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To define:
Administration of cimetidine is 300 mg in 100 mL normal saline IVPB tid. The infusion should be completed over 30 minutes. If the infusion pump is programmed to deliver to the drug over 30 minutes, find the amount of mL/hour of cimetidine for each IVPB dose that is programmed by the nurse.
Concept introduction:
H2 receptor antagonists such as cimetidine, famotidine, ranitidine, and nizatidine are used to treat gastroesophageal reflux disease (GERO), peptic ulcer, and erosive esophagitis. Also, they are used as adjunct therapy for gastrointestinal tract bleeding. Cimetidine is the first prototypical H2 receptor antagonist released on the market. Cimetidine or other H2 receptor antagonists block the effect of histamine receptors, which are found in the parietal cells. These cells secrete hydrochloric acid (HCl) in the stomach. However, oversecretion of HCl may cause various gastrointestinal problems. The inhibition of histamine receptors by H2 receptor antagonists results in a reduced response of parietal cells to stimuli. This, in turn, leads to a decreased acid secretion. About 90% of acid secretion can be suppressed by H2 receptor antagonists.
Cimetidine has more risk in the case of drug interactions than other H2 receptor antagonists. Cimetidine can bind to enzymes of the liver cytochrome P-450, which is mainly involved in the
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Chapter 50 Solutions
Pharmacology and the Nursing Process, 8e
- Comment the plague on the wall in nurses hall in memory of the May 13, 1944 oath of induction ceremony for 900 nurses?arrow_forward51. (1.-9.) Identify the landmarks on the chest drawing. Label each line. 1. 2. 3. 4. 5. 2 6. 7. 8. 9. 52. Identify each lead and describe its location for a 12-lead ECG. a. b. C. d. e. f. 7 8 9 3 4 5 6arrow_forwardIn Nathaniel Hawthorne's "The Birth-Mark," explore the theme of perfection and the consequences of pursuing physical flawlessness. Analyze the character of Aylmer, who seeks to remove his wife's birthmark in his quest for perfection, and draw parallels to contemporary society's fascination with plastic surgery and cosmetic procedures. Discuss how Aylmer's actions and motivations reflect modern ideals of beauty and the societal pressures to conform to an idealized standard. Consider the ethical implications of altering one's appearance to achieve perfection and the potential psychological and physical consequences. Reflect on the story's message about the nature of true beauty and the potential pitfalls of striving for an unattainable physical ideal. Your paper should be 1 page, double-spaced (250 words) and should draw connections between 'The Birth-Mark' and contemporary attitudes towards cosmetic procedures.arrow_forward
- A child has been newly diagnosed with epilepsy and is prescribed phenytoin. 2.5mg/kg The child weighs 22.8kg What is the volume in millimetres to phenytoin 30mg/5ml suspension the child should receive for each dose ?arrow_forwardDo Nurses at your facility carry their own malpractice insurance? Are nursing students liable when performing duties? Please cite in text source and list referencesarrow_forwardFive crucial traits—emotional intelligence, visionary wondering, conversation, adaptability, and empathy discuss how these traits support someone in becoming an effective leader in a management position.arrow_forward
- Emotional Intelligence: Ability to understand and manage one's emotions to create strong relationships. Visionary: Ability to motivate others toward a long-range view. Communications: Being able to articulate ideas along mutually accepted lines of dialogue. Adaptable: Capable of operating through change and ambiguity. Empathy: To understand and connect with the feelings of others to build trust and collaboration. 1.In as much detail as possible, discuss how the leader’s ability to demonstrate these skills would help build a positive organizational culture where staff feel engaged and can participate in decision-making. Use examples to help you convey meaning. Provide citations where applicable 2.In as much detail as possible, discuss how these traits support you in becoming an effective leader in a management position. Be specific. Provide citations where applicablearrow_forwardDescribe EBP to include the components of research evidence, clinical expertise and patient/family values. Please cite in text source and list reference source.arrow_forwardCreate 5 separate mnemonics of the following: Vitamin A Vitamin C Vitamin D Vitamin E Vitamin K What to know from each vitamin (just an idea, please add more if needed, and needs to be mneomic): What is it Why is it important Good food sources Recommended daily amount for men and womenarrow_forward
- 32. is generated or produced from dietary protein and tissue catabolism. 33. What is the ideal level for nPCR? 34. What can mask albumin levels? 35. Name causes of malnutrition in dialysis patients. 36. What is CAPD? 37. Should a HD pt eat more potassium then a PD pt? Why or why not? 38. What percent of a HD pt's protein should come from HBV sources? 39. Why would there be an increase in triglycerides in CAPD and briefly review nutrition therapy to decrease. 40. What is epogen? Why is it given to patients with renal disease? 41. List 8 fruits and 8 vegetables that are considered high in potassium for renal patients. 42. List 10 foods that are considered high in phosphorus for renal patients.arrow_forwardFocus Part II: Please create an electronic bulletin board for each of the following concepts (one per bullet): . Bulletin board 1: List of foods/beverages that are high and low in phosphorus Bulletin board 2: List of foods/beverages that are high and low in potassium Bulletin board 3: List of foods/beverages that are high and low in protein Harrow_forwardFolic Acid Vitamin B6 Vitamin C Vitamin B12 14. What are the dietary recommendations for a dialysis patient? Calories Protein-HD- Potassium-HD- Phosphorus- PD-3000-4000mg/d 15. Should dialysis pts take fat-soluble vitamins why or why not? 16. Should patients take their B-complex vitamins prior to treatment? Why or why not? 17. What are the recommendations for physical activity? 18. What are some possible causes of low serum albumin? What are some possible dietitian Interventions? 19. What are some possible causes of dry weight loss? Dietitian intervention? 20. What are some possible causes of hyperkalemia? Dietitian Intervention? 21. What are some possible causes of hypokalemia? Dietitian Intervention? 22. What are some possible causes of hyperphosphatemia? Dietitian Intervention? 23. What are some possible causes of hypophosphatemia? Dietitian Intervention? 24. What are some possible causes of Hypercalcemia? Hypocalcemia? Dietitian Intervention? +Hypercalcemia- Hypocalcemia- Dietition…arrow_forward
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