Discussion

Chapter 18 Discussion

Ed Beatty is a 52-year-old client with a history of chronic renal insufficiency who presents to the medical clinic reporting a severe sore throat. He is diagnosed with a streptococcal pharyngitis. He is informed by the primary care provider that he will be treated with an IM injection of penicillin G. (Learning Objectives 2, 3, and 9)

1. What information should be collected from Mr. Beatty before the administration of the penicillin G?

2. Mr. Beatty asks why he cannot receive the medication in oral form. How should the nurse respond?

3. Describe the equipment that the nurse should have available before administering the medication to Mr. Beatty. Why is this necessary?

4. After receiving the penicillin G, Mr. Beatty experiences cardiac arrest. He is successfully resuscitated. Discuss the potential causes of the cardiac arrest.

5. Mr. Beatty has recovered from the arrest and the nurse is preparing his discharge teaching. What information related to the penicillin G should the nurse include?

 

Instructions:

1. Your discussion post should be at least 140 words. Follow APA guidelines for references. At least one reference is required to support your response. 

Lesson 2 Concept Map

Create a concept map for  one of the topics from the list below: 

· Sickle Cell Anemia

· Cystic Fibrosis

The content of the concept map must include:

· pathophysiology

· definition

· etiology

· risk factors (genetic predisposition and environment factors if applicable)

· causative factors

· common signs and symptoms for the disease

· labs & diagnostic tests

· nursing interventions

· medical treatment

· complications of the disease

· patient & family education

· 4-6 references using APA 7th ed. format

What is a concept map? 

A concept map is a visual representation of an overarching topic and the relationships between individual ideas, images, or words that lend themselves to the larger picture. Using designated shapes, as well as labeled lines and arrows, concept maps can depict cause and effect, requirements, and contributions between items. Concept maps are ideal for developing logical thinking, dissecting complex systems, and contextualizing specific ideas within larger topics. Source: Lucidspark. (n.d.).  What is a Concept Map?  https://lucidspark.com/blog/what-is-a-concept-mapLinks to an external site.

Lesson 2 Discussion

A woman has just been diagnosed with breast cancer. Her doctor tells her that while cancer is a multifactorial disease, she carries the breast cancer susceptibility gene, BRCA1. One of her two identical twin 19-year-old daughters is afraid that she also may have inherited the gene (Chapter 4, Learning Objective 2, 3, 8).

1. What considerations would you give her daughter who is worried about inheriting the cancer gene?

2. What ethical issues are raised when one identical twin wants to know her genetic susceptibility to a disease and other does not?

Instructions:

1. Your primary post should be at least 200 words long and should include reference to the textbook or another course resource using APA 7th edition format. Your primary post is due by Wednesday at midnight ET.

2. Lesson 7 Concept Map

3.

Create a concept map for  one of the topics from the list below: 

· Congenital Defects

· Coronary Artery Disease

· Heart Failure (left-sided vs. right sided)

· Hypertension

The content of the concept map must include:

· pathophysiology

· definition

· etiology

· risk factors (genetic predisposition and environment factors if applicable)

· causative factors

· common signs and symptoms for the disease

· labs & diagnostic tests

· nursing interventions

· medical treatment

· complications of the disease

· patient & family education

· 4-6 references using APA 7th ed. format

What is a concept map? 

A concept map is a visual representation of an overarching topic and the relationships between individual ideas, images, or words that lend themselves to the larger picture. Using designated shapes, as well as labeled lines and arrows, concept maps can depict cause and effect, requirements, and contributions between items. Concept maps are ideal for developing logical thinking, dissecting complex systems, and contextualizing specific ideas within larger topics. Source: Lucidspark. (n.d.).  What is a Concept Map?  https://lucidspark.com/blog/what-is-a-concept-mapLinks to an external site.

Lesson 7 Discussion

Disorders of Cardiac Function, and Heart Failure and Circulatory Shock

Martha had just finished dinner with her husband, and they had just sat down to watch television. She is 72 years old and has had a history of angina. Shortly after they sat down, Martha said she had indigestion and went to take some antacid tablets. An hour later, she began to feel warm, restless, and anxious. Her husband noticed she was looking pale and said he would take her to a nearby walk-in clinic. By the time they arrived, Martha said her left arm and shoulder were sore. Suspecting Martha was having a heart attack, her husband turned the car around and rushed her to the hospital. Three hours after the onset of her symptoms, Martha was receiving oxygen, fibrinolytic therapy, and nitroglycerin in the emergency ward. Afterward, she was moved to the cardiac unit for STEMI (Chapter 27, Learning Objectives 5 and 6).

1. An ECG of Martha’s heart demonstrated an elevated ST segment. What are the physiologic effects of myocardial ischemia that produce this finding? What variables affect the ECG tracing of a patient with ACS?

2. What are the benefits of administering fibrinolytic therapy, nitroglycerin, and oxygen in the early management of STEMI?

3. What is the inflammatory response in the postinfarction recovery period? Why will Martha’s heart function be compromised after her STEMI?

Instructions:

1. Your primary post should be at least 200 words long and should include reference to the textbook or another course resource using APA 7th edition format.