Select a threatened or endangered species native to California or to Baja California and describe the reasons why its population has dwindled to the point that its survival is threatened or endangered and the actual efforts being made to save it.

A good way to approach answering questions in any class is to remember the “3 Es”: Explain using Examples and Evidence. Use actual examples and evidence. Prepare your answer in a Word file so you do not lose any of your work. Proof-read.

a.  Your answer must minimally include 250 words of relevant information. Even though conversation is a good way to bond with others participating in your discussion, I do not count the conversational part of your post in the word-count for your answer.

b.  Do not copy and paste text from another source. I want you to research, read, think about what you have learned, ask yourself questions, do more research, keep notes, and finally prepare your answer in your own words.

c.  Keep track of your sources.

d.  Cite your sources within yor post and at its end provide a list of complete citations for those sources. A complete citation includes the website’s title and separately the website’s URL. You must use and cite a minimum of three web sources.

 

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Excell for tracking calculations

Explain the benefits of using Excel as opposed to keeping track of calculations manually.
List 3 specific uses for an Excel spreadsheet in the field of nursing.  Give specific examples of how you could or have used Excel in the field.  Choose examples that you are familiar with, remembering that personal stories always makes a post more interesting.

pharmacology and therapeutic modality i heart failure patient case study 1

Heart Failure Patient( Case Study)

Heart Failure Patient

Answer the questions based on the following scenario. Please make sure to look at the point values for each question and answer completely and thoroughly to obtain the full points. Please wait to complete this until after we have covered heart failure in class. Your pathophysiology book and slides on HF and your pharm and adult health textbooks are excellent resources. This is for you as a professional to go deep, so DO NOT use WebMD or similar websites (Mayo Clinic, etc)–they are not websites for professional information, but are written for the lay person to understand and have their questions answered. Make sure to include citations and references.

Mrs. G is an 83 y/o female admitted with worsening heart failure. She has experienced increasing fatigue and “gets winded just walking out to the mailbox to get her mail.” She also is crying because her rings do not fit and she is waking up at night with trouble breathing. Sometime she forgets to take her medicine and she has had a poor appetite, and sometimes just eats a little toast and milk for dinner.

Admission labs are

  • Sodium 138
  • Chloride 102
  • Potassium 2.9
  • Glucose 93

She has an EKG that shows Normal Sinus Rhythm at 72

The doctor has reordered her home meds listed below

  • Digoxin 0.25 mg po every morning
  • Lasix 40 mg po every morning
  • Metoprolol XL 25 mg po daily

The nurse assesses the patient:

  • Dyspnea with exertion and needs HOB elevated to be able to breath while in the bed.
  • Has 2 plus pitting edema in feet, ankles, and lower legs
  • Says not eating because feels full all the time
  • VS T 97.7, Apical heart rate is 64, RR is 22, Pulse Oximetry is 92% on room air.

Question1:

The nurse is going to call the doctor. Review all of the above information and identify 3 additional assessments the nurse will want to perform before calling the doctor and give the rationale for each. (This is for 3 points, so make sure to include enough information to justify 3 points)

NO POINTS WITHOUT THE APPROPRIATE CITATIONS/REFERENCES

Question2:

Identify a priority patient problem (you are not required to write a nursing diagnosis) and at least 3 interventions the nurse should institute at this time

This patient problem should discuss a potentially serious physiological problem for the patient based on the above assessment and the nursing interventions must be specific to the problem.

NO POINTS WITHOUT APPROPRIATE CITATIONS/REFERENCES

Question3:

The nurse is concerned about the lab work and the current medication list. You need to explain why the nurse is concerned.

Question is worth a total of 6 points

How and why is each prescribed medication being used in the treatment of heart failure. (how do they work and why are they being given for heart failure) 1 point each

  • Digoxin
  • Metoprolol
  • Lasix

Explain which medication the nurse is concerned about giving and why (1 point).

Explain what lab work is concerning and what the nurse is going to ask for from the doctor (1 point).

What drug class might have been used in place/instead of digoxin and why would that drug be chosen (1 point)?

NO POINTS WITHOUT APPROPRIATE CITATIONS/REFERENCES

 

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team 2

 

Identify and research a LOCAL policy from an area that you are familiar with or are interested in (your hometown, where you live now, where you want to live in the future).

Most local laws are called “ordinances” or “municipal codes” so using those terms in your search might help you find local policies.  In addition, there is a website that hosts the municipal codes for many cities throughout the U.S. https://library.municode.com/# (Links to an external site.)

You might find it helpful to begin your search there.  Questions

Prepare a response to each item below. Describe the policy.  What is its purpose?  What does it do? Why do you think the policy was needed? Does it impact health? If so, how? If not, why not? (Remember the health determinants.) Who/what agency is responsible for enforcing the policy? Do you think the policy is a good one?  Why or why not? Do you think the policy should be changed or modified in any way? If so, how?

When you post your response, make sure to number each part of your response to coordinate with the questions presented.  Sources & Citations

You should identify at least three of your own sources to support your responses.  This does not include your textbook.  You should cite your textbook if you rely on it for your responses, but it does not count as one of your three sources.  In addition to the MuniCode site, you may be able to find press releases, newspaper articles, or other sources that elaborate on the local policy.  Students have even called the local government agency to ask about specifics of the policy, so feel free to gather information using methods other than just the internet.  More general sources may provide information about the background of the problem that the local policy is aimed at addressing.  Avoid unknown sources of information that may not be credible or reliable. 

Using in text citations is required in addition to your list of sources at the end.  Review APA format if you are not sure how to cite a source.  Here is a resource on citing Internet sources. https://poorvucenter.yale.edu/writing/using-sources/citing-internet-sources

 

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