Neonatal Abstinence Syndrome (NAS) is a group of symptoms or problems in a newborn who was exposed to opiate drugs while in utero. Depending on the exposure, the condition can last anywhere from 1 week to 6 months. Cause The condition occurs when the pregnant mother uses opiate drugs such as cocaine, heroin, oxycontin, methodone, or buprenorphine. These harmful substances pass across the placental membrane and into the fetal blood circulation, causing the fetus to become dependent on the drug.
Processes are in place to assist nurses in providing safe, effective, and efficient best practices. As the health care continues to change, old process are being replaced with more proficient evidenced-based practices. Patients receive better outcomes when quality issues are evaluated and improved. Implementation of a Nursing Change Over the past few years, treatment for urinary tract infections have changed as research has identified ways of improving health care. Nurses rely on change theory
Painless mid-trimester cervical dilatation is often referred to as cervical incompetence, currently referred to as cervical insufficiency (Sharma, Kharkwal, Chaudhary, Kanal & Goel 2016). Lab Tests: Urinalysis – Leukocytes 0, Nitrite 0, Protein 0, pH 5.0, Blood 0, Specific Gravity 1.000, Ketone 0, UA/Culture- pending, Special Test: Ultrasound Assessment/Diagnosis: There are various causes associated with recurrent pregnancy loss of which is the most
Multiple myeloma (MM) is characterized by neoplastic proliferation of immunoglobulin-producing plasma cells. Many malignancies can mimic MM, however the concomitant existence of another primary malignancy alongside MM is exceedingly rare. We report the first case wherein MM and esophageal adenocarcinoma manifest concomitantly. A 58 year old male with a history of prostatic adenocarcinoma, in remission post chemo-radiation therapy, presented with a six month history of worsening intermittent dysphagia
Systemic Lupus Erythematosus aka (SLE) is an autoimmune disease that occurs in most women. SLE causes the immune system to attack the bodies healthy tissues and organs and this can be very dangerous to the body depending on the severness of the disease. During this process the human body produces autoantibodies that begin to attack the body thinking as if it was foreign invaders. (This picture shows the autoactive body cells attacking healthy skin.) Biology of the Diesease During SLE, the body’s
Hyperkalemia is a common electrolyte imbalance characterized by elevated serum potassium. Hyperkalemia is defined as serum potassium concentrations greater than 5.5 mmol/L (normal range is 3.5 to 5.0 mmol/L). In the body, ninety-eight percent of potassium is intracellular, and the 2 % left is extracellular which is needed for nerve conduction and muscle contraction. For this reason, extracellular potassium concentration is tightly regulated through renal potassium excretion. Up to 90% of dietary
that she has at home. She reports she has her ambulation has been affected due to the increase in pain. She does report her pain radiates down her back to her right hip. Warm compresses and showers have temporarily diminished her pain. She mentions that she often has crisis during her
He reports that on a scale of 1 to 10, his pain has decreased from a 10 to a 4 in an hour. What other methods could be used to help T.B.’s pain? Anticholinergics can be used to decrease secretion and counteract smooth muscle contraction to help with comfort
Lab Results: CBC lab results can look normal or they can reflected hydration as polycythemia (shown as a high hematocrit level). A lack of insulin is present. This deficit in insulin causes glucose not to be taken into the cells of the body leaving glucose floating free in the blood stream. The increase in glucose can be determined on a CBC panel as well. Biochemical panels will most likely show liver abnormalities if the underlying cause if hepatic Lipidosis, pancreatitis, or extrahepatic biliary
Electronic Health Record and obtain a complete history. An Electronic Health Record (EHR) is a computerized digital chart as opposed to a paper chart. This electronic record will contain the patient’s allergies, medications, diagnosis, labs, radiology reports and treatment plans. The Electronic Health Record impacts the delivery of health care and specifically nursing. This is because often time’s patients are unable to be a good historian of their health history. Family members are often