Artificial nutrition and hydration should not be used for end of life patients because intravenous hydration can have a negative impact on the quality of their life. According to RJ Ackermann, M.D (Medical Doctor), “There is always a risk when someone is fed through a tube. Liquid might enter the lungs. This can cause coughing and pneumonia… They can become plugged up, causing pain, nausea and vomiting” (Artificial Hydration and Nutrition par. 19). This quote shows that it is risky to use a…
Based on the knowledge I gained for reading Townsend (2015), I would have to place the client at stage 5. The client did not have any of the characteristic of stage 6, which includes urinary and fecal incontinence. In addition, the sun was not shining, the day of my visit therefore, I was unable to determine if the client symptoms were worse than her normal symptoms. However, the client did have manifestations of the previous stages such as, forgetfulness…
the Case of the Term assignment is “A case of tolterodine poisoning”. Tolterodine (Detrol, Detrusitol) (CAS #124937-51-5) is an antimuscarinic drug that belongs to the class of drugs known as antispasmodics. Tolterodine is prescribed to treat urinary incontinence or overactive bladder by relaxing the muscles in the bladder. Tolterodine is marketed and manufactured by Pfizer. Antimuscarinic drugs inhibit the action of acetylcholine at muscarinic receptors. Tolterodine acts on the M2 and M3…
The role of the nurse as a member of the patient safety team Nurses are at the forefront of patient care, and as such play a big role in patient safety. Patient safety is the patient being free from harm during care. According to Vaismoradi, Salsali, and Marck, nurses ensure patient safety by improving their performance through research and education. They also ensure safety by providing a safe environment through infection control, risk management, using medication safely, handling equipment…
ENT: No problems swallowing or decreased hearing. Cardiac: No chest pain, arrhythmia. History of hypertension. Respiratory: No cough or pneumonia. GU: No urinary incontinence or frequency voiding. GI: No constipation or diarrhea. Musculoskeletal: Pain in both knees, right greater than left. Neurologic: No history of seizures or numbness. Endocrine: No diabetes. Psychiatric: Some depression, mild. Heme:…
Looking at her medication list, her medical history may be rheumatoid arthritis, osteoarthritis, GERD, hypertension, anemia, hypothyroid, and a current infection. Why should you query her on the Bactrim, and would you consider it a routine home medication? Explain your answer. I would question the need for her to be on TMP/SMZ since she has no current infection that she is aware of. Although, she may be on this medication to regulate and prevent endocarditis since she has a history of…
level of neurotransmitter acetylcholine is low in the body. It primarily used to treat extrapyramidal symptoms (EPS) induced by antipsychotic in the treatment of psychosis and schizophrenia. Anticholinergic is used to treat client with Asthma, incontinence, gastrointestinal cramps, and muscular spasms and some used for the treatment of depression and sleep disorders. The nurse need to monitor the client vital signs for tachycardia, fluid intake and output, encourage client to dink fluid and to…
tramadol. She still has her left extensor hallucis longus weakness, but it has improved since the last examination. She has no significant lumbar paravertebral muscle spasm, but more lightness across the low back. She has the occasional stress urinary incontinence; however, she has had two children by vaginal birth. Plan is to proceed with lumbar epidural steroid block #2 with Dr. Lal in…
2015). These obstetrical fistulas can untimely lead to continuous urinary or fecal incontinence, which without surgical repair has little hope of correction. World wide the majority of obstetrical fistulas occur in countries in sub-Saharan Africa and south Asia are often the result the inability to access proper intra-partum health…
foot. Both parents have hypercholesterolemia while his 65-year-old father has prostate cancer. The patient skips breakfast and eats at fast food restaurants twice every day. He uses 800mg of Ibuprofen every four hours. He does not have urinary or bowel incontinence. No nausea, vomiting, or fever and there is no gross hematuria. However, he denies abdominal pain and pain with urination. He is allergic to Penicillin. Objective Data The patient has decreased strength of right leg with resisted…