Appropriate clinical reasoning ensures that the patient receives the right intervention at the right time and for the correct reasons (Rossiter, 2013). In addition, the use of evidence-based practice (EBP) guarantees that the chosen intervention is right in terms of effectiveness supported by research findings. The clinical reasoning cycle (Levett-Jones, 2012) is a useful framework to guide the clinical reasoning process. The purpose of this essay is to apply this framework in the planning of nursing care to address dyspnea in Mr. Thompson, a 70-year-old gentleman admitted to the coronary ward with congestive heart failure (CHF). This essay will ...
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Explain how you would prioritize care of these clients in order of importance, and why
I will triage these patients with regard to their needs. The one with the immediate and most pressing needs is Mr. Richard. He takes first priority since he is in severe pain and nursing care dictates that the nurse should ensure that the patient is comfortable and one way to achieve is this is through pain relief. I would administer moderate analgesia such as morphine or pethidine. The fact that Mr. Richards was experiencing difficulty in breathing affirms me making him my first priority. Dyspnea translates to the fact that there is inadequate tissue perfusion. This in itself is ...
Surgical Anesthesia
Pharmacology and Indications Licocaine Licocaine is a type of medication used with an aim of numbing tissues and nerves within a given area of the body, which provides that anesthetic effect for the body. The most popular brand names for this particular drug are xylocaine and lignocaine. Some of the common effects associated with this particular medication include drowsiness, muscle twitching, nausea, and confusion (1). The severity of the side effects depends wholly on a patient’s reaction to the chemical composition of the drug. Regarding its mode of action, licocaine works by blocking the voltage-gated Na+ channels, which ...
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ORDER AN ESSAYSection 1. Renal Excretion of Drugs and their Metabolites
Determine whether your drug is: a) Primarily excreted unchanged (as the parent drug) in the urine (renally cleared) b) Excreted in the urine principally as metabolites (metabolised; hepatically cleared)
Salbutamol is cleared through the urinary system, metabolizing through the inactive 4’-O-sulphate (phenolic sulphate). Within the urine (with a minor extraction method being faeces), both the salbutamol and the metabolite sulphate are excreted. In studies, urinary excretion of salbutamol has resulted in around 64% of a dose being excreted as unchanged salbutamol, with about 12% excreted as the sulphate conjugate (Spina, 2003).
Section 2. Drug Metabolism
For your drug: a) discuss its metabolism noting the ...
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