proteins interact in a cascading series of limited proteolytic actions and is the activated when intravascular conditions cause thrombi to develop. “At each step, a precursor protein is converted to an active protease that activates the next clotting factor, and finally, a solid clot is formed”(Woo & Wynne, 2011, p. 445).
The effect of Lobbyist in a democratic society is substantial, in both their economic and political power to sway votes in their favor. Throughout the history of Texas government these entities, both corporations, and people have seen their influential muscle flexed throughout the city of Austin. Examining how and why these groups exist, as well as in what manner they go about making money and contributing money to causes that they deem important. Gives a good insight into what exactly makes this
(KH2; Figure 2). Then, the enzyme vitamin K oxidoreductase catalyzes the reduction of vitamin K epoxide to vitamin K quinone and reductases cause the production of vitamin K hydroquinone from vitamin K quinone (Rishavy MA, 2013; Tie JK, 2011). The warfarin which is an anticoagulant drug functions as vitamin K antagonist by inhibiting vitamin K oxidoreductase activity, hence prevent from vitamin K
responder. However, something clicked on my first call. On arrival, I found an elderly man grasping his chest screaming in pain. However, when the patient told me he was taking Coumadin, I immediately reverted back to my days on the sales floor selling warfarin to kill mice. This patient was not suffering from a rodent infestation, but he did need me to ease his concerns. I knew the anticoagulant was used to treat blood clotting, likely indicating this patient had a previous history of blood vessel
Thank you for reviewing Ronald Cocks, an 89 year old gentleman with an array of medical comorbidities. Ronald has a history of prior asbestos exposure and is an ex-smoker of approximately 20 pack years. He is quite frail, although still ambulates independently with a 4-wheel frame and is currently living at a retirement village. Ronald was referred to me just prior to Christmas with a two month history of sudden onset voice hoarseness. He was noted to have a 4.5cm left upper lobe cavitatory mass
Meta Description: Vitamin K is an essential nutrient that helps the blood clot and is not ordinarily used as a dietary supplement. Vitamin K is a group of compounds with the most important compounds being vitamin K1 and vitamin K2. Overview Vitamin K is a fat-soluble vitamin stored in very small amounts in the body that are often depleted during dietary intake. Because the body is unable to store vitamin K, it recycles itself several times for protein carboxylation, therefore decreasing the need
Oterhals and his colleagues used the qualitative approach to discuss life adaptations of the 20 participants with mechanical aortic valve surgery. Their study presented real life experiences, challenges, adaptations, modifications and accommodations taken by patients who have mechanical heart valve surgery in their own different ways. They found that these patients needed to continuous monitoring, and they emphasized the need to continuously teach and inform patients about their health situations