Ethic is the principle surrounding the right and wrong of human conduct (DeNisco & Barker, 2016). Ethical dilemmas are common occurrences in the healthcare system. As charge nurse in a inner city chronic hemodialysis center, the facility this nurse work in have a difficult patient population. With that said, this writer and her team are often face with the decision of whether or not it is appropriate to cut a patients’ treatment time. According to the Facility Administrator all patients’ should…
Pseudomelanosis duodeni appears to be more common than pseudo melanosis gastri given the fact that a few cases of psuedomelanosis gastri have been reported in the literature so far. We report a case of 88 year old lady with ESRD who is maintained on hemodialysis and presented with abdominal…
nor did they address oral hygiene instruction or compliance. With that considered, the implications that oral health and kidney failure are correlated is something to keep in mind while treating patients such as #10377, as he has progressed to hemodialysis treatment, and is awaiting a kidney transplant. His case may be unique however, as periodontal health is a metric for candidacy when awaiting a renal transplantation, and he receives a cleaning every three months as such. Still, it is…
The home circumstances of patients who are on hemodialysis, CAPD or who have had a renal transplant compared to another chronic illness, rheumatoid arthritis were described by Toorians et al.5 Patients undergoing hemodialysis have higher rates of divorce than the other three conditions. Of those receiving renal replacement who are in relationships, 79% to 93% describe themselves as sexually…
of elimination were greatest for ofloxacin (increased from 8 to 37 h) and moderate for norfloxacin, ciprofloxacin, and enoxacin (increases ranged from 4 to 5 h to 8 to 9 h) (Table 5), while no changes occurred for pefloxacin (506). Clearance by hemodialysis was 14% or less of simultaneous plasma clearance for norfloxacin (223), ciprofloxacin (708), ofloxacin (224), and enoxacin (546) and was 28% for pefloxacin (506). Peritoneal dialysis also contributed minimally to clearance of ciprofloxacin…
Sarah Omar Med 2049 Acute Renal Failure Instructor Michelle Earixson-Lamothe 08-01-2014 Humans have two bean shaped organs located just below the rib cage, one on each side of our spine known as kidneys. Every single day kidneys filter about 120 to 150 quarts of blood and produces around 1 to 2 quarts of urine. These fist sized organs are very important because they help to prevent the buildup of wastes, regulate blood pressure, help our bones to stay strong, makes red blood cells, and…
Alicia your topic is very interesting and the issues that you have raised are noteworthy. One of the things you mentioned on your post is that a good portion of the vancomycin is removed when it is given during the hemodialysis. As a pediatric OR nurse specializing in open heart surgeries, I immediately asked myself whether our patients undergo the same thing when they receive prophylactic vancomycin dose and then later go through cardiopulmonary bypass (CPB). Vancomycin is given as an…
Stephanie Lane General Botany Dr. Sthultz Essential Oils and Aromatherapy Plants have been used in medicine for thousands of years. Well before the time of modern treatment, we, humans, began to experiment with the vegetation that was around us. Instinctively, it seemed, we knew that plants were good for something other than just food or drink. We learned from watching animals consume certain types of flora, from our own exploration, and as we discovered the benefits of each new herb or…
patients with CKD, serum ferritin levels greater than 100 mg / dl are considered sufficient and ideal, above 300mg / dl (KDIGO, 2012). KDIGO recommends using iron supplementation to maintain ferritin levels greater than 200 mg / dl for patients on hemodialysis, greater than 100 mg / dl for those not on dialysis or peritoneal dialysis, and for all, transferrin saturation above 20% . (KDIGO, 2012) The human body has no specific mechanism for eliminating excess iron absorbed or accumulated after…
Abdelaziz ( 2009 )30, carried out a comparative study to compared the efficacy of EMLA cream with infiltration injection (as control), in reducing pain associated with simple dental procedures. 48 children aged between 5 and 9 years attending the dental pediatric clinic at KAU, with no previous dental experience were selected. The effectiveness of anesthesia after EMLA cream was compared with injection technique and the 2 techniques were evaluated using the Wong- Baker Faces Pain Rating Scale…