An 80-year-old female patient with congestive heart failure and moderate dementia requires elective knee replacement surgery. Surgeon (Dr. Omar) and anesthesiologist (Dr. Hasan), however, considered her to be too high of a risk for surgery. Later in the week, surgeon (Dr. Mahmood), who practices with surgeon (Dr. Omar), has a different anesthesiologist approve the patient for surgery even though the patients family doctor expresses extreme concern regarding the patient.
On the morning of surgery, the patient suffers cardiac arrythmias, which the nurse in the preoperative waiting area notes in the chart. The Nurse spoke with Her Husband on the bedside and she realizes that he is unaware of the conflict between the surgeons involved with the case. Surgeon (Dr. Mahmood) is scheduled to go for a vacation next week, and he is on a hurry to perform the surgery before leaving. The nurse discusses the patients unstable cardiac status with the (Dr. Mahmood) who listened to her but proceeded with the surgery anyway.
The patient suffers a cardiac arrest during surgery. She is resuscitated and transferred to the intensive care unit, but she dies two days later.

What are some of the ethical issues in this case?
Did the Nurse Do the right thing? what would you have done??​

Answer:

heat

Explanation:

When making notes the type of information which we should include in the notes are the facts and opinions and also it include the relevant matter.

Note-taking is the practice of recording information from the different sources and platforms. By taking proper notes, the writer records the essence of the information, and freeing their mind from having to recall everything which was given in the source.

Note-making is a process to form the authentic and appropriate notes of the work at hand. Thus, one needs to mention all the relevant information and also put all the information as the purpose of the note making process to help the people meet their specific goals, for example, the notes should contain the information regarding the events, dates, and all the related annotations. Unnecessary information should not be kept in the notes. Other topics should be included as the ideas and anecdotes etc.

Learn more about Note making here:

https://brainly.com/question/28784690

#SPJ2

Answer:

1 -The questions that are essential are the following:

if you have ultrasound or monitoring

if you have had blood loss

if you have had severe pain during pregnancy

if you have been abused or have had careless sex with other people

if you have the complete vaccination plan

if you have any underlying pathology or systematic disease

if you used drugs in the last 24 hours

if you have allergy or hypersensitivity to anesthesia or another drug

if you have someone to go to or contact in case of an emergency

2- the laboratory values we need are: check an electrocardiogram to avoid possible cardiac accidents during labor, basic coagulogram to check whether or not the patient is at risk of hemorrhage, complete blood count, RIN, erythrocyte sedimentation, glycemia or glycated hemoglobin to rule out gestational diabetes, urinalysis, perianal swab to rule out the presence of streptococcus, HIV elisa or rapid test, STD related studies such as VDRL for syphilis.

3-The education that it would provide would be through psychological support with the health committee, in order to encourage women to take more care of the baby and their own health, so that they do not abandon good habits and good quality of life. who is bringing a life to the world.

4-As for my answer on how long it would take, I would say that it is indeterminate, although once the baby's head and one shoulder crossed the partition channel, I would say that it is not long and the cheerleader will end up collaborating more on the spot. surgical

Explanation:

Everything written is the protocol that would have to be taken during the pregnancy of the baby, but when we find a patient who is not very responsible or very suffering, who did not have the necessary precautions, it is important to be very careful in blood count and cardiological values to avoid misfortune and rule out pathologies such as thrombophilia that could end the mother's life.

Answer:

1) Does anybody really enjoy wasting time?

They might enjoy doing nothing, but sometimes that’s not a waste of time.

But to answer my own question, no.

2) Wow, I’m going to say no. It’s just a weird situation.

3) You’ve failed in life, but succeeded to fail, so well done!

Explanation:

Answer:

El éxito de la bioética está fundamentado en la necesidad de la sociedad de reflexionar sobre asuntos de valor, lo que lleva a buscar formas para participar activamente de las decisiones sobre el cuerpo y la vida de las personas, así, se deja voluntad a las personas de involucrarse en estas cuestiones apoyadas del conocimiento médico sin que este tenga una autoridad absoluta convirtiéndose en una democracia participativa que ocurre para la gestión de la vida y el cuerpo y se apoya en la bioetica para que las decisiones se tomen de forma responsable.

Answer:

Explanation:

Atorvastatin can cause increased heart rate, hypertension, and an increased probability of heart attacks. Other common side effects include indigestion, heartburn, stomach pain, nausea, diarrhea, constipation, and weight gain or loss.

One of the frequent side effects of Atorvastatin is increased heart rate, hypertension, and an increased probability of heart attacks. Other common side effects include indigestion, heartburn, stomach pain, nausea, diarrhea, constipation, and weight gain or loss.

https://brainly.com/question/16262247

#SPJ12

Answer:

The liver

I believe

Explanation:

It is made predominantly in the liver from ammonia and bicarbonate and is one of the main components of urine.

Have a good day♥♥

Urea forms in the liver when amino acids are deaminated. In the kidneys, urea is filtered out as a waste product in the urine. Some of it is reabsorbed in the body to maintain homeostasis.

Urea is a byproduct of protein metabolism in the body and it is initially present in the liver. The process begins when amino acids are deaminated by liver hepatocytes, removing the amine group, NH2, as they are broken down. Most of the resulting ammonia is then converted into urea by liver hepatocytes. Urea is less toxic and is utilized to aid in the recovery of water by the loop of Henle and collecting ducts in the kidneys.

In the kidneys, urea, along with other substances such as creatinine, and some drugs, is secreted into the filtrate as waste products. About 50 percent of urea is passively reabsorbed by the proximal convoluted tubule (PCT) within the nephron of the kidney. More is recovered in the collecting ducts as needed. This process is facilitated by ADH which induces the insertion of urea transporters and aquaporin channel proteins. The urea that is not reabsorbed, then becomes a part of urine which is eliminated from the body.

https://brainly.com/question/30869286

#SPJ6

Answer:

Explanation:

Given the integral

∫ (5x + 9y) ds

C is the line segment in xy plane with the end points

P = (2,0)

Q = (0, 6)

Let compute the direction of the vector

d = (a, b) = Q - P

(a, b) = (0, 6) - (2,0)

(a, b) = (-2, 6).

A. Now, the equation of line passing through point P(2,0) and Q(0,6) is and have direction d(-2,6) is written as

(x - 2) / -2 = (y - 0) / 6 = t

(x - 2) / -2 = t

x - 2 = -2t

x = 2 - 2t

Or

(y - 0) / 6 = t

y = 6t

Then, the parametric equations of the curve C is

r(t) = (2 - 2t, 6t)

Given that t ranges from t =0 to t = 1

f(x, y) = 5x + 9y

Let compute F(r(t))

From r(t), x = 2-2t and y = 6t

f(r(t)) = 5(2-2t) + 9(6t)

f(r(t) = 10 - 10t + 54t.

f(r(t)) = 10 - 44t.

Thus, the line integral becomes

∫ (5x+9y)ds = ∫f(r(t))•|r'(t)| dt t=0 to 1

Let find |r'(t)|

r(t) = (2 - 2t, 6t)

r'(t) = (-2, 6)

|r'(t)| = √(-2)²+6²

|r'(t)| =√40

So,

∫ (5x+9y)ds = ∫f(r(t))•|r'(t)|

∫f(r(t))•|r'(t)| = ∫(10 - 44t)•√40 dt

∫f(r(t))•|r'(t)| = √40 ∫(10 - 44t) dt

∫f(r(t))•|r'(t)| = √40 (10t - 44t²/2)

∫f(r(t))•|r'(t)| = √40 (10t - 22t²)

t ranges from 0 to 1

Then,

∫f(r(t))•|r'(t)| = √40 (10(1) - 22(1²) - 0 - 0)

∫f(r(t))•|r'(t)| = √40 (10 - 22)

∫f(r(t))•|r'(t)| = √40 × -12

∫f(r(t))•|r'(t)| = -12√40

∫f(r(t))•|r'(t)| = -75.89

So, the line integral of (5x+9y)ds is -75.89

To find the line integral consider the parametric representation of the path as r(t) = (2-2t, 6t) for t between 0 and 1. Replace these in the integral term (5x + 9y)ds to get the integral from 0 to 1 of (5*(2-2t) + 9*(6t)) * 2sqrt(10) dt. Evaluate this integral to find the answer as 64sqrt(10).

The first step to solve the question is to find a vector parametric equation r(t) for the line segment C. As P corresponds to t=0 and Q to t=1, we can use P and Q to create r(t) = P + t(Q - P). Thus r(t) = (2, 0) + t[(0,6)-(2,0)] = (2 - 2t, 6t).

The next step is to find the line integral of (5x + 9y) over this path. We substitute x and y from r(t) into the equation, and multiply by the derivative of the distance ds/dt to account for variable 't'. The distance ds/dt is given by the magnitude of the velocity vector, which is the derivative of r(t). By differentiating r(t) we get dr/dt = (-2, 6), resulting to |dr/dt| = sqrt((-2)^2 + 6^2) = 2sqrt(10). Hence, the integral becomes integral from 0 to 1 of (5*(2-2t) + 9*(6t)) * 2sqrt(10) dt.

Finally, calculate this integral to find the value of the line integral. Upon integrations, we get the answer sqrt(10)*(20 - 10t + 54t) evaluated from 0 to 1 = 64sqrt(10).

https://brainly.com/question/34566674

#SPJ3

I am a nurse i would get out of the room so the client can feel no pressure and talk to him and tell him hes going to be okay hope a helped.check out my questions!

To make a devout Jewish client comfortable, a nurse aide should respect the client's dietary restrictions, such as kosher laws, and help facilitate Sabbath and religious holidays observance.

To make a devout Jewish client feel comfortable, a nurse aide can take several considerate actions attuned to the client's cultural and spiritual needs. Firstly, the nurse aide should respect the client's dietary restrictions, such as kosher laws, by ensuring that the meals provided comply with these practices.

Additionally, the nurse aide should be mindful of the Jewish Sabbath and religious holidays, facilitating the observance by, for example, helping the client to light Sabbath candles or arranging for a rabbi to visit if desired.

Furthermore, engaging in active listening and providing emotional support when the client discusses spiritual matters or needs to express concerns is important.

The nurse aide should be prepared to connect the client with a chaplain or spiritual advisor who is familiar with Jewish traditions if the client wishes. It is also integral to provide an environment that allows for privacy and quiet during times of prayer or reflection.

Awareness of these needs and demonstrating respect and support for the client's spiritual practices contributes significantly to providing culturally competent care, which is a crucial role for nurses and nurse aides, especially in hospice and palliative settings.

Answer:

Well first of all, you should always call 911 and start chest compression's first, and should only administer a rescue breath if you are trained in CPR. But, I think the correct answer might be A)Repeat the head-tilt-chin-lift maneuver and attempt the breath again.

Explanation:

Every article I have read suggests that you should administer at least 2 rescue breaths because sometimes the first breath doesn't make the chest rise.

The action that would you do next is to repeat the head-tilt-chin-lift maneuver and attempt the breath again. Thus, the correct option for this question is A.

Rescue breath may be defined as a type of action or procedure that one should follow when a person stopped breathing. During the process, the air is blown into the mouth of that person in order to supply them with vital oxygen.

Rescue breath can be done alone or as a part of cardiopulmonary resuscitation (CPR). According to the question, you must require to repeat the head-tilt-chin-lift maneuver and attempt the breath again. But prior to this, call 911 and perform an initiation of CPR.

Chest compression is also one of the strategies that authorize the patient in order to raise their chest when they significantly stopped breathing.

Apart from this, you must require to administer at least 2 rescue breaths events because sometimes the first event doesn't make it possible for the chest to rise.

Therefore, the correct option for this question is A.

To learn more about Rescue breath, refer to the link:

https://brainly.com/question/8393280

#SPJ6

Answer:

Both processes include the breakdown of the nuclear membrane, the separation of genetic material into two groups, followed by cell division and the reformation of the nuclear membrane

Explanation:

Mitosis has five different stages: interphase, prophase, metaphase, anaphase and telophase. The process of cell division is only complete after cytokinesis, which takes place during anaphase and telophase. Each stage of mitosis is necessary for cell replication and division.

There are two types of cell division: mitosis and meiosis. Most of the time when people refer to “cell division,” they mean mitosis, the process of making new body cells. Meiosis is the type of cell division that creates egg and sperm cells.

The fundamental sequence of events in mitosis is the same as in meiosis (in meiosis it happens twice). Both processes include the breakdown of the nuclear membrane, the separation of genetic material into two groups, followed by cell division and the reformation of the nuclear membrane in each cells.

The bacteria that die in the presence of oxygen are called obligate anaerobes, they get harmed in the presence of oxygen.

Bacteria is a microorganism that is prokaryotic and not visible to the eyes. Bacteria are present everywhere on the earth. There are good bacteria, that help us and bad bacteria that harm and cause disease.

These bacteria perform anaerobic reactions and live in the absence of oxygen and died in presence of oxygen.

Thus, obligate anaerobes are bacteria that get damaged in the presence of oxygen and ultimately perish.

Learn more about bacteria, here:

https://brainly.com/question/8008968

#SPJ2

Final answer:

Amanda Richards would most likely have dehydration due to her symptoms and lab values which suggest a deficiency in ADH or ADH receptors, consistent with diabetes insipidus. Her blood volume and blood pressure could be affected if her condition remains untreated. Her doctor tested for glucose to rule out diabetes mellitus.

Explanation:

If Amanda Richards' condition goes untreated, she would most likely have dehydration. Her lab results show serum sodium and plasma osmolality values that are significantly higher than normal, indicating that water is being lost from her bloodstream. This is also backed by her very frequent urination and constant thirst. The low urine osmolality suggests that her kidneys are not able to concentrate urine properly, which is consistent with the symptoms of diabetes insipidus, a condition which can cause dehydration due to the production of large quantities of dilute urine. She is unlikely to have water intoxication because that condition is characterized by low serum sodium, contrary to Amanda's high serum sodium level.

Untreated, the frequent loss of water could reduce her blood volume, which would lower her blood pressure. Moreover, with her blood already hypo-osmolar, her body would be prompted to pull water back into the bloodstream by osmosis, leaving her cells dehydrated.

Amanda is always thirsty because her kidneys are unable to retain water due to a probable deficiency in antidiuretic hormone (ADH) or ADH receptors, leading to the excretion of large quantities of dilute urine. This constant loss of water from her body triggers her thirst mechanism to compensate for the fluid loss.

Her doctor measured her glucose levels to check for diabetes mellitus, a condition known for causing frequent urination and increased thirst due to high blood glucose levels, which leads to glucose being excreted in the urine and drawing water with it. However, Amanda's normal fasting glucose level rules out diabetes mellitus.

Answer:

C34.11 and G89.3

Explanation:

C34.11 and G89.3 are billable ICD codes that are used to specify a diagnosis of malignant neoplasm of upper lobe, right bronchus or lung.

A 'billable code' is detailed enough to be used to specify a medical diagnosis.

Those codes are used to specify for Neoplasm related pain both acute and chronic.

Answer:4

Explanation:

Parkinson's disease is a nervous system disorder resulting in motor function deterioration due to a decrease in dopamine production. The disease typically progresses from minor tremors to broader motor function impairments. Treatment focuses on managing symptoms and might include medication to increase dopamine levels, physical therapy, and even surgical intervention.

Parkinson's disease is a chronic and progressive disorder of the nervous system that affects motor function. It is characterized by the gradual death of neurons in the substantia nigra, a part of the brain responsible for movement control. The death of these neurons leads to a deficiency in the production of dopamine, a neurotransmitter vital for good motor control. Unlike many other neuromuscular conditions, Parkinson's primarily affects older adults and is characterized by tremor, rigidity, bradykinesia (slow movement), and postural instability.

The disease usually starts with a minor tremor but as the pathophysiology develops, additional manifestations such as muscle stiffness, impaired posture and balance, loss of automatic movements like blinking, speech changes, and writing changes become apparent.

Complications can include difficulty in swallowing and chewing due to the impairment of muscles. This can ultimately

lead to choking or malnutrition. A common complication is Parkinson's disease dementia with symptoms much like those of Alzheimer's.

The treatments available are aimed at managing the symptoms. This often involves medication to increase brain dopamine levels, physical therapy, and in some cases, surgical intervention such as deep brain stimulation.

https://brainly.com/question/33261145

#SPJ2

Answer:

Explanation:

If the birth rate exceeds (is greater than) the death rates, then the population of that organism species will increase.  If the death rate exceeds the birth rate, then the population will decrease.

Answer:

Providing, but not requiring, prevention counseling

Explanation:

If your taking it on APE X

Dispensing medication, maintaining inventory, and processing insurance claim sets of tasks that include aspects of the role of a pharmacy technician. So, the correct option is A.

The activities listed in option 1, such as dispensing medication, keeping inventory, and processing insurance claims, comprise many of the responsibilities of a pharmacy technician. Many of the duties associated with the management and distribution of medications are within the purview of pharmacy technologists.

To maintain efficient operations within a pharmacy setting, they create and package prescriptions, ensure proper pharmaceutical labeling and dosages, handle inventory management and process insurance claims. These duties are critical to the overall operation of a pharmacy and to ensure that patients receive their prescriptions in a safe and effective manner.

So, the correct option is A.

Learn more about pharmacy technician, here:

https://brainly.com/question/30924622

#SPJ2

Your question is incomplete, most probably the complete question is:

Which of the following sets of tasks encompass aspects of the role of a pharmacy technician?

Final answer:

The set of tasks that are part of a pharmacy technician's role includes dispensing medication, maintaining inventory, and processing insurance claims. These ensure efficient operation of pharmacies and support pharmacists, who need a strong background in chemistry and biology.

Explanation:

The tasks that encompass the role of a pharmacy technician include dispensing medication, maintaining inventory, and processing insurance claims. These are pivotal tasks within a pharmacy setting, as they ensure that patients receive the correct medications in a timely manner, while the pharmacy remains well-stocked and operates efficiently financially. Pharmacy technicians assist pharmacists, who require extensive knowledge in both chemistry and biology to understand the effects of drugs on the body.

Notably, a pharmacy technician is not qualified to conduct patient consultations, diagnose medical conditions, prescribe medications, perform surgery, interpret medical images, administer anesthesia, conduct clinical trials, research new drug compounds, or develop treatment plans as these tasks fall under the purview of other medical professionals with more advanced and specific training.

Answer: dyspepsia B) Legg-Calve-Perthes disease C) Osgood-Schlatter disease D) Parthenogenesis imperfecta E) Slipped capital femoral epiphysis

Explanation:

Answer:

Bob has to reduce the intake of fast food such as burger, fries and large soda. He has to eat more fruits, whole grains, beans and vegetables due to lower in cholesterol.

Explanation:

Fast foods such as fries, burger and soda etc are the main cause of increasing cholesterol level in the blood which leads to the blockage of heart's valve and increase the risk of heart attack. Foods such as fruits, whole grains, fish, beans and vegetables plays a vital role in reducing cholesterol level. This food is recommended by the doctors to the patients in order to reduce the risk of heart attack.

Answer:

C. Chest and back

Explanation:

apply one on the front of the chest, the other on the back, so they do not touch.