Critical Care Wk 1

My assigned number was 4 which is: Indications & contraindications for TPA use

Initial post:

Each student will be assigned a number randomly.  Whatever your number is, select the corresponding topic below, then post a minimum of 5 bullet points about the topic.

Your bullet points should address key components of the topic, such as what, how, who, & why.  This information should not be basic things you learned in Med/Surg, but rather advanced critical care based. For example, with Posturing: discuss what causes postering, how do you assess postering, what disease processes cause different types of postering, why is it vital for a critical care nurse to understand the physiology of posturing. 

Think about this as a group effort to create a study guide. Use ONLY your textbook, but do not cut & paste from the book.

Then create, find, or borrow a test style question about your topic & post at the bottom of your bullet points. The format needs to be multiple choice or select all that apply. Think NCLEX style.

 Each week include a paragraph with the results from one of your weekly interviews.

Discussion post assignments are worth 20 points each as follows: 

  • 5 points for the quality of your bullet points.
  • 5 points for the quality of your question.
  • 5 points for answering the question of a peer as your response.
  • 5 points for the quality of your rationale.
    • Quality is defined as thorough and thoughtful while demonstrating professional level knowledge of the topic

questions

Original Work, No Plagiarism, Cite and Reference

Using the following 
linkLinks to an external site., watch the video entitled, ”
Data Cherry Picking
https://ori.hhs.gov/images/ddblock/SCRIPT-03-hi-res.mp4 and answer the following discussion questions:

1. What pressures are being faced by the postdoctoral fellow?

2. How might those pressures change how he conducts his research?

3. What ethical issues are raised if misleading data are presented in a grant application or publication?

4. How do you balance work/home life? Should you be able to discuss these expectations with the PI or clinical director?

Women in Colonial America

  • Pick two colonies (New England, Middle, or Southern colonies) and explain how women’s roles differ in the two colonies of your choice.
  • Describe what legal rights women held during the colonial period.
  • Analyze how Native women’s lives were different from colonial women’s lives.

HEE w1 peers resp

Hum Ecology & Environment w1 peers response.

respond to peers thoughtfully, add value to the discussion, and apply ideas, insights, or concepts from scholarly sources, assigned readings, lectures, or course materials in APA format. For specific details and criteria, refer to the discussion rubric in the syllabus. Your responses should consist of your informed input. One-sentence responses will not be considered good responses and will not fetch full points. Don’t merely recite the content you read in the unit, and don’t simply give your opinion.

1st peer post

Steven Williams

Hello, everyone. I am in my second semester (currently taking my fifth and sixth classes in the program). I have been an RN since 2012 and have worked in the mental health field since 2000. I am a nurse manager over two forensic psychiatric units, specializing in competency evaluations for individuals facing felony charges. I have worked at my current job since 2015. I entered this program to obtain the education necessary to continue rising up the ladder. I hope to settle into a director position within the next three years.

Prompt 2:

Recent events I believe are related to climate change include widespread wildfires and unseasonably warm temperatures.

Human-created emissions of greenhouse gases have led to increase in heat extremes (NASA, n.d.). As I write this, it is October 30. The temperature was in the high 70s as recently as a few days ago and was in the low 80s last weekend where I live (Kentucky).

Dry, hot conditions provide fuel for wildfires (NASA, n.d.). Although wildfires can be caused by humans acting carelessly, the condition of vegetation stimulates the spread of fires after they start (NASA, n.d.).

Individually, we can prevent wildfires by not starting fires in dry conditions and not leaving fires unattended. We need to make sure the fire is extinguished before moving on. Institutionally, local media needs to effectively communicate when conditions are unsafe for burning. In rural Kentucky, local government uses social media and highway signs to communicate when “burn bans” are in place.

As nurses, we can advocate for our facilities to be smoke-free and complete safety checks to ensure lighters and/or tobacco units are not being used. We can inspect equipment before using to ensure no frayed wires or other hazards are in play. We can dim or turn off lights when possible to conserve electricity and work to minimize waste.

Source:

NASA. (n.d.). Extreme weather and climate change. NASA.gov. https://climate.nasa.gov/extreme-weather/#:~:text=As%20Earth's%20climate%20changes%2C%20it,more%20frequent%20and%20more%20intense.

2nd peer post

Rickell Cox

Hello, my name is Rickell Cox and I am new student to Gallen college RN to BSN program. My goal to improve my knowledge in the nursing field as I lee earn a higher degree in nursing. I currently practice in Richmond Virginia specializing in OR nursing. Climate change is constant across the region. One of the latest event is global warming effects. “According to the 
2022 Global Climate Report from NOAA National Centers for Environmental Information, every month of 2022 ranked among the ten warmest for that month, despite the cooling influence from the 
La Nina climate pattern in the tropical Pacific”. Global warming is life treating due to extreme weather changes”. On July 6, 2023 recent events that indicate Earth's climate has entered uncharted territory. Global warming and deforestation, the drought that has fueled large wildfires that have made the air hazardous for millions.” Also global warming effects air pollution, landslides, that leading to destroying communities. Way to stop global warming are planting trees, turn off electric devices, recycle, drive less, etc. A second  event,”Hurricane Ida made landfall at Port Fourchon, Louisiana, on August 29, 2021 as a category 4 storm with 150 mph winds. There is no way we can prevent a hurricane. Climate changes effects the world in many different ways including lost on species, health risk, severe storms, and more. It is important for us to help the climate in any way possible. As nurses we advocate with green cleaning products, and recycling at all times and encouraging are patient to do the same. 

Citation

BY REBECCA LINDSEY AND LUANN DAHLMAN  REVIEWED BY JESSICA BLUNDEN

PUBLISHED JANUARY 18, 2023

Project Literature

 Using at least 1 current (within the past 5 years), relevant, peer-reviewed resources, create a literature review that does the following:

  • Describes the project’s topic, resources reviewed, and conclusions of each article.
  • Summarizes the principal findings of the research and their relevance to the project’s proposed outcomes.

Attached is a copy of Part 1 of this project thaty has been submitted related to medication errors. Please review to follow the related topic for literature review. 

Reply to your classmate



Virginia Workman

Hello class,

I chose interface to discuss. The interface in the electronic medical record system is truly remarkable. When the monitor displaying vital signs and other patient data seamlessly transfers that information to the patient's chart on the computer without the need for manual data entry, it significantly streamlines our workflow. As a nurse, you simply click to confirm that the vital signs are accurate while entering them, saving you a significant amount of time. The advantages of using an interface have proven to be incredibly beneficial in my daily nursing duties.

Liz Workman

FOCUSED SOAP NOTE AND PATIENT CASE PRESENTATION,

  

· State 3–4 objectives for the presentation that are targeted, clear, use appropriate verbs from Bloom’s taxonomy, and address what the audience will know or be able to do after viewing.

·

Nutritional Principles in Nursing

Module 06 Discussion – Common Medication-Nutrient (Food) Interactions

Directions:

For this discussion forum, find three interactions between medications and nutrients (food). List the interaction, foods to avoid while taking the medication, and describe key points that should be included in client education regarding the interactions.

You can use Epocrates to find your information https://online.epocrates.com/, or Medline Plus http://www.nlm.nih.gov/medlineplus/druginformation.html, or any other evidence based resource.

Nursing assignment

please review all supportive documents 

Case Study

 Scenario/Summary

Adam and his family decided to take a trip to the mountains for the weekend in late February. They had a small cabin and looked forward to a weekend away from the big city. The family had a wonderful time together on Saturday morning hiking in the woods and enjoying nature. However, Saturday afternoon a storm rolled in bringing snow and subfreezing temperatures.

Since the heater in the cabin wasn’t working well, Adam’s mother and sister decided to drive into the nearest town to spend the night. Adam and his father, not being sissies, stayed at the cabin where they started a gas heater to keep them warm.

The next morning Adam’s mother and sister returned to find both Adam and his father unconscious. An ambulance was called and they were both transported to the nearest hospital. Adam had arterial blood gases drawn with the following results:

pH 7.2
PaCO2 31.4,
PaO2 40.7 mmHg
His oxygen saturation was 72%. Adam was diagnosed with carbon monoxide poisoning.

Deliverables
Answer the following questions and save your responses in a Microsoft Word document. Provide a scholarly resource to support your answers.

With respect to hemoglobin loading, please explain the relationship between binding of oxygen (O2) and carbon monoxide (CO) to the hemoglobin molecules.
During the ambulance ride, a pulse oximeter showed 100% O2 saturation. Why is that different from the 72% measured at the hospital?
One course of treatment is a hyperbaric oxygen treatment. How does a hyperbaric chamber work?
Adams blood work shows him to be in an acidosis (normal blood pH is 7.35-7.45). Explain how this will shift the hemoglobin dissociation curve and why.