medicinal cannabis, its uses, STATE BY STATE USA

Home>Homework Answsers>Nursing homework helpNURSEAPRNmedicinal cannabis, its uses, and state regulations about its usage. At the end, explain which would be policy you would like to develop for better management of medicinal cannabis.a month ago09.06.202535Report issueBids(54)PROVEN STERLINGMiss DeannaDr. Ellen RMMathProgrammingDr. Aylin JMMISS HILLARY A+Dr Michelle Ellaabdul_rehman_STELLAR GEEK A+ProWritingGuruWIZARD_KIMYoung Nyanyafirstclass tutorProf Double RDr. Adeline Zoesherry proffPremiumIsabella HarvardDr CloverPROF_ALISTERShow All Bidsother Questions(10)Unit III Short AnswersGART 115 Visual LiteracySudson Contract Agreement*****Already A++ Rated Tutorial*****Use as Guide Paper*****OLS 30000: Safety and Health for Engineering Technologies: Assignment #2NRS-433V Week 4 Benchmark – Research Critique Part 21 discussion questiondiscussion3 page essay on the Research of how qualitative research is used in your field.red19I need a an essay no more than 750 words

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InformaticsT3Q1

Home>Homework Answsers>Nursing homework helpinformaticsHealth care systems must take every precaution to protect the confidentiality, integrity, and availability of patient information. This includes complying with the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health (HITECH) regulations.Respond to the following prompts:Describe the processes that health care organizations can use to secure electronic information in a computer network.Evaluate the potential impact of cyberattacks on patient privacy, clinical outcomes, and the health care organization’s financial resources.Identify the various user authentication methods that are utilized to help protect and secure a health care organization’s network.Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.a month ago02.06.20255Report issueBids(36)Prof Double RProf. TOPGRADEMUSYOKIONES A+Dr ClovergrA+de plusSheryl Hoganpacesetters2121ProWritingGuruBrilliant GeekPROF_ALISTERAshley ElliePremiumLarry Kellyabdul_rehman_miss AaliyahMadam MichelleDr. Adeline ZoeTopanswersMaria the tutorbrilliant answersShow All Bidsother Questions(10)i have computer information system so i want Emerging Technology Research Projectweek 4 part 4 SWOT AnalysisNeed help with an Organizational Quality Plan paperAmerican History Homework(Literature Review )DATA SECURITY – DISASTER RECOVERY1the influence of fashion on mediated beauty in white and black female adolescents.Assignment 3: Excel ProblemsAssignmentA plus solutions

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InformaticsT3Q2

Home>Homework Answsers>Nursing homework helpinformaticsThe Agency for Healthcare Research and Quality (AHRQ) encourages collaboration across different disciplines to seek solutions that provide a culture of safety for patients. This collaboration must include informatics as part of the interprofessional team. Patient safety is always at the center of the design and adoption of any technology introduced in a patient care setting. Reflect on a recent patient situation and describe three communication tools that were used to provide quality care. How did these communication tools assist the interprofessional team in making decisions for the patient? Provide one example of how technology in this situation can be improved.Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.a month ago03.06.20255Report issueBids(33)Prof Double RMUSYOKIONES A+Dr ClovergrA+de plusSheryl Hoganpacesetters2121ProWritingGuruBrilliant GeekPROF_ALISTERAshley ElliePremiumLarry Kellyabdul_rehman_miss AaliyahDr. Adeline ZoeTopanswersMaria the tutorbrilliant answersAmanda SmithSTELLAR GEEK A+Show All Bidsother Questions(10)Math HWACC 556ACC 300 Working with Financial StatementsMAT 540 MidtermEcalderWrite a proposal assignmentEnglishOrganizational LeadershipUS Health Care SystemEssays Guru only

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InformaticsT4Q1

Home>Homework Answsers>Nursing homework helpinformaticsDescribe the impact of policies on population outcomes, including social justice and health equity. Select one policy that addresses the population outcomes, social justice, or health equity and suggest a communication platform for sharing the information with stakeholders.Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.a month ago09.06.20255Report issueBids(36)Prof Double RMUSYOKIONES A+Dr ClovergrA+de plusSheryl Hoganpacesetters2121ProWritingGuruBrilliant GeekPROF_ALISTERAshley ElliePremiumLarry Kellyabdul_rehman_miss AaliyahMadam MichelleDr. Adeline ZoeTopanswersMaria the tutorbrilliant answersAmanda SmithShow All Bidsother Questions(10)Complete “Example 18.4: Write a 150-300-word paragraph explaining the market research, panel consensus, historical analogy, and Delphi method qualitative forecasting techniques.econLatin American QuestionsRey writerHey , 

need someone to do my math homeworkFallaciesMotivating and Managing PeopleFor “Prof. Nicholas” – CJA/474 – Socialization PresentationCollege Application Personal StatementDiscussion Question 1 A

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InformaticsT4Q2

Home>Homework Answsers>Nursing homework helpinformaticsExplain the role of communication technology in enhancing clinical information flows. Name three contemporary communication technologies used in acute care facilities. How is Artificial Intelligence (AI) and machine learning changing the functionality of these platforms?Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.a month ago10.06.20255Report issueBids(35)Prof Double RMUSYOKIONES A+Dr ClovergrA+de plusSheryl Hoganpacesetters2121ProWritingGuruBrilliant GeekPROF_ALISTERAshley ElliePremiumLarry Kellyabdul_rehman_miss AaliyahMadam MichelleDr. Adeline ZoeTopanswersMaria the tutorbrilliant answersAmanda SmithShow All Bidsother Questions(10)NURS6052N Essent of Evidenced Based Practice.Week 4 disEvidenced-Baed Practice and the Quadruple AimdWeek 4CIVDQ7-23 page essay on Fire and Emergency managementpaper on virtualization.Course Project 2_The Research PaperT4-Q2 Discussion Post – Ethical Dilemma

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InformaticsT5Q1

Home>Homework Answsers>Nursing homework helpinformaticsSummarize how professional nursing organizations are using technology to improve networking capabilities for nurses. Describe two emerging technologies that are changing the way nurses access continuing education and professional development opportunities. How can nurses use technology to advocate for their patients and the nursing profession?Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.a month ago16.06.20255Report issueBids(35)Prof Double RMUSYOKIONES A+Dr ClovergrA+de plusSheryl Hoganpacesetters2121ProWritingGuruBrilliant GeekPROF_ALISTERAshley ElliePremiumLarry Kellyabdul_rehman_miss AaliyahMadam MichelleDr. Adeline ZoeTopanswersMaria the tutorbrilliant answersAmanda SmithShow All Bidsother Questions(10)Differencesssignment 2—Applying Decision-Making Skills As a manager, part of your role is to develop strategy, and share this strategy with various stakeholders within the organization. This assignment will allow you to take your findings as a manager and communicatNeed helpprofessor2013module 5help with assignmentNetflix–International ExpansionFIN 200 Week 6 DQ 1PSY 320 Week 4 Individual Assignment Job Redesign and Workplace Rewards Assessment Paperwhat is the mean of 1,1,1,2,2,2,2,3,4,4,5,5,6,6

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InformaticsT5Q2

Home>Homework Answsers>Nursing homework helpinformaticsDescribe how lifelong learning helps nurses stay up-to-date on the latest medical advances and best practices. Explain how emerging fields, such as health informatics, improve patient safety and nursing competency. What are some challenges that nurses face in lifelong learning, and how can these challenges be overcome?Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.a month ago17.06.20255Report issueBids(36)Prof Double RMUSYOKIONES A+Dr ClovergrA+de plusSheryl Hoganpacesetters2121Brilliant GeekPROF_ALISTERAshley ElliePremiumLarry Kellyabdul_rehman_miss AaliyahMadam MichelleDr. Adeline ZoeTopanswersMaria the tutorbrilliant answersAmanda SmithSTELLAR GEEK A+Show All Bidsother Questions(10)FIN 200 Week 4 CheckPoint Week Four Quiz-8 QuestionsECO 365 Week 4 Complete Principles of Microeconomics UOPECO 365 Week 2 Complete Principles of Microeconomics UOPDue tomorrowSpanish Homework1.      Using the following information for individuals and their willingness to pay for a bottle of ginger ale, calculate the…Business statistic MidtermEnglish Comp (College)Waypoint Assignment Submission The assignments in this course will be submitted to Waypoint. Please refer to the instructions below to submit your assignment.Criminal Justice Essay

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Culture of Patient Safety Case Studies

Home>Homework Answsers>Nursing homework helpinformaticsThe purpose of this assignment is to explore ways a culture of patient safety is created using information and communication technologies and informatic processes that deliver safe nursing care while promoting health.Use the “Culture of Patient Safety Case Studies” template(attached)to complete this assignment.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines,NRS-450-T3-CultureofPatientSafetyCaseStudies.docxa month ago06.06.202530Report issueBids(48)Miss DeannaDr. Ellen RMEmily ClareMathProgrammingDr. Aylin JMMISS HILLARY A+Dr Michelle Ellaabdul_rehman_STELLAR GEEK A+ProWritingGuruWIZARD_KIMYoung NyanyaProf. TOPGRADEProf Double RDr. Adeline ZoePremiumMUSYOKIONES A+Dr CloverPROF_ALISTERgrA+de plusShow All Bidsother Questions(10)Network RisksEnglishAshley ClaireHelpCrisis briefing presentationread story and answer.Trends Impacting the Inpatient and Outpatient SettingsSpanish Homework Help!Business LawFOR MADAM PROFESSOR

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Clinical Decision-Making Tools and Health Equity

Home>Homework Answsers>Nursing homework helpinformaticsThe purpose of this assignment is to examine Clinical Decision Support Systems (CDSS) to determine their application in addressing health equity. Develop a presentation outlining task force goals and relevant information for implementing a CDSS system to improve equity of care and promote health for all patients.Your first step is to create a task force of stakeholders to participate in the CDSS selection process. Prepare a 10-12 slide PowerPoint presentation for the first task force meeting to include these agenda items:Reason for the Project: Explain the organizational need, reason for the project, rationale for implementing a clinical decision-making tool in your organization. Discuss how CDSS can improve health equity and information literacy in your organization.Task Force Selection: Explain why you have been selected to lead this project. In your speaker notes, explain the role of each stakeholder and why they were selected to serve on this task force.Research: Conduct research and identify one popular CDSS system used in the health care industry, include a description of the CDSS system.Basic Concepts of Systems: Review the information and communication technologies (in the electronic health record, mobile health, and telehealth systems). Select one communication technology and discuss how a clinical decision-making tool can be incorporated to improve health equity in patient care.Crucial Functionality: Describe the crucial functions of the selected CDSS. Explain why it is essential to the clinical workflow. Explain the impact of the CDSS on health information exchange, interoperability, and integration of health care.Task Force Communication: Describe how communication technologies support documentation of care and communication among providers and patients at all system levels. Discuss how communication technology will be used to communicate with the task force members during the project.The title slide and reference slide are not included in the slide count. Include speaker notes below each content-related slide that represent what would be said if giving the presentation in person. Expand upon the information included in the slide and do not simply restate it. Please ensure the speaker notes include a minimum of 50-75 words.Cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelinesa month ago13.06.202530Report issueBids(46)Dr. Ellen RMEmily ClareMathProgrammingDr. Aylin JMDr Michelle Ellaabdul_rehman_STELLAR GEEK A+ProWritingGuruWIZARD_KIMYoung NyanyaProf Double RDr. Adeline ZoePremiumMUSYOKIONES A+Dr CloverPROF_ALISTERgrA+de plusSheryl HoganDr. Sophie MilesMadam MichelleShow All Bidsother Questions(10)Will S. (age 42) and Mari N. (age 41) Frost are married and live at 426 East Twin Oaks Road, Sioux Falls, SD 57105. Will is the regional manager for a restaurant chain (Moveable Feast), and Mari is a self-employed architect. They are calendar- year, cash-3 slides, 3 bullets to coverIsomertic autocadFor A-Plus Writer OnlyMIS 600 Entire Course Week 1 – 8probability density functionentrepreneurshipExplain Salaries Of Ceos In Terms Of Annual Firm SalesLinux System Administration Paperread book

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Week 4 DB response 2

Home>Homework Answsers>Nursing homework helpMSNnursinga month ago01.06.202510Report issuefiles (1)Week4DBresponse2.pdfWeek4DBresponse2.pdfTable 11-hour Oral Glucose Tolerance Test (OGTT) After a 50-g oral glucose load in pregnant womenTable 2Criteria for Abnormal Result on 100-g, 3-Hour Oral Glucose Tolerance Test in Pregnant WomenTable 3Define and differentiate between the following Postpartum Disorders:Normal Range (Negative) Abnormal Range (Positive)1 hour < 140 mg/dL 130 – 140 mg/dLBlood Sample National Diabetes Data Group CriteriaCarpenter and Coustan CriteriaFasting 105 mg/dL 95 mg/dL1 hour 190 mg/dL 180 mg/dL2 hours 165 mg/dL 155 mg/dL3 hours 145 mg/dL 140 mg/dLWhat defines a positive 3-hour glucose tolerance test result (failed result)? Two or more threshold glucose levels on the 3-hour test must be met or exceeded.Definition Signs and SymptomsManagement of the DiagnosisPostpartum BluesShort-lived mood changeSadness, weepiness, mood swings, irritability that occurs in the first few days to 10 days postpartum; lasts less than two weeksFamily support, uninterrupted rest, exercise, adequate fluids, nutritious mealsTable 4Postpartum DepressionDepression occurring within the first year postpartum that meets standard diagnostic criteria; lasts longer than two yearsCrying, feeling sad, overwhelmed, lack of interest in daily activities, lack of interest in infant, feeling sub- inadequacyHome support, therapyPostpartum Obsessive- Compulsive DisorderNeed to perform repetitive physical or mental actionsOnslaught of intrusive thoughts or rituals SSRIs and CBTPostpartum PsychosisPsychotic episode (delusions or break with reality) occurring within the first year after birthAuditory and visual hallucinations, various unexplained behaviors, i.e. smelling smokeImmediate care i.e. emergency roomDefinitionPresentation(include Signs and Symptoms)Management of the DiagnosisPuerperal FeverTemp. 100.4 F or greater duringpostpartum period caused by bacterial infection in the reproductive tract or breastsGenital tract or wound infectionsbreast engorgement, dehydration, DVTCBC w/ diff, urine analysis, cultures, radiology and/or ultrasound.Antimicrobial therapyPostpartum HematomaCollection of blood in the vaginal, perineal, pelvic, or abdominal tissue, post childbirthEvidence of blood loss:Decrease hematocritSevere perineal and/or rectal painManagement varies on size.Small hematomas can reabsorb; moderate to large hematomas may need I&DSecondary (delayed) Postpartum HemorrhageExcessive bleeding that occurs between 24 hours after birth until six weeks postpartumHemorrhage bleedingMasses suspicious for retained placental fragmentsUterotonic agents: ergonovine, methylergonovine, oxytocin, a prostaglandin analog, or tranexamic acid. Surgical referral for suction evacuation to stop bleedingSore NipplesThe most common reasons for abandoning exclusive breastfeeding.Sore, painful, cracked.infection: exudate, increased erythema, pus, or dry scabWarm compresses, green tea bag compresses, coconut oil, hydrogel dressing, nipple shields, wash nipples with soap & water once daily, topical mupirocin, peppermint oil, topical low dose steroids for inflammation; antibiotic: Miconazole forC. albicansJennifer is a G2P1, 31-year-old pregnant female at 24 weeks EGA who has come to the clinic for her 24-week prenatal visit and recommended screening tests. Jennifer’s one hour glucose test result is 156 mg/DL. Her BP is 118/78 T 98.7 F, P 68, RR 18, fundal height is 25 cm, no urine/ protein in urine, weight is 145 lbs at 5 lbs increased from last visit 4 weeks ago, her height is 5’ 5”.Demographic Data• 31-year-old-femaleMastitisAcute inflammation of the interlobular connective tissue of the breast that may include an infection. S. aureus is the main causative bacteria.Erythema, pain, swelling, fever.Pain described as sharp, needlelike, with burning sensation.Symptoms associated with infection: fever 101 F or greater, area red, tender, and hot; muscle aches & malaise, elevated heart rate, nausea, chills, red streaks on the breast.Feed or pump on the affected side. Frequent feedings, breast compressions, topical ricinoleic acid; heating pad, castor oil,Antibiotics:First line: Dicloxacillin or Flucloxacillin; CephalexinSecond line: Clindamycin or Bactrim DSBreast AbscessA potential complication of mastitis r/t untreated, delayed, inadequate, or incorrect treatment for mastitis. Abscess formation increases with smoking.Hard, red, and tender area on the breast.If incapsulated, must be drained either surgically or needle aspiration. Abscess drainage should be cultured to determine antibiotic sensitivity.Continue breast feeding and/or pumping.SubjectiveChief Complaint (CC): 31-year-old-female, G2P1 at 24 weeks EGA, presents to the clinic for a routine follow up 24-week prenatal visit and recommended screen tests.History of Present Illness (HPI): 31-year-old-female, G2P1 at 24 weeks EGA, presents to the clinic for a routine follow up 24-week prenatal visit and recommended screening tests. The one- hour glucose test result is 156 mg/dL; the patient has gained 5 lbs in the past 4 weeks; the fundal height is 25 cm; and POCT urine dipstick is (-) for protein.Past Medical History (PMH):• Medical History: o Denies history of HTN, diabetes, elevated cholesterol o Denies complications with previous pregnancy o Denies abnormal pap smears • Hospitalizations: o Spontaneous vaginal delivery: 2023- no complications • Medications: o Prenatal vitamin daily • Allergies: o No known drug allergies o No know food allergies • Immunizations: o Influenza vaccine: 10/2024 o Covid Vaccines: 2021 & 2022 o HPV Vaccines: x3 doses at 12 years old • Preventative Health Maintenance: o PAP: last pap at 30 years o Eye exams: every 2 years, last exam 2024 o Dentals exam & cleaning: last dental visit 1/2025 o STI screening: at 21 years old; 2020, and at each pregnancy diagnoses: 2023 & 2025 • Family History: o Mother: hyperlipidemia o Father: HTN, Hyperlipidemia o Maternal Grandmother: hyperlipidemia o Maternal Grandfather: HTN, Hyperlipidemia o Paternal Grandmother: hyperlipidemiao Paternal Grandfather: HTN, DM Type II o Maternal great-grandmother: hyperlipidemia o Maternal great-grandfather: HTN, Hyperlipidemia o Paternal great-grandmother: Hypertension o Paternal great-grandfather: HTN, DM Type II • Social History: o Nutrition: Eats a balanced diet and occasional take out o Exercise: denies o Denies history of illegal drug use o Sexual history: 2 lifetime partners; 1 partner for the past 5 years o Sexual intercourse with males o History of STIs: denies o Contraception: male condoms o Menstrual history: 1st menstrual cycle at 13 years old o Occupation: Elementary school teacher o Caffeine: Green and black tea o Smoking: denies cigarette and vaping o Alcohol: 2-3 glasses a week prior to pregnancyReview of Symptoms:• General: denies fever/chills, (+) fatigue, (+) increased thirst • Psychological: denies anxiety and depression • Neurological: denies headaches and dizziness • Eyes: denies blurry vision • Ears: denies ringing in ears • Nose, Mouth, and Throat: denies nasal congestion, dry mouth, sore throat • Cardiology: denies chest pain • Respiratory: denies shortness of breath • Breast: denies breast pain • Gastrointestinal: denies abdominal pain, nausea/vomiting, diarrhea, constipation, heartburn • Genitourinary: denies burning; (+) frequency and urgency • Musculoskeletal: denies muscle, joint, back pain • Skin: denies itching • Gynecological: Denies discharge, bleeding, pelvic cramping, leaking of fluids; deniesBraxton Hicks • Heme/Lymph/Endo: denies heat/cold intoleranceObjective:Vital signs: B/P: 118/78; HR: 68; T: 98.7 F; RR: 18Pain: 0/10Pre-pregnancy weight: 120 lb; Height: 65 inches; BMI: 20.0Current weight 145 lbsPregnancy gain: + 5 lbs in 4 weeksOne hour glucose test result: 156 mg/dL. Positive resultPOCT: Urine dipstick: (-) proteinPhysical exam:• Generalized: age appropriate, well developed, well-nourished, no acute distress • Neurological: alert and oriented • Cardiology: no swelling noted to BLE, no murmur • Pulmonary: regular respiratory rate; chest symmetric, no wheezing • Gastrointestinal: abdomen round; non-tender • Musculoskeletal: upper and lower extremities, full range of motion; stable gait • Integumentary: warm and dry • Psychiatric: calm and cooperative • Genitourinary: urine clear, no odor • Gynecological: no vaginal redness or discharge noted • Fundal height: 25cm (acceptable 22-26 cm)OB Abdominal ultrasound:• Intrauterine pregnancy singleton • Presentation: Vertex • Fetal cardiac activity present; HR 144 • Amniotic fluid appears adequate • Fetal movements: Yes • Fetal breathing movements: YesDifferential Diagnosis(1) Urinary tract infection:• Positives: frequency, urgency, pregnancy • Negatives: urine clear, no odor, no fevers/chills, no low abdominal/back painFinal Diagnosis(1) Gestational diabetes (GD):• Positives: maternal age > 25, weight gain +5 lbs in 4 weeks, 1-hr glucose teat 156, fatigue,
increased thirst, increased urinary frequency and urgencyPlan:Diagnostic testing• Urine POCT in office: to r/o UTI: negative for nitrite and/or leukocyte
• NST: monitors fetal heart rate in response to their movement
• CBC: monitor WBC & platelets, can increase with GD.
• 3-hour 100-g OGTT Glucose challenge: to diagnose GDMedications:Continue: Prenatal vitamin: Take 1 tablet by mouth daily.Vaccine: TdapEducation:• Normal weight pre-pregnancy: weight gain 1 lb /week during 2nd – 3rd trimester.
• Complications of GDM if noncompliant
o Maternal: Risk of high blood pressure, preeclampsia, pre-term labor, spontaneous abortion
o Fetus: microsomia, macrosomia (makes delivery difficult), still birth
o Newborn: elevated bilirubin causes jaundice, hypocalcemia, polycythemia, hypoglycemia
• Exercise 30 minutes daily 5 times a week, such as walking
• Limit carbohydrates
• Eat 3 meals and 2 snacks
• Monitor blood glucose at home 4-6 times per day: before meals, and 2 hours after
• 3-hour 100-g OGTT: in the morning after fasting overnight
• Management for Class GDMA1:
o diet, exercise, blood glucose monitoring
• Management for Class GDMA2
o Starting with Metformin 500mg by mouth once a day for one week, then increase to 500 mgto twice a day to decrease side effects
o Can increase 500 mg every week to a maximum of 2500 ng
o Most common side effects of Metformin: abdominal pain & diarrhea
• Insulin
o Recommended for BMI > 40o Serious risk factor is hypoglycemia which can lead to coma or death if not treated
immediatelyo Symptoms of hypoglycemia: shaking, sweating, agitation, rapid heart rate, clammy skin
o Blood glucose < 80 should be treated with 15 gm of glucose • Monitor for type DM and insulin resistance after deliveryReferral/Follow-up• Referral to dietician or diabetes educator- if positive • Week 28 visit: o NST: o Urogynecology for pelvic floor evaluation, exercises o Transabdominal ultrasound o Amniotic fluid index (AFI) o POCT: urine dipstick • RSV: recommended at 28 weeks to protect the infant from RSV • Tdap: recommended between 27-36 weeks to protect against pertussis (whooping cough)Health Maintenance:• Vision exams: every 2 years- 2026 • Dental exams/cleaning: 2 per year- 7/2025 • Pap: 33 years old • Vaccines: 10/2025: annual influenzaWeek4DBresponse2.pdfTable 11-hour Oral Glucose Tolerance Test (OGTT) After a 50-g oral glucose load in pregnant womenTable 2Criteria for Abnormal Result on 100-g, 3-Hour Oral Glucose Tolerance Test in Pregnant WomenTable 3Define and differentiate between the following Postpartum Disorders:Normal Range (Negative) Abnormal Range (Positive)1 hour < 140 mg/dL 130 – 140 mg/dLBlood Sample National Diabetes Data Group CriteriaCarpenter and Coustan CriteriaFasting 105 mg/dL 95 mg/dL1 hour 190 mg/dL 180 mg/dL2 hours 165 mg/dL 155 mg/dL3 hours 145 mg/dL 140 mg/dLWhat defines a positive 3-hour glucose tolerance test result (failed result)? Two or more threshold glucose levels on the 3-hour test must be met or exceeded.Definition Signs and SymptomsManagement of the DiagnosisPostpartum BluesShort-lived mood changeSadness, weepiness, mood swings, irritability that occurs in the first few days to 10 days postpartum; lasts less than two weeksFamily support, uninterrupted rest, exercise, adequate fluids, nutritious mealsTable 4Postpartum DepressionDepression occurring within the first year postpartum that meets standard diagnostic criteria; lasts longer than two yearsCrying, feeling sad, overwhelmed, lack of interest in daily activities, lack of interest in infant, feeling sub- inadequacyHome support, therapyPostpartum Obsessive- Compulsive DisorderNeed to perform repetitive physical or mental actionsOnslaught of intrusive thoughts or rituals SSRIs and CBTPostpartum PsychosisPsychotic episode (delusions or break with reality) occurring within the first year after birthAuditory and visual hallucinations, various unexplained behaviors, i.e. smelling smokeImmediate care i.e. emergency roomDefinitionPresentation(include Signs and Symptoms)Management of the DiagnosisPuerperal FeverTemp. 100.4 F or greater duringpostpartum period caused by bacterial infection in the reproductive tract or breastsGenital tract or wound infectionsbreast engorgement, dehydration, DVTCBC w/ diff, urine analysis, cultures, radiology and/or ultrasound.Antimicrobial therapyPostpartum HematomaCollection of blood in the vaginal, perineal, pelvic, or abdominal tissue, post childbirthEvidence of blood loss:Decrease hematocritSevere perineal and/or rectal painManagement varies on size.Small hematomas can reabsorb; moderate to large hematomas may need I&DSecondary (delayed) Postpartum HemorrhageExcessive bleeding that occurs between 24 hours after birth until six weeks postpartumHemorrhage bleedingMasses suspicious for retained placental fragmentsUterotonic agents: ergonovine, methylergonovine, oxytocin, a prostaglandin analog, or tranexamic acid. Surgical referral for suction evacuation to stop bleedingSore NipplesThe most common reasons for abandoning exclusive breastfeeding.Sore, painful, cracked.infection: exudate, increased erythema, pus, or dry scabWarm compresses, green tea bag compresses, coconut oil, hydrogel dressing, nipple shields, wash nipples with soap & water once daily, topical mupirocin, peppermint oil, topical low dose steroids for inflammation; antibiotic: Miconazole forC. albicansJennifer is a G2P1, 31-year-old pregnant female at 24 weeks EGA who has come to the clinic for her 24-week prenatal visit and recommended screening tests. Jennifer’s one hour glucose test result is 156 mg/DL. Her BP is 118/78 T 98.7 F, P 68, RR 18, fundal height is 25 cm, no urine/ protein in urine, weight is 145 lbs at 5 lbs increased from last visit 4 weeks ago, her height is 5’ 5”.Demographic Data• 31-year-old-femaleMastitisAcute inflammation of the interlobular connective tissue of the breast that may include an infection. S. aureus is the main causative bacteria.Erythema, pain, swelling, fever.Pain described as sharp, needlelike, with burning sensation.Symptoms associated with infection: fever 101 F or greater, area red, tender, and hot; muscle aches & malaise, elevated heart rate, nausea, chills, red streaks on the breast.Feed or pump on the affected side. Frequent feedings, breast compressions, topical ricinoleic acid; heating pad, castor oil,Antibiotics:First line: Dicloxacillin or Flucloxacillin; CephalexinSecond line: Clindamycin or Bactrim DSBreast AbscessA potential complication of mastitis r/t untreated, delayed, inadequate, or incorrect treatment for mastitis. Abscess formation increases with smoking.Hard, red, and tender area on the breast.If incapsulated, must be drained either surgically or needle aspiration. Abscess drainage should be cultured to determine antibiotic sensitivity.Continue breast feeding and/or pumping.SubjectiveChief Complaint (CC): 31-year-old-female, G2P1 at 24 weeks EGA, presents to the clinic for a routine follow up 24-week prenatal visit and recommended screen tests.History of Present Illness (HPI): 31-year-old-female, G2P1 at 24 weeks EGA, presents to the clinic for a routine follow up 24-week prenatal visit and recommended screening tests. The one- hour glucose test result is 156 mg/dL; the patient has gained 5 lbs in the past 4 weeks; the fundal height is 25 cm; and POCT urine dipstick is (-) for protein.Past Medical History (PMH):• Medical History: o Denies history of HTN, diabetes, elevated cholesterol o Denies complications with previous pregnancy o Denies abnormal pap smears • Hospitalizations: o Spontaneous vaginal delivery: 2023- no complications • Medications: o Prenatal vitamin daily • Allergies: o No known drug allergies o No know food allergies • Immunizations: o Influenza vaccine: 10/2024 o Covid Vaccines: 2021 & 2022 o HPV Vaccines: x3 doses at 12 years old • Preventative Health Maintenance: o PAP: last pap at 30 years o Eye exams: every 2 years, last exam 2024 o Dentals exam & cleaning: last dental visit 1/2025 o STI screening: at 21 years old; 2020, and at each pregnancy diagnoses: 2023 & 2025 • Family History: o Mother: hyperlipidemia o Father: HTN, Hyperlipidemia o Maternal Grandmother: hyperlipidemia o Maternal Grandfather: HTN, Hyperlipidemia o Paternal Grandmother: hyperlipidemiao Paternal Grandfather: HTN, DM Type II o Maternal great-grandmother: hyperlipidemia o Maternal great-grandfather: HTN, Hyperlipidemia o Paternal great-grandmother: Hypertension o Paternal great-grandfather: HTN, DM Type II • Social History: o Nutrition: Eats a balanced diet and occasional take out o Exercise: denies o Denies history of illegal drug use o Sexual history: 2 lifetime partners; 1 partner for the past 5 years o Sexual intercourse with males o History of STIs: denies o Contraception: male condoms o Menstrual history: 1st menstrual cycle at 13 years old o Occupation: Elementary school teacher o Caffeine: Green and black tea o Smoking: denies cigarette and vaping o Alcohol: 2-3 glasses a week prior to pregnancyReview of Symptoms:• General: denies fever/chills, (+) fatigue, (+) increased thirst • Psychological: denies anxiety and depression • Neurological: denies headaches and dizziness • Eyes: denies blurry vision • Ears: denies ringing in ears • Nose, Mouth, and Throat: denies nasal congestion, dry mouth, sore throat • Cardiology: denies chest pain • Respiratory: denies shortness of breath • Breast: denies breast pain • Gastrointestinal: denies abdominal pain, nausea/vomiting, diarrhea, constipation, heartburn • Genitourinary: denies burning; (+) frequency and urgency • Musculoskeletal: denies muscle, joint, back pain • Skin: denies itching • Gynecological: Denies discharge, bleeding, pelvic cramping, leaking of fluids; deniesBraxton Hicks • Heme/Lymph/Endo: denies heat/cold intoleranceObjective:Vital signs: B/P: 118/78; HR: 68; T: 98.7 F; RR: 18Pain: 0/10Pre-pregnancy weight: 120 lb; Height: 65 inches; BMI: 20.0Current weight 145 lbsPregnancy gain: + 5 lbs in 4 weeksOne hour glucose test result: 156 mg/dL. Positive resultPOCT: Urine dipstick: (-) proteinPhysical exam:• Generalized: age appropriate, well developed, well-nourished, no acute distress • Neurological: alert and oriented • Cardiology: no swelling noted to BLE, no murmur • Pulmonary: regular respiratory rate; chest symmetric, no wheezing • Gastrointestinal: abdomen round; non-tender • Musculoskeletal: upper and lower extremities, full range of motion; stable gait • Integumentary: warm and dry • Psychiatric: calm and cooperative • Genitourinary: urine clear, no odor • Gynecological: no vaginal redness or discharge noted • Fundal height: 25cm (acceptable 22-26 cm)OB Abdominal ultrasound:• Intrauterine pregnancy singleton • Presentation: Vertex • Fetal cardiac activity present; HR 144 • Amniotic fluid appears adequate • Fetal movements: Yes • Fetal breathing movements: YesDifferential Diagnosis(1) Urinary tract infection:• Positives: frequency, urgency, pregnancy • Negatives: urine clear, no odor, no fevers/chills, no low abdominal/back painFinal Diagnosis(1) Gestational diabetes (GD):• Positives: maternal age > 25, weight gain +5 lbs in 4 weeks, 1-hr glucose teat 156, fatigue,
increased thirst, increased urinary frequency and urgencyPlan:Diagnostic testing• Urine POCT in office: to r/o UTI: negative for nitrite and/or leukocyte
• NST: monitors fetal heart rate in response to their movement
• CBC: monitor WBC & platelets, can increase with GD.
• 3-hour 100-g OGTT Glucose challenge: to diagnose GDMedications:Continue: Prenatal vitamin: Take 1 tablet by mouth daily.Vaccine: TdapEducation:• Normal weight pre-pregnancy: weight gain 1 lb /week during 2nd – 3rd trimester.
• Complications of GDM if noncompliant
o Maternal: Risk of high blood pressure, preeclampsia, pre-term labor, spontaneous abortion
o Fetus: microsomia, macrosomia (makes delivery difficult), still birth
o Newborn: elevated bilirubin causes jaundice, hypocalcemia, polycythemia, hypoglycemia
• Exercise 30 minutes daily 5 times a week, such as walking
• Limit carbohydrates
• Eat 3 meals and 2 snacks
• Monitor blood glucose at home 4-6 times per day: before meals, and 2 hours after
• 3-hour 100-g OGTT: in the morning after fasting overnight
• Management for Class GDMA1:
o diet, exercise, blood glucose monitoring
• Management for Class GDMA2
o Starting with Metformin 500mg by mouth once a day for one week, then increase to 500 mgto twice a day to decrease side effects
o Can increase 500 mg every week to a maximum of 2500 ng
o Most common side effects of Metformin: abdominal pain & diarrhea
• Insulin
o Recommended for BMI > 40o Serious risk factor is hypoglycemia which can lead to coma or death if not treated
immediatelyo Symptoms of hypoglycemia: shaking, sweating, agitation, rapid heart rate, clammy skin
o Blood glucose < 80 should be treated with 15 gm of glucose • Monitor for type DM and insulin resistance after deliveryReferral/Follow-up• Referral to dietician or diabetes educator- if positive • Week 28 visit: o NST: o Urogynecology for pelvic floor evaluation, exercises o Transabdominal ultrasound o Amniotic fluid index (AFI) o POCT: urine dipstick • RSV: recommended at 28 weeks to protect the infant from RSV • Tdap: recommended between 27-36 weeks to protect against pertussis (whooping cough)Health Maintenance:• Vision exams: every 2 years- 2026 • Dental exams/cleaning: 2 per year- 7/2025 • Pap: 33 years old • Vaccines: 10/2025: annual influenzaBids(46)Dr. Ellen RMMISS HILLARY A+Dr. Aylin JMProf Double RProf. TOPGRADEfirstclass tutorDoctor.NamiraMUSYOKIONES A+Dr ClovergrA+de plusSheryl HoganBrilliant GeekWIZARD_KIMPROF_ALISTERTeacher A+ WorkAshley ElliePremiumLarry Kellyabdul_rehman_miss AaliyahShow All Bidsother Questions(10)PROF MAURICE ONLY - Assignment 2: Diagnostic Case Reportsbusiness HWphys labI need an eight page 100% original paper on Compensation and BenefitsCCPPROF. MOSES GEEK ONLYROBOTIC SURGERY -4 PAGESDiscussion: Logistic Regression ValuesmathstatcheruHomework

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