A morbidly obese 55-year-old man with a history of high blood pressure who takes insulin, antihypertensive medication, aspirin and several herbal supplements daily is scheduled for laparoscopic gastric bypass surgery. Identify the evidence, as well as the criteria used to evaluate the strength of the evidence for the practices identified
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Clinical reasoning Scenario
A morbidly obese 55-year-old man with a history of high blood pressure who takes insulin, antihypertensive medication, aspirin and several herbal supplements daily is scheduled for laparoscopic gastric bypass surgery.
- Identify the evidence, as well as the criteria used to evaluate the strength of the evidence for the practices identified
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- Clinical reasoning Scenario A morbidly obese 55-year-old man with a history of high blood pressure who takes insulin, antihypertensive medication, aspirin and several herbal supplements daily is scheduled for laparoscopic gastric bypass surgery. What resources would you use to identify evidence-based practices for prevention of complications during the perioperative period? Give at least 3-4 paragraphsA morbidly obese 55-year-old man with a history of high blood pressure who takes insulin, antihypertensive medication, aspirin and several herbal supplements daily is scheduled for laparoscopic gastric bypass surgery. Identify the evidence, as well as the criteria used to evaluate the strength of the evidence for the practices identified.A morbidly obese 55 year old man with a history of high blood pressure who take insulin, antihypertensive medications, aspirin and several herbal supplements daily schedule for laparoscopic gastric bypass surgery. 1. What resources would you use to identify evidence based practices for prevention of complications during the perioperative period. 2. Identify the evidence as well as the criteria used in evaluating the strength of the evidence for the practices identified.
- Clinical reasoning Scenario: Your patient has a history of oesophageal cancer and is HIV positive. After undergoing day surgery to insert a gastric feeding tube, he is to be discharged home. Which assessment findings would indicate his readiness for discharge?Give only typing answer with explanation and conclusion A regional nutrition journal has published a case study on a single patient with inflammatory bowel disease and the use of selective serotonin reuptake inhibitors to improve their pain and symptoms. The most appropriate tools to use to evaluate the quality of this case study would be the?pathophysiology A client is on complete bed rest after a total hip replacement surgery while he is being treated for a mild postoperative surgical wound infection. Identify the underlying physiologic factors that could increase the nutritional needs of this client. give scientific rational A.Anabolism, polydipsia, hypertriglyceridemia B.Elevated protein plasma levels, hypotension, glycolysis C.Large abdominal girth, insulin resistance, acidosis Fever, increased white blood cell count, negative nitrogen plasma level
- . Give examples of: when, how, and to whom gastrointestinal system drugs may be administered- This is a multiple step answer. make sure that you address each of these (when, how and to whom with a thorough explanation)Marcus will be placed on lansoprazole (Prevacid) 30 mg orally daily to decrease the production of hydrochloric acid.a. How does lansoprazole decrease gastric acid production? What is the difference between the actions of lansoprazole and ranitidine?(Nursing)Case: You check the ammonia level of a client with hepatic dysfunction who is receiving lactulose and notes that the level is 75 mcg/ dL (45 mcmol/L). What should you do? Diagnosis: (NANDA Approved) PLANNING (SMART) Short term: Long term: PLANNING CRITERIA: Outcome statement clearly states (1) Goal/ Desired Outcome (2) Realistic (3) Priority (4) Measurable (5) Time-bounded
- Suggest a reason why elevated LDL levels are a risk factor for coronary artery disease.A patient presents with nausea and RUQ pain that begins after a fatty meal and persists for several hours, periodically the pain will radiate to the right shoulder blade. The patient also complains of indigestion and bloating. Predict one possible disorder that may be causing these symptoms. Explain the relationship between the disorder you identified and the symptoms arising after a fatty meal.A 22-year-old female is experiencing an upset stomach and abdominal pain and has been referred for further testing to visually inspect the gastrointestinal tract to help assist the diagnosis of an inflammatory bowel disease (IBD). Show your understanding by describing the structural changes visible with the two types of inflammatory bowel disease (as viewed via endoscopy or colonoscopy), and include which distinguishing feature of IBD would make the diagnosis definitive