2 papers 3 pages  each

 

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Need 2 nursing posts done. 300 words min EACH, min 1 scholarly source (NO OLDER than 5 years*****), APA format. Please answer every question with each post. 

POST 1

A 17-year-old African American female from the inner city complains of severe chest and abdominal pain. Upon examination, the attending physician performs an EKG, chest x-ray, and an abdominal and chest clinical examination and finds nothing. Assuming she is drug seeking, he sends her home. She comes back to the ER 4 hours later and now you see the patient. She explains that she was running track this past afternoon at school and that despite being very hot (100 F) she pushed on. Afterwards, she starts feeling extensive pain in her chest and abdomen. She has jaundiced eyes, her blood pressure is 98/50, pulse is 112, Temperature = 99.9 F, Respirations = 28. The pain seems out of proportion to the physical findings. During a review of her medical history, she tells the provider that she has history of sickle cell anemia. At this time, it is determined that she is in a sickle cell crisis.

1. What is the etiology of sickle cell anemia?

2. Describe in detail the pathophysiological process of sickle cell anemia.

3. Identify hallmark signs identified from the physical exam and symptoms.

4. Describe the pathophysiology of complications of sickle cell anemia.

5. What teaching related to her diagnosis would you provide?

POST 2

Jesse is a 57-year-old male who presents with gradual onset of dyspnea on exertion and fatigue. He also complains of frequent dyspepsia with nausea and occasional epigastric pain. He states that at night he has trouble breathing especially while lying on his back. This is relieved by him sitting up. His vitals are 180/110, Pulse = 88, Temperature = 98.0 F, Respirations = 20. After a thorough work-up, he is diagnosed with congestive heart failure.

1. What is the etiology of congestive heart failure?

2. Describe in detail the pathophysiological process of congestive heart failure.

3. Identify hallmark signs identified from the physical exam, diagnostic lab work and symptoms.

4. Describe the pathophysiology of complications of congestive heart failure

5. What teaching would you provide this patient to avoid heart failure symptoms?

 

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Need 2 nursing post done. Please make sure you answer every question.

Requirements (FOR EACH POST****)

· 350 words min

· 1 scholarly source *less than 5 years*

· APA format

POST 1

Ms. Blake is an older adult with diabetes and has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. She has a history of Type I diabetes. On admission her laboratory values show:

Sodium (Na+)

156 mEq/L

Potassium (K+)

4.0 mEq/L

Chloride (Cl–)

115 mEq/L

Arterial blood gases (ABGs)

pH- 7.30; Pco2-40; Po2-70; HCO3-20

Normal values

Sodium (Na+)

136-146 mEq/L

Potassium (K+)

3.5-5.1 mEq/L

Chloride (Cl–)

98-106 mEq/L

Arterial blood gases (ABGs)

pH- 7.35-7.45

Pco2- 35-45 mmHg

Po2-80-100 mmHg

HCO3–22-28 mEq/L

1. What is the etiology of Diabetic Ketoacidosis?

2. Describe the pathophysiological process of Diabetic Ketoacidosis.

3. Identify the hallmark symptoms of Diabetic Ketoacidosis.

4. Identify any abnormal lab results provided in the case and explain why these would be abnormal given the patient’s condition.

5. What teaching would you provide this patient to avoid Diabetic Ketoacidosis symptoms?

POST 2

A three-month-old baby boy comes into your clinic with the main complaint that he frequently vomits after eating. He often has a swollen upper belly after feeding and acts fussy all the time. According to his parents, the vomiting has become more frequent this past week and he is beginning to lose weight. After careful history taking, a thorough physical exam and diagnostic work-up, the patient is diagnosed with pyloric stenosis.

1. What is the etiology of pyloric stenosis?

2. Describe in detail the pathophysiological process of pyloric stenosis.

3. Identify hallmark signs identified from the physical exam and presenting symptoms. What diagnostic tests would help to confirm the diagnosis of pyloric stenosis?

4. Describe the pathophysiology of complications of pyloric stenosis.

5. What teaching would you provide this patient/parents regarding pyloric stenosis?

 

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Topic :what evidence supports stewardship model to reduce overprescribing antibiotics 

 

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Select a state health policy reform innovation and describe the rationale, how it was adopted (e.g., federal waivers, passage by state legislature), the funding structure, and (to the extent statistical data are available) its impact. Summarize the findings in a 1-2-page, single-spaced memo.

A few examples of state innovations include Vermont’s single payer system, Massachusetts’ health reforms and Kentucky’s Medicaid healthcare program.

Important: Rationale/Adoption, Funding Structure, Impact on Healthcare, APA Format, 3 References.

  

 

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