2025 Medication Insulin Lispro Due July 2 2017 Document APA Format Note any additional references used See Attached information

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APA Paper on Medication Insulin Lispro 2025

Medication Insulin Lispro Due July 2, 2017 Document APA Format Note any additional references used (See Attached information from the FDA-Food & Drug Administration) Include information in the paper that is in Bold (see information noted from my initial research) Pharmacokinetics of Lispro (Information to use) Used in management of Diabetes mellitus, types 1 and 2: Treatment of type 1 diabetes mellitus (insulin dependent, IDDM) and type 2 diabetes mellitus (noninsulin dependent, NIDDM) to improve glycemic control Onset of action Peak Rapid acting: insulin lispro (Humalog) 0 to 15 minutes (Peak) 30 to 90 minutes (Onset of Action) Half-life Duration of action Pharmacodynamics of Lispro insulin Pharmacotherapeutics of Lispro Include Drug-to-drug interactions, Drug-to-food interactions , Drug-to-herb interactions Routes and dosage ranges For Children For Adults (Information to consider in writing paper) Type 1 Diabetic : Note: Multiple daily doses or continuous subcutaneous infusions guided by blood glucose monitoring are the standard of diabetes care. Combinations of insulin formulations are commonly used. The daily doses presented below are expressed as the total units/kg/day of all insulin formulations combined. Initial total insulin dose: 0.2 to 0.6 units/kg/day in divided doses. Conservative initial doses of 0.2 to 0.4 units/kg/day are often recommended to avoid the potential for hypoglycemia. A rapid-acting insulin may be the only insulin formulation used initially. Usual maintenance range: 0.5 to 1 units/kg/day in divided doses. An estimate of anticipated needs may be based on body weight and/or activity factors as follows: Nonobese: 0.4 to 0.6 units/kg/day Obese: 0.8 to 1.2 units/kg/day Adverse effects of Lispro · Cardiovascular: Peripheral edema · Central nervous system: Headache (type 1 diabetes: 30%; type 2 diabetes: 12%), pain (11% to 20%) · Endocrine & metabolic: Hypoglycemia, hypokalemia, weight gain · Gastrointestinal: Diarrhea (type 1 diabetes: 9%), nausea (type 1 diabetes: 6%) · · Genitourinary: Urinary tract infection (type 1 diabetes: 6%) · · Hypersensitivity: Hypersensitivity reaction · · Immunologic: Antibody development · · Infection: Infection (10% to 14%) · · Local: Hypertrophy at injection site, injection site reaction, lipoatrophy at injection site · · Neuromuscular & skeletal: Myalgia (type 1 diabetes: 7%; most likely secondary to excipient metacresol) · · Respiratory: Flu-like symptoms (type 1 diabetes: 35%; type 2 diabetes: 6%), pharyngitis (type 1 diabetes: 33%; type 2 diabetes: 7%), rhinitis (type 1 diabetes: 25%; type 2 diabetes: 8%) • Glycemic control: The most common adverse effect of insulin is hypoglycemia. The timing of hypoglycemia differs among various insulin formulations. Hypoglycemia may result from changes in meal pattern (eg, macronutrient content or timing of meals), changes in the level of physical activity, increased work or exercise without eating or changes to co-administered medications. Hyperglycemia is also a concern; may occur with CSII pump or infusion set malfunctions or insulin degradation; hyper- or hypoglycemia may result from changes in insulin strength, manufacturer, type or administration method. Use of long-acting insulin preparations (eg, insulin detemir, insulin glargine) may delay recovery from hypoglycemia. Patients with renal or hepatic impairment may be at a higher risk. Symptoms differ in patients and may change over time in the same patient; awareness may be less pronounced in those with long standing diabetes, diabetic nerve disease, patients taking beta-blockers or in those who experience recurrent hypoglycemia. Profound and prolonged episodes of hypoglycemia may result in convulsions, unconsciousness, temporary or permanent brain damage or even death. Insulin requirements may be altered during illness, emotional disturbances or other stressors. Instruct patients to use caution with ethanol; may increase risk of hypoglycemia. • Hypersensitivity : Hypersensitivity reactions (serious, life-threatening and anaphylaxis) have occurred. If hypersensitivity reactions occur, discontinue administration and initiate supportive care measures. • Hypokalemia: Insulin (especially IV insulin) causes a shift of potassium from the extracellular space to the intracellular space, possibly producing hypokalemia. If left untreated, hypokalemia may result in respiratory paralysis, ventricular arrhythmia and even death. Use with caution in patients at risk for hypokalemia (eg, loop diuretic use). Monitoring · Monitor serum potassium frequently with IV insulin use and supplement potassium when necessary. Patient teaching

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2025 This discussion board will help to do the assignment 2 so prefer 1 person to do

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Discussion board Nursing_SR 2025

This discussion board will help to do the assignment #2, so prefer 1 person to do this for both assignments that I will post later. 250 words-2 references (both within 5 years AND must be nursing journals) MUST HAVE IN TEXT CITATIONS THAT MATCH REFERENCES. http://learntech.physiol.ox.ac.uk/cochrane_tutorial/cochlibd0e84.php Read PICOT: Components of an Answerable, Searchable Question in Chapter 2-CAN USE THE ABOVE LINK Write an evident-based patient-centered-PICOT question. Develop and use the PICOT question for assignment #2. Discuss why the problem is important to nursing practice and it’s impact on health outcomes. Identify at least two barriers nurses might encounter while exploring this problem; include possible actions that can be used for handling those barriers.

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2025 THIS IS A RESPONSE TO A PEER 150 WORDS 1 NURSING REFERENCE WITHIN 5 YEARS How

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NURSING DB RESPONSE_SR 2025

THIS IS A RESPONSE TO A PEER-150 WORDS 1 NURSING REFERENCE WITHIN 5 YEARS How do older African Americans males (P) with a diagnosis of (HIV) human immunodeficiency virus (I) in rural southern United States compared to other parts of the country (C) exploring perceptions and experiences of aging with the disease process (O) during the reported new HIV cases in 2014 (T). Important to Nursing Practice and Impact on Health Outcomes The review of HIV among aging African American males is relevant in nursing practice is to become aware, make prevention, apply treatment, and have an early diagnosis to prevent the spread of HIV not only among African American males but to all race, gender, and age. According to Blake, Taylor, & Sowell (2017), estimates indicate that 44% of all people diagnosed with HIV are living in the southern region of the United States. HIV remains a serious health issue for the nation due to the vast spread of disease. African Americans represent 13.2% of the United States population, however, 44% (19,540) of reported new HIV cases in 2014 were diagnosed within this ethnic group and it is estimated that 21% of adults living with HIV are 50 years or older as reported by Blake, Taylor, & Sowell (2017). HIV disease has a great impact on society, it may cause as a source of discrimination, rising mortality, falling socio-economic productivity due to illness, lack of income, and burden to the healthcare. The southern epidemic was initially in urban centers; however, the region now has a greater number of newly diagnosed cases of HIV in rural and suburban areas compared with similar areas in other parts of the country (Reif et al., 2015). Two Barriers while Exploring this Problem and Actions can be Used After thoroughly researching the article, Blake, Taylor, & Sowell (2017) concluded that Southern African American men reported having to deal with conditions such as diabetes, stroke, heart conditions, and decreasing mobility in addition to having to manage their HIV and potential side effects of a weakened immune system as part of HIV and aging. Southern states struggle with inequalities believed that the stigma they faced was because of a lack of education and ignorance in the community about HIV (Blake, Taylor, & Sowell, 2017). Educational reinforcement such as provide health teaching of the disease process and reinforce to giving attention of themselves by following scheduled medication. Set behavior modifications such as eating nutritional diet, balanced exercise, and avoiding drugs, alcohol, and smoking.

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2025 The dynamic and increasingly complex world of health care often requires nurses

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Group Process 2025

The dynamic and increasingly complex world of health care often requires nurses to work collaboratively on interprofessional teams. In the group environment, individuals with unique skills and expertise come together to focus on a common goal; however, groups must become cohesive before they can become effective. Your experiences working with groups—whether you perceive them as positive, negative, or neutral—can be used to facilitate insight and development. Health care, with its focus on interprofessional teamwork and collaboration, offers ample opportunities and an imperative for continuous learning. For this Discussion, you focus on strategies for facilitating the group process. To prepare: Review the information in this week’s Learning Resources regarding the stages of group formation, problematic roles individuals play in groups, and strategies for facilitating and maintaining positive group collaboration. In particular, review Learning Exercise 19.12 on page 464 of the course text. Reflect on various groups with which you have been or are currently involved. Select one specific group to analyze for the purposes of this Discussion. Identify the purpose or task that the group is or was meant to perform. Consider the four stages of group formation (forming, storming, norming, and performing). How would you describe the progression between stages? Is there a stage in which you believe your group is or was “stuck”? Consider the task or group-building role you normally play in a group setting. How could you apply the information from the Learning Resources to improve your group participation and facilitation, as well as the functioning of the group as a whole? In addition, think about which individuals within your group (including yourself) may fall into problematic roles such as the Dominator, the Aggressor, or the Blocker. How have you and your group members addressed the enactment of these roles and its impact on interactions? With information from the Learning Resources in mind, what strategies would you apply now or going forward? By Day 3 Post a description of a group with which you have been or are currently involved. Assess where the group is in terms of the four stages of group formation. If you are reflecting on a past experience, explain if your group moved through all four stages. Describe the task or group-building role you typically play, or played, in this group. Then, explain what strategies you, as a leader, can apply to better facilitate the group process and address any problematic individual roles in the group. Required Readings Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins. Chapter 19 “Organizational, Interpersonal, and Group Communication” Chapter 19 covers many aspects of the communication process, including group communication. As you read this chapter, focus on the stages of group development (forming, storming, norming, performing) and group dynamics (group task roles, group building and maintenance roles, problematic roles). Consider how you can apply these concepts as you engage in group work. Adams, S. L., & Anantatmula, V. (2010). Social and behavioral influences on team process. Project Management Journal, 41 (4), 89–98. Retrieved from the Walden Library databases. In this article, the authors report on the effects of individual behaviors on project teams and provide a model that identifies the progress of social and behavioral development. For each stage, the authors provide recommendations for managing team members. Chun, J. S., & Choi, J. N. (2014). Members’ needs, intragroup conflict, and group performance. The Journal Of Applied Psychology , 99 (3), 437–450. doi:10.1037/a0036363 This study theorizes and empirically investigates the relationships among the psychological needs of group members, intragroup conflict, and group performance . Haynes, J., & Strickler, J. (2014). TeamSTEPPS makes strides for better communication. Nursing , 44 (1), 62–63. doi:10.1097/01.NURSE.0000438725.66087.89 Teamwork and communication are the focus of this article and include the use of the TeamStepps model for Quality Improvement. Hogg, M. A., Van Knippenberg, D., & Rast, D. E., III. (2012). Intergroup leadership in organizations: Leading across group and organizational boundaries. Academy of Management Review, 37 (2), 232–255. Retrieved from the Walden Library databases. The authors of this article introduce a theory on intergroup leadership that is based on social theory and intergroup relations. This theory purports that intergroup performance relies on a leader’s capacity to create intergroup relational identities. Kaufman, B. (2012). Anatomy of dysfunctional working relationships. Business Strategy Series, 13 (2), 102–106. Retrieved from the Walden Library databases. Kaufman examines the impact of dysfunctional working relationships in an organization. She provides managers with tips that will allow them to identify early warning signs of dysfunctional behavior and to minimize its effects in the workplace. Mind Tools. (2012). Forming, storming, norming and performing: Helping new teams perform effectively, quickly. Retrieved from http://www.mindtools.com/pages/article/newLDR_86.htm This web article discusses stages of team development and provides strategies for moving through the early stages effectively. Mind Tools. (2009). Team charters. Retrieved from http://www.mindtools.com/pages/article/newTMM_95.htm

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2025 Concept Map This Assignment due by Day 5 of Week 5

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Concept Map 2025

Concept Map This Assignment, due by Day 5 of Week 5 , provides an opportunity to deepen your understanding of the conceptual components of a theory. Building on this week’s Discussion, you will build a concept map to express the linkages and interrelationships of the concepts in the middle range theory you have selected.

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2025 Max Points 10 0 Describe how the concepts of leadership and management differ from each other

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DQ 2 2025

Max Points: 10.0 Describe how the concepts of leadership and management differ from each other. In what areas do they overlap? Explain how the goals of management and leadership may sometimes overlap. As a nurse leader, do you believe you can expand your influence to create change by taking advantage of this overlap? Explain your answer.

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2025 Write a single page discussion answering the following topics Research the University of Miami

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UMH discussion 2025

Write a single page discussion answering the following topics: Research the University of Miami Hospital, in Miami, FL to find out conducted research that involves human participants. If the case, explain, for example, is there an IRB or ethics committee? If so, do they review proposals? Next, find out the composition of the members and discuss if they meet federal guidelines.

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2025 Pharmacokinetics of Lispro Information to use Used in management of Diabetes mellitus types 1 and 2 Treatment of

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APA Paper on Medication Insulin Lispro 2025

Pharmacokinetics of Lispro (Information to use) Used in management of Diabetes mellitus, types 1 and 2: Treatment of type 1 diabetes mellitus (insulin dependent, IDDM) and type 2 diabetes mellitus (noninsulin dependent, NIDDM) to improve glycemic control Onset of action Peak Rapid acting: insulin lispro (Humalog) 0 to 15 minutes (Peak) 30 to 90 minutes (Onset of Action) Half-life Duration of action Pharmacodynamics of Lispro insulin Pharmacotherapeutics of Lispro Include Drug-to-drug interactions, Drug-to-food interactions , Drug-to-herb interactions Routes and dosage ranges For Children For Adults

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2025 The purpose of this assignment is to demonstrate that you have mastered the topic concepts you have researched and

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QUESTIONS AND ANSWERS 2025

The purpose of this assignment is to demonstrate that you have mastered the topic/concepts you have researched and can engage in meaningful, scholarly dialog and/or debate with your peers while also offering a unique contribution to the subject. For this assignment, you will Select three (3) questions submitted by your peers and/or your instructor from the discussion board to address formally and in detail for this assignment. Choose questions of intellectual substance; each response should be 2 paragraphs in length. Include the questions above your responses. Present the question in bold text and your response beneath in regular APA style text. You do not need to identify the person who submitted the question. Your responses should be organized, comprehensive, and well written. Use citations and a reference page when appropriate to include supporting evidence; however, your responses should be unique and indicative of your own understanding of the subject. Include a title page. Topic: IMPROVING THE PUBLIC’S PERCEPTION OF HOSPITAL-BASED NURSING CARE **** These are the questions 1. 1. Things That Would Help Nurses Assess and Manage Pain More Effectively? 2. 2. Can you share the leading causes that lead to childhood obesity? 3. 3. What factors have contributed to physicians primarily prescribing opioids even though they are a poor choice for long-term pain management? Is there more of monetary value for the physician prescribing an opioid pain medication? 4. 4. Due to the minimal side-effects of medical marijuana, there is less of a need for other medications or treatments to counteract the side-effects that a synthetic opioid medication can produce (e.g., constipation & addiction). How has this influenced the financial aspects of the pharmaceutical and insurance companies? 5. 5. How would integrating classes into nursing programs in relation to workplace violence assist with lowering the rates of these types of incidents once a nurse is actively working in the field? 6. 6.Are there any pros and cons of bottle feeding in the first 6 months, but with breastmilk? 7. 7. what are the reasons or issues that cause deterioration of the effectiveness for programs addressing AIDS and HIV? Rubrics The required number of responses is submitted in the appropriate format. Questions chosen for response are of significant intellectual quality so as to require a substantive reply, and cover a variety of issues. The student does not steer away from challenging or difficult questions for which there may be no exact answer. Responses are organized, comprehensive, and very well written. Responses are academic in tone and are presented professionally. Responses indicate a thorough understanding of the topic and (when applicable) a willingness to explore unexamined or contradictory views. Responses

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2025 150 words 1 reference within 5 years must have in text citations that match reference this is a

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Nursing DB response_ar#2 2025

150 words, 1 reference within 5 years. must have in text citations that match reference. this is a response Today’s health care has a high demand for applying research to health care based on the best developmental scientific evidence. The biggest challenge in todays health care is providing evidence based, cost effective quality care that will improve practice and overall patient outcomes. Only fifty five percent of the time patients get evidence based recommended course of treatment (Wolfe, 2001). That means patients are not getting the latest standard of care, not getting the care that the patients deserve. By conducting ongoing research, the results generate knowledge in areas that indirectly affect nursing care process. As well as providing support for the quality and cost effectiveness of interventions. Nursing research provides the foundation for practice decisions and behaviors. The nursing profession needs to integrate evidence into practice to improve the nursing practice. Nurses have the opportunity and responsibility to make a difference to the quality of patient care by raising the profile of their research activity ( Mccance , 2006). Nursing is the key to maximizing evidence based outcomes and enhancing patient care. Nurses have incredibly creative and solution focused ideas. For example research has been conducted on hospital acquired infections and hospital injuries occurring from patient falls. This research and development has improved outcomes tremendously. Organizations are seeing a decrease in both. Explain the essential steps in nursing research The essential steps in nursing research is first to identify a problem or question. Step one is formulating and delimiting the problem. Quantitative researchers begin by identifying an interesting, significant research problem and developing research questions ( Polit & Beck, 2017). Having a personal interest in the problem or question is also extremely helpful. Step two is reviewing the related literature. Researchers will examine the already known knowledge and go over the existing practice guidelines or protocols. Step three is undertaking clinical fieldwork, which involves having hands on, seeing the problem for themselves. Step four is defining the framework and developing conceptual definitions. Step five is developing a a hypothesis, the research question identifies the study concepts and asks how the concepts might be connected. Step six is selecting an overall plan for getting the answers to the question. Step seven creating protocols for the interventions. Step eight identifying all the individuals with the same characteristics. Step nine coming up with a sampling plan, involving collecting data from a sample. Step ten Specifying methods to measure research variables, this is the way the researcher will measure the variable. Step eleven is developing methods to preserve the rights of the humans or animals. Step twelve going over and finalizing the plan. Step thirteen is collecting all the data needed. Step fourteen is preparing the data for analysis. Step fifteen is analyzing the data. Step sixteen is interpretation, which involves making sense of the results. Step seventeen is communicating the results and findings, the results must be shared. Step eighteen is finally utilizing the results in the nursing practice. Compare the link between research and evidence-based practice (EBP) Research and evidence-based practice (EBP) is very similar since they both start with a question. Research is investigating that aims to answer a question about nursing phenomena. Research is the study that tests the question, to explore with unknown information. EBP is the collection of valid information, combined with clinical experience and an understanding of patient and family values ( Sackett , Strauss, Richardson, Rosenburg , & Haynes, 2000). EBP appraises the literature for already completed study to find the best evidence to change practice. Not testing new information. Nurses have to evaluate and compare in order to improve clinical interventions. Basically, EBP is searching literature and translating into practice to see if it works. Explain the importance of nursing research for the professional RN as the role care provider, manager, and practicing member of the profession. Nurses are the key factor to maximizing evidence based care and improving patient care. Research helps nurses to provide the best possible care to their patients by advancing their knowledge and skills. Research allows for critical thinking and decision making and outlines the guidelines that nurses practice by. Research also helps to protect the nurses in the work place. Nurses, managers and practicing members of the profession all want better patient outcomes and do agree with EBP, the problem is time. Engaging nurses in the process of evidence based practice and improving patient care has huge payoff’s for all involved the nurse the patient, managers and organization. Research is everything to the nurse, manager and health profession. For example research conducted on nurse burnout and how it can effect the overall outcome of patient care.

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