Case Study

Diagnostic Analysis The patient’s symptoms and diagnostic studies were classic for hyperglycemic ketoacidosis associated with DM. The glycosylated hemoglobin showed that he had been hyperglycemic over the last several months. The results of his arterial blood gases (ABGs) test on admission indicated metabolic acidosis with some respiratory compensation. He was treated in the emergency room with IV regular insulin and IV fluids; however, before he received any insulin levels, insulin antibodies were obtained and were positive, indicating a degree of insulin resistance. His microalbumin was normal, indicating no evidence of diabetic renal disease, often a late complication of diabetes. During the first 72 hours of hospitalization, the patient was monitored with frequent serum glucose determinations. Insulin was administered according to the results of these studies. His condition was eventually stabilized on 40 units of Humulin N insulin daily. He was converted to an insulin pump and did very well with that. Comprehensive patient instruction regarding self-blood glucose monitoring, insulin administration, diet, exercise, foot care, and recognition of the signs and symptoms of hyperglycemia and hypoglycemia was given.Critical Thinking Questions1. Why was this patient in metabolic acidosis?2. Do you think the patient will be switched eventually to an oral hypoglycemic agent?3. How do you anticipate this adolescent social life is going to be affected?4. How could you help this patient to be compliant with his treatment?Please F/U attachment with complete instructionsJust 2 pages with the answer, APA references 7th edition

 
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Discussion

Discussion Question 1No unread replies.No replies.Describe the sequence and give the rationale for putting on and taking off PPE.150 word

 
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Management and Motivation – 3 pages

Create a 3 page report on the optimal learning environment for the course you developed in Assessment 1. Select a learning environment that will foster motivation in the learner population, support these efforts at classroom motivation, and best serve the goals of the course.Create a report that does the following:Describes the learning environment most appropriate for the educational topic and intended audience was previously identified.Briefly describes and evaluates theories of classroom management, learner management, and learner motivation that are relevant to this course and intended audience.Describes evidence-based strategies for classroom and learner management and evidence-based best practices to enhance learner motivation and how to employ these in the learning environment and with a diverse group of learners.

 
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financial accounting 110

accouting help will attatch

 
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discussion post

Nurses can be an integral part of designing public policy as political leaders. As a registered nurse, you have a professional commitment to improve health care. However, many nurses are not politically active and do not lobby for important aspects of their profession.What are the reasons many nurses do not actively engage in lobbying efforts?What actions can nurses take to encourage themselves and their peers to get involved politically and lobby for specific issues such as healthcare policy changes? Provide a detailed example.In order to receive full credit, you will need to clearly respond to both parts of the question using subtitles or bullets AND cite at least one scholarly reference in your response. You are required to participate on at least three (3) days of the week to receive full participation points.

 
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see attached

 
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Discussion 250 words. Make sure you provide 2 references with 5 years

Review chapter 20 of your textbook. Discuss the challenges and opportunities of simulation technology apply to your nursing education. Identify simulation opportunities specific to the APRN education?

 
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IP – Policy Implementation and Improvement 3-5 pgs (not including cover pg and resource pg)

Assignment Details (Format APA 7)Policy analysis is a mainstay of any healthcare administrator. The ability to analyze policy from year to year and implement changes determines the behavior of your employees and the risk mitigation of your department and organization. You must be able to effectively communicate the changes needed for the policy. In this Individual Project (IP), you are going to research the current suggestions of the Centers for Disease Control and Prevention (CDC) using the following resources:Policy and Strategy at CDCHand Hygiene in Healthcare SettingsEliminating Healthcare Associated InfectionsPolicies and Procedures for Healthcare Organizations: A Risk Management PerspectiveThen, analyze the following sample policy:Sample PolicyPurpose: Effective hand hygiene to reduce the incidence of healthcare-associated infectionsPolicy: All members of the healthcare team will comply with current CDC hand hygiene guidelines.Procedure Indications for HandwashingIndications for HandwashingWash hands when hands are visibly dirty.Wash hands using antimicrobial soap and water before eating and after using a restroom.Handwashing may also be used for routinely decontaminating hands in the following clinical situations:Before having direct contact with patientsAfter contact with inanimate objects (including medical equipment) in the immediate vicinity of the patientAfter removing glovesFor this assignment, you will respond to the following prompts in APA 7 format:How well does this policy align with the current hand hygiene standards based on the CDC recommendations for hand hygiene in healthcare settings? Describe the areas of alignment and opportunities for improvement.Based on your analysis, what modifications would you recommend to the policy?According to the CDC guidelines and resources for hand hygiene and the state policy options associated withEliminating Healthcare Associated Infections, provide a brief discussion of what you must consider with regard to training your staff and documenting the impact by measuring hand hygiene practices.Now, review theGuidelines for Policy and Procedure Development, and write the policy based on your recommendations and what you found in the CDC guidelines.Submit the revised policy along with your assignment.Any changes remitted from the CDC policy should be defended in your assignment.

 
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Alternative discussion 16

Toxicology of the Alkylglycerols.

 
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2 QUESTIONS

1.    What would be recommended adult immunization schedule for a 30-year-old male?Your response should be at least 200 words in length.2.    Malarial infections are caused by protozoan Plasmodium (P. vivax and falciparum.) There are agents that are used to interrupt the cycle of the parasites, while others are used for the actual prevention of the malaria. Discuss the mechanism of action, use, and adverse effects of primaquine and hydroxychloroquine.Your response should be at least 200 words in length.

 
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