CPK isoenzymes Neurologic assessment

CPK isoenzymes Neurologic assessment

home / study / science / nursing / nursing questions and answers / find and read the article: thompson, r. & george,…

home / study / science / nursing / nursing questions and answers / find and read the article: thompson, r. & george, l.e. (2016). preparing new nurses to address … Question: Find and read the article: Thompson, R. & George, L.E. (2016). Preparing new nurses to addres… Find and read the article: Thompson, R. & George, L.E. (2016). Preparing new nurses to address bullying: The effect of an online educational module on learner self-efficacy. MedSurg Nursing,26(5), 412-432 * Identify the/a main dependent variable. *How was this dependent variable measured? * What evidence is provided of the reliability and validity of this measure? If none provided, state this, and give ONE EXAMPLE of how reliability validity for the main DV measure may be demonstrated. N.T , a 79 year old woman, arrives at the emergency room with expressive aphasia, left facial droop, left-sided hemiparesis, and mild dysphagia. Her husband states that when she awoke that morning at 0600, she stayed in bed, complaining of mild headache over the right temple and feeling slightly weak. He went and get coffee, then thinking it was unusual forher to have those complaints, went back to check on her. He found she was having some trouble saying words and had develped a left sided facial droop. When he helped her up from the bedside, he noticed weakness in her left hand and leg and brought her to the emergency department. Her past medical history includes paroxysmal atrial fibrillation(PAF), hypertension (HTN), and hyperlipidemia. A recent cardiac stress test had normal findings and her blood pressure has been well controlled. N.T is currently taking flecainide (Tambocor), hormone replacement therapy, Amlodipine (Norvasc), aspirin, simvastatin (Zocor), and lisinopril (Zestril). The physician suspects N,T has experienced an acute cerebrovascular accident (CVA). Question: What factor in N.T’s history is the most likely contributor to her having experienced a CVA Case Study progress After a noncontrast CT scan, she is diagnosed with a thrombolytic CVA. The physician writes the orders shown in chart Chart View physician’sorders IV 0.9% NACI at 75 ml/hr Activase (tPA) per protocol Stat CBC, PT/INR, CPK isoenzymes Neurologic assessment Obtain patiet weight Vital signs every hour Oxygen at 2 L per nasal cannula(NC) Question: Outline a plan of care for implementing these orders The instruction on tPA vials read to reconstitute with 50 ml of sterile water to make a total of 50 mg/50 ml. (1 mg/ml) . The hospital protocol is to infuse 0.9 mg/kg over 60 minutes with 10% of the dose given as a bolus ver 1 minutes. N.T. weighs 143 pounds. What is the amount of the bolus dose, in both milligram and mililitres, you will administer in the first minute? What is the amount of the remaining dose that you will need to administer? Case study progress N.T is admitted to the neurology unit. A second CT scan (18 ours later reveal a small CVA in the right hemisphere. She is placed on flecainide (Tambocor), Amlodipine (Norvasc, clopidogrel (plavix), Aspirin , simvastatin ( Zocor) and Lisinopril (Zestril,. Question: If N.T”s deficits are temporary, how long might it take before completely reverse Why was N.T placed on clopidogel (Plavix) post- CVA? Is there any benefit from the continuing simvastatin (Zocor) after her CVA As you walk into the nurses’ station, the charge nurse is coordinating the swallowing evaluation, including a modified barium swallowing study and refferal for speech -language pathologist.(SLP) GIve the rationale for these order? Expert Answer