Week 8 2025

Support with 1 journals no older than 5 years. Week 8 GI Case Study: H. Pylori infection Questions: As an NP student, needs to determine the medications for recurrent H. Pylori infection. According to the ACC/AHA Guidelines, what medication should this patient be prescribed? Write her complete prescriptions using the prescription writing format. ACC/AHA Guidelines Chief complaint: “ I have recurrent H. Pylori infection”. HPI: M.C. a 46-year-old hispanic female presents to the GI clinic for complaint of recurrent H. Pylori infection. She was treated about 2 ½ months ago with H. Pylori triple therapy and failed treatment. She has pmhx of dyspepsia, GERD. She also indicates that she has noticed that her symptoms of dyspepsia are worsening for past 2 months. She has associated her symptoms with nausea, upset stomach with all foods. Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms. PMH: H. Pylori infection gastritis Diabetes Mellitus, type 2 Surgeries: None Allergies : NKDA Vaccination History: She receives an annual flu shot. Last flu shot was this year Social history: High school graduate, married and no children. He frequently eats out in restaurants. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago. Family history: Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis. ROS: Constitutional: Negative for fever. Negative for chills. Respiratory: No Shortness of breath. No Orthopnea Cardiovascular: No edema. No palpitations. Gastrointestinal: No vomiting. +Dyspepsia. + Nausea. No constipation. No melena. No abdominal pain. Skin: No lesions. No rash. No itching. Psychiatric: No anxiety. No depression. Physical examination: Vital Signs Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored HEENT : Normocephalic/Atraumatic, PERRL, EOMI; No teeth loss seen. Gums no redness. NECK : Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS : Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART : Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. No edema. ABDOMEN : No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY : No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL : Slow gait but steady. No Kyphosis. SKIN: Dry. Intact. PSYCH : Normal affect. Cooperative. Labs day of visit :: Hgb 15.2, Hct 40%, K+ 4.0, Na+137, Serum Creatinine normal 1.0, AST/ALT normal. TSH 3.7 normal, glucose 98 normal A: Primary Diagnosis: Recurrent H. Pylori infection gastritis Secondary Diagnoses: Dyspepsia Differential Diagnosis: Peptic Ulcer Disease Previous medication plan: two months ago and failed. Clarithromycin 500 mg po BID for 2 weeks Omeprazole 40 mg po BID for 2 weeks and then po daily. Cipro 500 mg po BID for 2 weeks Plan: Tests Pt had EGD done 2 weeks ago that showed H. Pylori positive gastritis in biopsy results. Urea breath test 8 weeks after treat with H. Pylori medications. Pt needs to stop PPI’s 2 weeks prior to Urea Breath test. Labs: No new labs are needed. Referrals : may refer based on effect of medication therapy given for 2 weeks. Follow up : return to office in 8 weeks to reevaluate her symptoms.

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Asian and Japanese heritage 2025

this presentation should address the following: History, values and worldview, language and communication patterns, art and other expressive forms, norms and rules, lifestyle characteristics, relationship patterns, rituals, degree of assimilation or marginalization from mainstream society, and health behaviors and practices. In addition to describing the these characteristics, the presentation must include (a) a comparative and contrast analysis of common characteristics and distinguishing traits between the groups,and (b) a discussion of differential approaches needed by health care professionals.

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Introduction to planning and the planning hierarchy 2025

Post an explanation of how you view the similarities and differences between the nursing process and the strategic planning process. Share an example from the literature that demonstrates why it is beneficial for nurse leader-managers to be aware of the planning hierarchy and why they should be engaged in strategic planning in addition to and in contrast with operational planning.

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Discussion question. Only need 5 sentences regarding -Decisions on Health Care Organization Alliances and Regulations” 2025

Decisions on Health Care Organization Alliances and Regulations” Please respond to the following: From the e-Activity, distinguish the factors that are most important in carrying out a successful health care organization merger or acquisition. Defend at least two (2) reasons why health care organization alliances are sometimes necessary. Provide a rationale for your response. Dispute or defend the idea that a government regulation system should be the main regulating body in health care. Predict two (2) consequences of the alternative regulating system being in control. Provide a rationale for your response.

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Need discussion post for this assignment 2025

Discussion: Factors That Influence Disease In clinical settings, some of the most common questions that patients ask are: “Why do I have this?”, “What caused this disorder?”, and “Will it ever go away?” These emotional questions can be difficult to ask and to answer. However, for patients to come to terms with their diagnoses and adhere to treatment plans, they must have an understanding of factors that might have caused or continue to impact their disorders. As an advanced practice nurse, it is important that you are able to explain disorders, associated alterations and symptoms, and changes that might occur within your patients’ bodies. To prepare: Review this week’s media presentation with Dr. Terry Buttaro. Reflect on the importance of developing an in-depth understanding of pathophysiology. Select a disorder from the following list: Adrenal Insufficiency (Addison’s disease) Atherosclerosis Cholelithiasis (gallstones) Colon cancer Cystic Fibrosis Hemophilia Nephrolithiasis (kidney stones) Osteoporosis Parkinson’s disease Tuberculosis Select one of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how that factor might impact your selected disorder, as well as potential associated alterations and symptoms. Think about the pathophysiology of the associated alterations, including the normal and altered cellular function. Consider both intra- and extra-cellular changes that occur.

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