A 23-year-old woman attends an outpatient treatment program and office-based buprenorphine clinic. She has been doing well while maintained on 16 mg/day of buprenorphine. Recently though, she has missed group sessions and provided a urine for drug screening that tested positive for clonazepam and amphetamine. One of the other members in her group reported that they […]
Policies Regarding the Use of Illicit Substances Read More »
A 20-year-old man is brought to the emergency department (ED) by his family for evaluation. His family reports that he failed out of school in his second year at a local community college. He admits to escalating struggles with prescription pain pills (prescription opioids), and then heroin use. He appears to be in opioid withdrawal;
DEA X-Waiver and Buprenorphine Read More »
A 27-year-old woman on buprenorphine-naloxone (Suboxone®) for treatment of opioid dependence is admitted to the hospital with severe abdominal pain due to a perforated gastric ulcer. She received hydromorphone in the ED, and is urgently taken to the operating room. Postoperatively, she is on a patient-controlled analgesic (PCA) pump containing fentanyl. Her last dose of
Adjusting the Buprenorphine-Naloxone Regimen Read More »
A 54-year-old woman with chronic pain due to inflammatory arthritis presents to your clinic stating that she is having a “flare” of her arthritis but is out of her Oxycontin® and immediate-release oxycodone. She is aware that it is too early to fill her prescriptions, but she insists that she will be traveling out of
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1. The dietitian discusses that you “eat to live, not live to eat.” She describes that 80/20 rule of eating. What percentage of “empty calories” do you think you consume in a day, and what results mentioned in the video do you experience when you eat “too many” empty calories? 2. What interventions can you
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Therapeutic drug monitoring is a frequent practice in health care. How does age affect drug absorption metabolization and excretion? The use of salt substitutes can cause hyperkalemia in older adults when use in conjunction with what types of drugs? Describe how you would prevent and evaluate risk factors for medication nonadherence in older adults? Title:
Salt Substitutes and Hyperkalemia in Older Adults Read More »
Description and bioethical analysis of: Pre-implantation Genetic Diagnosis PGD Surrogate motherhood “Snowflake babies” Artificial insemination What is Natural Family Planning (NFP)? Describe the 3 Primary ovulation symptoms. Describe the 7 Secondary ovulation symptoms. Describe various protocols and methods available today. Describe some ways in which NFP is healthier than contraception. Bioethical evaluation of NFP as
Secondary Ovulation Symptoms Read More »
800w. 4 references including textbook. insomnia and depression Research on the topic of the relationship between insomnia and depression. What role does the psychiatric-mental health nurse practitioner (PMHNP) play counseling/ providing psychotherapy for clients with insomnia and depression? Title: The Interplay of Insomnia and Depression: The Role of Psychiatric-Mental Health Nurse Practitioners Introduction Insomnia and
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For this Assignment, explore the use of focus groups or interviews in qualitative research. Consider the effectiveness of the method and examine how this approach might lend itself to a mixed method of study. Select a topic or issue in nursing practice to focus on for this Discussion. Consider which type of qualitative research design,
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Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 6th Edition AIDS (Acquired Immunodeficiency Syndrome) Case Studies The patient, a 30-year-old homosexual man, complained of unexplained weight loss, chronic diarrhea, and respiratory congestion during the past 6 months. Physical examination revealed right-sided pneumonitis. The following studies were performed: Studies Results Complete blood cell count (CBC), p.
Levels of CD4 Lymphocytes Read More »
