1.1) Mark has signed an advance directive stating that no life-sustaining measures will be used. What exactly does this imply? 1.2) When Cathy wants a break from caring for Mark at home, what options are accessible to her? 1.3) What is your job as his nurse in caring for Mark and Cathy? 1.4) Identify organizations that support grieving families.? 1.5) How do you provide support to Cathy and yourself outside work?

2.1)   To list the ethical issues regarding pain management and cultural beliefs in palliative nursing. 2.2)   How would you respond in this situation? 2.3)   Explain the role and legal parameters of families in decision making within palliative care nursing.   2.4)   Outline the nursing interventions for this patient based on your nursing observations and assessments?   2.5)   As Macey is nearing the end of her life, how can you involve family to care for Macey? How could you support their family? 2.6)   Identify professional boundaries regarding communication of services and nursing interventions in the management of a palliative patient? 2.7)   On your next visit, you see that Macey is having delirium and is not able to communicate properly. Macey is groaning and clenching. Macey is breathing shallow and mouth wide open, trying to get a breath. Macey is on a subcutaneous syringe drive with pain relief and antiemetics. Macey has not produced any urine for the last 12 hours and has not had anything to eat or drink since the day before. Based on your nursing observation, identify the end-of-life care needs for Macey. 2.8)   Reflect on self-care when nursing palliative patients and their families. 2.9)   What actions would you take to address this situation? What support is available at the workplace to assist you?

1) Describe the five basic mechanisms of antibiotic action against bacterial cells. Give examples of drugs that are used in each category. 2) In many instances, resistance builds to antibiotics over time. Describe at least seven ways this resistance develops.

A novel compound to treat sickle cell crisis is being developed that would act at 2 mg dose. It is currently formulated as a tablet of a total weight of 200 mg due to the need for excipients, and the total number of particles is determined at 200 000 per gram. Calculate all parameters as in question 8 and compare and contrast these two formulations. Suggest any alterations to these powders to alleviate the found problems. Calculate the standard deviation, the coefficient of variation and the acceptable number of particles in the scale of scrutiny to ensure that we detect 1.5% as acceptable deviation.

INSTRUCTIONS Need to write 2 paragraph each 150 words writing 2 paragraphs explaining why you are interested in the course (certified Pharmacy Technician)and why we should consider you for this course.

How many mL are supplied in the insulin dosage ordered? Humulin R Regular U-100 insulin 34 units with Humulin N NPH U-100 insulin 61 units subcut stat_ mL total

Assignment Instructions Your manager explained that all of the emergency center nurses at RGH will be educated in small groups through a short, in-service training session. You have been asked to develop a professional-looking PowerPoint presentation that the trainers will use to guide the in-service sessions. Your PowerPoint will need to: 1. Be professional-looking, have a title slide, and 10-15 content slides. 2. Use the Speaker Notes feature in PowerPoint to reduce the amount of text that appears on the content slides. 3. The Speaker Notes for each slide will contain the text that will guide what the trainer will say while presenting the slides during the in-service. 4. The content slides themselves should be clear and easy to understand; they serve as an outline so the audience can follow along with what is being presented. 5. Be written using proper spelling/grammar and at a level that would be appropriate for the audience. 6. Remember the purpose of the training is to help nurses learn to educate their clients about the use of a medication. With that in mind, it may be helpful to provide examples of how to explain the information to a client in an easy-to- understand way without complicated, technical terms. 7. Include APA formatted in-text citations for at least 3 scholarly references and present the sources in APA format on a References slide. 8. Contain content addressing the items below for rivaroxaban 9. Pharmacotherapeutics 10.State the drug name and its therapeutic category. 11. Pharmacodynamics- how does this drug work to achieve its intended response? 12. Pharmacokinetics - how is this drug absorbed, distributed, metabolized, and excreted? 13. Discuss dosage, scheduling, route, and length of therapy. 14. Describe what clients can expect regarding their therapeutic response and when it should develop. 15. Introduce non-drug measures that clients can do to enhance their therapeutic response (eg, specific diet to follow, exercise requirements, substances to avoid, special precautions to take, etc.). 16. Side Effects, Adverse Effects, and Interactions 17. Explain the symptoms of common side effects, and what clients can do to minimize any discomfort. 18. Explain the symptoms of any major adverse effects, and what clients should do if they experience them. 19. List the major adverse drug-drug interactions and drug-food interactions that clients need to be made aware of. 20. Follow-up Care 21. Provide information regarding when clients should call their doctor for advice (eg,, questions, non-urgent symptoms, unpleasant side effects, etc.). 22. Emphasize any symptoms for which clients should seek immediate care (e.g. when to go to the emergency center or call 911).

SOAP Bob Cat Module 1 New patient HTN Demographics: Patient Name: Bob Cat Age: 50 Gender: Male Subjective: Past Medical History: None Current Medications: None Surgical History: None Allergies: Penicillin, tree nuts ● Social History: Ohio University Advanced Pharmacology Case Study Module 1 Smoking Status: Current smoker, averaging 1 pack per day for the past 20 years Alcohol: Occasionally consumes 1-2 beers with dinner Diet: Strives to eat healthy with no specific diet Exercise: Rarely engages in physical activity Family History: Father passed away at 65 due to heart failure, mother currently 80 and well, no family history of cancer, only child Chief Complaint: "I haven't seen a provider in about 20 years, so I'm here to see you as my new PCP." Review of Systems (ROS): Constitutional: Denies fevers, chills, sweats, and weight changes. Eyes: Denies any visual symptoms, eye pain, crusting, or drainage. Ears, Nose, and Throat: No difficulties with hearing. No symptoms of rhinitis or sore throat. Cardiovascular: Denies chest pains, palpitations, orthopnea, paroxysmal nocturnal dyspnea, or extremity edema. Respiratory: No dyspnea on exertion, no wheezing or cough. GI: No nausea, vomiting, diarrhea, constipation, abdominal pain, hematochezia, or melena. GU: No urinary hesitancy or dribbling. No nocturia or urinary frequency. No abnormal urethral discharge. Musculoskeletal: No myalgias or arthralgias. Neurologic: No chronic headaches, no seizures. Patient denies numbness, tingling, or weakness. Psychiatric: Denies problems with mood disturbance. No problems with anxiety. Endocrine: No excessive urination or excessive thirst. Dermatologic: Denies any rashes or skin changes. Objective: Vitals: Height: 5' 10" Weight: 190 lbs ● Ohio University Advanced Pharmacology Case Study Module 1 BMI: 26 Temperature: 97.8°F Blood pressure: 148/94 (recheck 150/88) Heart rate: 70 SPO2: 98% Pain: 0 Physical Exam: General: Well-appearing, well-nourished, in no distress. Oriented x 3, normal mood, and affect. Ambulating without difficulty. Skin: Good turgor, no rash, unusual bruising, or prominent lesions. Normal hair texture and distribution. Nails exhibit normal color with no deformities. HEENT: Normocephalic, atraumatic head. Eyes show intact visual acuity, clear conjunctiva, non-icteric sclera, and normal fundi. Ears have clear ear canals, translucent and mobile tympanic membranes. Nose and mouth exhibit no abnormalities. Neck: Supple, without lesions, bruits, or adenopathy. Non-enlarged and non-tender thyroid. Cardiovascular: No cardiomegaly or thrills; regular rate and rhythm, no murmur or gallop. Assessment: Plan: Respiratory: Clear to auscultation and percussion, no wheezes, rhonchi, or crackles. Abdomen: Normal bowel sounds, no tenderness, organomegaly, masses, or hernia. Back: Normal spine without deformity or tenderness, no CVA tenderness. Extremities: No amputations or deformities, cyanosis, edema, or varicosities. Peripheral pulses intact. Ohio University Advanced Pharmacology Case Study Module 1 Neurological: CN 2-12 normal, normal sensation to pain, touch, and proprioception. Normal deep tendon reflexes, no pathologic reflexes. 1. Z00.00 - Well Adult Exam Psychiatry: Oriented X3, intact recent and remote memory, judgment, insight, normal mood, and affect. ● G/U: Circumcised penis without lesions, normal urethral meatus without discharge, normal-sized testes and epididymides. 2. R03.0- Elevated blood-pressure reading, without diagnosis of hypertension 3. F17.200- Smoker 20-year pack history 1. Z00.00 - Well Adult Exam Labs ordered include CBC, CMP, TSH, A1C, Lipid panel. Counseled on age-related screenings; colonoscopy ordered. Administered PCV15 pneumonia vaccine. 2. R03.0 - Elevated blood-pressure reading, without diagnosis of hypertension Initial elevated blood pressure reading. Follow-up scheduled in one week. ***STUDENT TO PRESCRIBE LIFESTYLE MODIFICATIONS*** 3. F17.200- Smoker 20-year pack history Counseled on smoking cessation; patient not currently ready to quit./nTo/Do Need to Write 2 pages about 3 life style modifications for a person with elevated blood pressure, smoker, no physical activities, overweight APA7 Format Read the SOAP note, the person also is a smoker and has a family history of heart disease, all the information is in the SOAP note.

SPECIMEN HANDLING IN THE OPERATING SUITE Presented by Leicel Naval, MN BMDH Perioperative and Endoscopy Services NSW GOVERNMENT Health Western Sydney Local Health District Session Plan •Define specimen, types (perioperative context) ●Specimen identification and labelling Collection and Transport Documentation Standard Precautions/Hazardous Material NSW GOVERNMENT Health Western Sydney Local Health District Common types of Specimen • Histopathology (formalin or normal saline) ● Frozen Section (fresh) Microbiology (Pus swabs, fresh tissue) • Cytology (Study of cells; usually fresh) Glass slide (pap smear) NSW GOVERNMENT Health Western Sydney Local Health District Common types of Specimen Other endoscopic biopsies: Dissacharidase- enzyme presence and functionality (lactase, sucrase, maltase ), lactose-intolerance CLOtest/ RUTtest- presence of helicobacter pylori (gastric ulcer, bloating,nausea, belching and indigestion NSW GOVERNMENT Health Western Sydney Local Health District Specimen Identification and labelling Correct patient and specimen identification shall be confirmed to minimise the risk of an adverse outcome for the patient (ACORN 2020; Standard 2) NSW GOVERNMENT Health Western Sydney Local Health District