Patho DQ 10 Peer Reply Maydeli Capo 2025

Below is the DQ post from another student to wish i have to reply. please APA, references and less than 20 % similarity. A 4-year-old girl presents with her parents to the emergency room you work at. Her parents explain that the flu is going around her daycare and that their daughter began to feel sick 4 days ago. She has been unable to eat since then, with prolonged vomiting for 3 days. She is admitted to the hospital for rehydration and correction of her acid–base disturbance. Her parents are highly concerned about how she could have developed an acid–base disturbance from the flu. How do you respond to this concern by the parents? The reason this 4-year-old girl developed an acid-base imbalance as a result of the flu is because she had uncontrolled vomiting for 3 days. The excess loss of hydrogen ions also known as fixed acids that occur with prolonged vomiting caused her to develop metabolic alkalosis (Grossman & Porth, 2014). Her parents tell you they tried to give their daughter a pediatric hydrating drink they found at the store, but she was unable to keep it down. They ask you in the future if this would have helped their daughter from developing an acid–base disturbance. How do you respond to this question by the parents? Children require different amounts of fluids to replenish the electrolytes lost from vomiting. In deciding what kind of fluid and what amount, body weight, surface and calorie expenditure must be considered (Meyers, 2009). The amount necessary to correct deficits may vary from one child to another. Commercial drinks although able to replenish lost electrolytes during vomiting may also contain large amounts of sugars which can worsen or cause diarrhea in the already weakened child. This can potentially cause other problems and severe dehydration may require intravenous hydration rather than oral which may not be tolerated as in the case of the patient (Meyers, 2009). The use of Pedialyte which is a well-known pediatric hydrating drink for example, has shown some efficacy in cases of mild dehydration (Rao, Summers, Rao & Ramana, 2006). Ultimately the effectiveness of the store bought drink may be correlated with the degree of dehydration experienced by the child. Reference Grossman, S. C., & Porth, C. (2014). Porth’s pathophysiology: concepts of altered health states. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. Meyers R. S. (2009). Pediatric fluid and electrolyte therapy. The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG , 14 (4), 204–211. https://doi.org/10.5863/1551-6776-14.4.204 Rao, S. S. C., Summers, R. W., Rao, G. R. S., Ramana, S., & al, e. (2006). Oral rehydration for viral gastroenteritis in adults: A randomized, controlled trial of 3 solutions. JPEN, Journal of Parenteral and Enteral Nutrition, 30 (5), 433-9. Retrieved from https://search.proquest.com/docview/230235102?accountid=158399

Nursing Assignment Help 2025

Psychopharmacologic Approaches To Treatment Of Psychopathology 2025

Case #29: The depressed man who thought he was out of options The Case: The depressed man who thought he was out of options The Question: Are some episodes of depression untreatable? The Dilemma: What do you do when even ECT and MAOIs do not work? The Case: 55-year-old with depression not responsive to serotonergic treatment The Question: (Pharmacogenetics, Part 2): How might psychopharmacology be delivered in the future? The Dilemma: Can genotyping help predict successful treatment selection · Provide the case number in the subject line of the Discussion thread. · List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions. · Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why. · Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used. · List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why. · List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other. · For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on the client’s ethnicity. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals of other ethnicities? · If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided. · Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations

Nursing Assignment Help 2025

Assessing Clients 2025

To prepare: · Select a client whom you have observed or counseled at your practicum site. ( EX 23 years old white male with depression and suicide ideations). · Review pages 137–142 of the Wheeler text and the Hernandez Family Genogram video in this week’s Learning Resources. Reflect on elements of writing a Comprehensive Client Assessment and creating a genogram for the client you selected. The Assignment Part 1: Comprehensive Client Family Assessment With this client in mind, address the following in a Comprehensive Client Assessment (without violating HIPAA regulations): · Demographic information · Presenting problem · History or present illness · Past psychiatric history · Medical history · Substance use history · Developmental history · Family psychiatric history · Psychosocial history · History of abuse/trauma · Review of systems · Physical assessment · Mental status exam · Differential diagnosis · Case formulation · Treatment plan Part 2: Family Genogram Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents, grandparents, and parents). Resources for reference: Required Readings American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.) . Washington, DC: Author. Standard 2 “Diagnosis” (pages 46-47) Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company. Chapter 5, “Supportive and Psychodynamic Psychotherapy” (pp. 225–238 and pp. 245–258) American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Young, J. M., & Solomon, M. J. (2009). How to critically appraise an article. Nature Clinical Practice. Gastroenterology & Hepatology, 6 (2), 82–91. How to Critically Appraise an Article by Young, J.; Solomon, M., in Nature Reviews Gastroenterology & Hepatology, Vol. 6/Issue 2. Copyright 2009 by Nature Publishing Group. Reprinted by permission of Nature Publishing Group via the Copyright Clearance Center.

Nursing Assignment Help 2025

Irritable Bowel Syndrome 2025

Jordan is a 35-year-old woman who presents with intermittent diarrhea with cramping that is relieved by defecation. The diarrhea is not bloody or accompanied by nausea and vomiting. Review of past medical history includes some childhood “stomach issues”, HTN, and a recent cholecystectomy. She works in the environmental department of a large hotel. . She denies alcohol and cigarette. Diagnosis: Irritable Bowel Syndrome (IBS) I. Discuss the epidemiology of IBS? II.  What is your treatment goals for this patient? III. Discuss First line and second line drug therapy for IBS. Please include pharmacotherapeutic information. Using APA 6th ed. Work must be supported by peer-reviewed article published within 5 years.

Nursing Assignment Help 2025

Rough Draft Quantitative Research Critique And Ethical Considerations 2025

Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses. Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment. In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Nursing Assignment Help 2025