Sunday, March 22, 2020

Blood Pressure free essay sample

What supports the diagnosis of chronic renal failure instead of acute renal failure? Give reasons from George’s history; his signs/symptoms. The terms acute and chronic are terms used by medical specialist to describe the amount of time that the illness as lasted. Chronic meaning a long time such as a month or longer while acute means a short period of time from days up to a couple of weeks. So the fact that George began noticing issues with his blood pressure being harder to control then normally lasting over a month indicates that is when the renal issues began. One of the function of the kidneys is to regulate blood volume and pressure. With this information the diagnosis of Chronic renal failure was warranted. Which of the blood test results are abnormal? Why would chronic kidney failure cause these abnormal results? The test results that are abnormal are the RBC and Hgb. We will write a custom essay sample on Blood Pressure or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Georges test results for RBC were 3. 8 million cells/mcL but the normal results for an adult male would be between 4. 2 and 5. 9. His results for Hgb was 11. 0 gm/dL but the normal for an adult male is 13. 5. With both hemoglobin and RBC being low this would indicate anemia which is a indication that the kidneys are not producing enough erythropoiten which causing decrease production of the red blood cells. Module 06 Written Assignment 3 Which of the urine test results are abnormal? Why does chronic kidney failure cause these abnormal results? The GFR results for George were 45 mL/min/1. 73m but the normal range is 90-130. This test measures how well the kidneys are handling waste. Also Georges creatine results were 3g/24hr but the normal is 102g/24. The protien levels for George were 3g/24hr but the normal range is trace-0 -150mg/24hr. This would indicate that George is in stage three kidney failure. Increase urine creatinine and protein in the urine signifies damage to kidney’s filtration units. (kidney)(stress) (Gould, B. E. , pg 196-197, 2011) If George was in the second stage of chronic renal failure, what percent of his nephrons have been lost? What changes will be seen in the GFR; urination; and percent of nephrons lost when George reaches end-stage renal failure? The amount of nephrons that would be lost if George was in the second stage of chronic renal failure would be about 75% loss. At the end stage of chronic renal failure there would be a loss of more then 90% of nephorons and his GFR levels would be so low that they would not be readable. Blood would become toxic due to fluid, electrolytes and wastes are retained causing an impact on all body systems. Marked oliguria (scant) to none (anuria) would develop. (Gould, B. E. , pg. 460, 2011). At this point due to the fluid, wastes, and electrolytes being built up the blood would turn toxic and then impact all the systems of the body. Georges kidneys will fail and without transplant or dialysis on a regular basis, his life would be in danger. Module 06 Written Assignment 4 How will George’s condition be treated? Is it curable? First the doctor would focus on lowering Georges blood pressure as this is a stress on the kidneys. The doctor would then focus on decreasing the progression of the chronic renal failure. He would be given a blood pressure medication and implement lifestyle changes. Some of these changes would be diet, exercise, and measures to reduce stress such as education about blood pressure and possibly encouraging taking some time off of work. For the anemia the doctor folic acid, iron, and B12. He would also encourage George to eat foods rich in these minerals. As for is this curable, no it is not but it can be treated. Which Electrolyte? Which electrolyte balance was diagnosed? Which lab results support this diagnosis? Is there anything else in Betty’s history that would support this diagnosis? Normal Magnesium levels range from 0. 7 to 1. 1 mmol per liter. Bettys levels were 3 mEq/L which would indicate she has Hypermagnesemia. Neuromuscular toxicity is the most consistently observed complication of hypermagnesemia. Increased magnesium decreases impulse transmission across the neuromuscular junction producing the â€Å"pins and needles† feeling Betty has been experiencing in her legs. What foods would the doctor recommend Betty eat? Why? The doctor may advise limiting certain foods: most nuts and nut butters; soybeans, tofu, lentils, kidney Module 6 5 beans and pinto beans; collard greens, kale, spinach, avocados and potatoes with the skin on; millet, brown rice, bran, wheat germ, oatmeal and whole wheat bread; dried apricots, raisins and bananas; and milk, yogurt, chocolate and cocoa powder. The doctor would advice Betty to eat grains that are highly refined or boiled are typically low in magnesium, such as boiled macaroni, boiled white rice, white flour products and pastries. Many fruits are low in magnesium, including raspberries, cantaloupe, cherries, strawberries, plums, peaches, oranges, pineapple, grapefruit, apples, pears, cranberries, and grapes. Boiled vegetables including peas, broccoli, cauliflower, and potatoes without the skin are encouraged, as well as carrots, mushrooms, onions, eggplant, lettuce, tomatoes, cucumber and asparagus. Finally, lean meats such as roast pork, grilled lamb, ham, and roast beef are good protein sources. (Wyman 2013) What medication/supplement might the doctor prescribe? Why would it probably only be needed for a short period of time? Calcium may be given by the doctor because of the effects that high levels of magnesium can have on the heart and the fact the Betty is a heart patient. But because her levels are not currently high and at the lower end of the spectrum the doctor would not keep her on this medication for a long period of time. Why is it important for Betty to be on furosemide for her Congestive Heart Failure? What does this drug do? Furosemide is a diuretic used to keep fluid from building up around the heart. Betty suffers from congestive heart failure which is caused by fluid build up surrounding the heart. So it is very Module 6 6 important that Betty remains on the Furosemide to prevent this from happening. If Betty asks you why this electrolyte is important, what would you tell her? Electrolytes maintain the electric voltage throughout your cells so that signals can pass easily. Several bodily functions are dependent on this electrical communication that electrolytes help carry. They include regulating nerve and muscle function, acidity levels and fluid levels. An imbalance of electrolytes have dire consequences. For example, bicarbonate is an electrolyte that is responsible for regulating muscles like the heart. Insufficient levels of bicarbonate would result in irregular heart beats, which may be fatal.

Thursday, March 5, 2020

5 Step Power Plan on How to Impress in an Interview

5 Step Power Plan on How to Impress in an Interview It’s sometimes easy to get caught up in doing what we think we’re supposed to do and thinking it’s enough to get the job. We go into interviews thinking we just need to answer all of the interviewer’s questions correctly, pleasantly, and that there is nothing else to it. But that isn’t always the case. More and more hiring managers are looking to be wowed, looking for that interviewee who really stands out from the crowd. Here are 5 ways to make sure you get your interviewer’s attention right off the bat- and hold it.1. Kick off the conversation yourself.Instead of meekly following your interviewer into a room, sitting down, and waiting to be asked your first torture question, why not grab the bull by the horns? Come up with a good ice breaker or- better yet- a question relevant to the hiring manager or the job you’re applying for. Start the conversation off yourself. Your interviewer will be surprised and probably delighted. Get off t he tired script before you’re even on it.2. Turn the tables.If you do get on the script and want off again, look out for ways to turn the table. If the interviewer goes with the standard â€Å"Tell us about yourself† question, give her a few bullet points then pivot: â€Å"I hate to rattle on about myself. Can I ask you a question about your role here to make sure I’m focusing on details that are most relevant for you?†Again, you’ll need to have this question already planned out. Next thing you know, you’re interviewer will be talking again. And you’ll be getting valuable insight and scoring listening points. Plus, hopefully you’re figuring out how to come up with a way to offer yourself up as the ideal solution to the company’s problems. All while sitting back and becoming more and more comfortable in the interviewing room.3. Ask about company problem spots.This only works once you get past the by-rote HR interview type s and get to sit down with your potential supervisor. You need to figure out what the company’s biggest problem is- their pain, so to speak. Don’t diagnosis this yourself; that might come off as arrogant or insulting or presumptuous. Ask a number of excellent (and pre-prepared questions) that get your manager talking about challenges they’ve faced (couch these with compliments first, of course).  4. Learn the stakes of the problems.Once you figure out what’s ailing the company, or just your manager and her team, it’s best to figure out what the consequences of this problem are. Start asking questions around the pain points. Don’t be a bully, and don’t be too transparent in picking things apart, but do get your interviewer talking so she herself admits just how much of a problem the problem is. Get nitty gritty with details. This also helps show your interest and expertise in the workings of the job.5.  Show that you’re the one who can solve them.Now you know what your manager’s biggest problem is. And she knows that you know. She’s going to want to ask how you would solve it. Pivot again! The last thing you want to do is rattle off some strategy that they have likely already tried to no avail.Keep your brilliant solutions to yourself for the time being. Say something like, â€Å"I would certainly need to learn more first, from on the ground here.† Then go on to describe another, similar, but hopefully even bigger problem you tackled at a previous job. Set it up dramatically, make sure your interviewer knows the stakes were high, then describe just how you struck the final blow and solved the problem. She’ll be so dazzled, she’ll hardly make eye contact with the next few interviewees as she tries to imagine you slaying all of her dragon’s as well.What’s most important to remember is that you are not a sheep. You do not have to be ordinary or follow any s cripts. In fact, it’s almost always a better idea to stand out from the crowd. Be intelligent, respectful, extremely well prepared, but also your innovative, exciting self.