Motor Vehicle Crash

By
Responsive Centered Red Button

Need Help with this Question or something similar to this? We got you! Just fill out the order form (follow the link below), and your paper will be assigned to an expert to help you ASAP.

Order Form

 Mr. Gordon, a 52 year-old client who was admitted to the hospital following an MVC (motor vehicle crash). He suffered rib fractures and has a laceration along his right thigh. Mr. Gordon states that his pain is 9 on a 0 – 10 scale (0 being no pain, 10 being the worst). In addition his vital signs are: BP 150/88, HR 105, RR 22, SpO2 95% on RA (room air), T 98.6 degrees Fahrenheit taken orally.

Long term and Short term goals?

PainCarePlanAssignment.docxnursing practice competencies
Post a summary of your expectations of this course. Also, include a brief explanation of your strengths and challenges as they relate to nursing practice competencies when working with adults. Describe any career goals or objectives this course may help you accomplish in the Family Nurse Practitioner (FNP)   Use your research to support your explanations by providing credible and scholarly sources.Development of Psychopathology: my nursing assignment help
:  Factors That Influence the Development of Psychopathology

In many realms of medicine, objective diagnoses can be made: A clavicula is broken.  An infection is present. TSH levels meet the diagnostic criteria for hypothyroidism. Psychiatry, on the other hand, deals with psychological phenomena and behaviors. Can these, too, be “defined objectively and by scientific criteria (Gergen, 1985), or are they social constructions?” (Sadock et al., 2015).

Thanks to myriad advances during recent decades, we know that psychopathology is caused by many interacting factors. Theoretical and clinical contributions to the field have come from the neural sciences, genetics, psychology, and social-cultural sciences. How do these factors impact the expression, classification, diagnosis, and prevalence of psychopathology, and why might it be important for a nurse practitioner to take a multidimensional, integrative approach?

To Prepare:
Review      this week’s Learning Resources, considering the many interacting factors      that contribute to the development of psychopathology. Consider      how the theoretical perspective on psychopathology impacts the work of the      PMHNP.
Main Assignment

Explain the biological (genetic and neuroscientific); psychological (behavioral and cognitive processes, emotional, developmental); and social, cultural, and interpersonal factors that influence the development of psychopathology.Pharmacokinetics: nursing case study help
Pharmacokinetics is the study of how drugs are metabolized, distributed, excreted, and absorbed by the body (Rosenthal & Burchum, 2021). Pharmacodynamics, simply put means what a drug does to the body, “is the study of the biochemical, physiologic, and molecular effects of pharmaceuticals on the body” (Farined, 2021).

            The patient case I will be discussing and analyzing is a 60-year-old male with a past medical history of diabetes, hypertension, alcohol abuse, and hyperlipidemia who presented to the emergency department for acute kidney injury while he was at home working in his garage. The patient was admitted to the neurology/Med-Surg unit where I work. The patient suddenly became light-headed, with right arm weakness, numbness in his right hand, and blurry vision. A stroke code was activated, and the patient was immediately taken for a CT scan to rule out hemorrhagic stroke, consent was obtained by the neurology doctor for possible Tissue plasminogen activator (TPA) administration. My unit is part of the inpatient stroke team, and TPA was immediately started on the patient post-CT scan. Tissue plasminogen activator (TPA) is a drug of choice when an ischemic stroke is of concern because the pharmacodynamics of TPA works by dissolving blood clots that are blocking the blood flow to the brain (National Institute of Neurological Disorders and Stroke, 2022). With the start of the TPA medication, as one of the stroke team champions, I was assigned to closely monitor and assess the patient for any neurological changes as well as any changes in his vital signs until the patient was taken to the intensive care unit. Without realizing it I was evaluating the pharmacodynamics and pharmacokinetics of the TPA administered.

Factors that may have influenced the pharmacokinetic and pharmacodynamic processes of the patient would be his age, health, sex, other medical conditions such as hypertension, diabetes, hyperlipidemia, etc., and genetic makeup. Also, additional considerations would be considered, If the patient is taking any over-the-counter medication, such as vitamins and/or supplements, as these could potentially have negative side effects on his prescribed medications. Fortunately, the patient declines the use of any of these medications.

Based on the patient’s unique medical and social history, contributing variables, and the medical plan of care, it was decided to intensively monitor the patient throughout his hospital stay for any neurological abnormalities brought on by the TPA administration.

Due to the stroke, I would advise him to continue his prescribed long-term anticoagulant. However, before choosing which anticoagulant to administer to the patient, I would want to speak with the patient and go over the advantages and disadvantages of the various types of anticoagulants that are available. I would make sure the patient understands the reasons why the medication is prescribed before making any recommendations. Furthermore, it is crucial to inform him about the anticoagulant signs and symptoms of bleeding he should watch out for. According to Rosenthal and Burchum (2021), monitoring is a critical component of medicine administration, After the patient leaves the hospital, I would encourage him to follow up with an assigned neurologist and his primary care physician for close monitoring and to make sure he comes back for any scan that might be required.

References

Farined, A. (2021). Dose-response relationships. https://www.merckmanuals.com/professional/clinicalpharmacology/pharmacodynamics/dose-response-relationships

National Institute of Neurological Disorders and Stroke. (2022). Tissue plasminogen activator for acute ischemic stroke (alteplase, activase®). https://www.ninds.nih.gov/aboutninds/impact/ninds-contributions-approved-therapies/tissue-plasminogen-activator-acuteischemic-stroke-alteplase-activase

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.assignment

Complete this assignment form attached.

write up on musculoskeletal, peripheral vascular and Lymph , Neurological assessment, and summaries.

4 pages attached.

MNPL1.jpg
MNPL2.jpg
MNPL3.jpg
MNPL4.jpg

How to create Testimonial Carousel using Bootstrap5

Clients' Reviews about Our Services