Condet

Helen Boussios, MD

• Assistant Professor of Medicine

https://medicine.duke.edu/faculty/helen-boussios-md

Selective (B) is similar but preserves the sternocleidomastoid muscle weight loss kids buy xenical 60 mg low price, internal jugular vein weight loss 9 month old baby generic xenical 120mg without prescription, and the spinal accessory nerve weight loss pills meridian purchase xenical 60 mg visa. Either circle the correct answer or write the best response in the space provided weight loss zone order xenical 120 mg visa. A radical neck dissection (see Figure 35-4) is often performed to help prevent, the primary reason for death from neck malignancies. Two common morbidities associated with a radical neck dissection are: and. Reconstructive techniques involve grafts that normally use the muscle. List three postoperative complications expected when someone has surgery to the neck area (see A and B):, and. Three collaborative, postoperative nursing problems may be:, and. Postoperatively, a finding that should be immediately reported because it may indicate airway obstruction is: a. A nurse who is caring for a patient who has had radical neck surgery notices an abnormal amount of serosanguineous secretions in the wound suction unit during the first postoperative day. A major potential complication from graft necrosis or artery damage is hemorrhage from the: a. Preoperatively, the nurse explains the surgical procedure for treatment of a mandibular fracture. For emergency use, which of the following should be available at the head of the bed? During the past month she noticed a dryness in her mouth and a roughened area that is irritating. She mentioned her symptoms to her dentist, who referred her to a medical internist. During the health history, the nurse noted that Edith did not mention a late-occurring symptom of mouth cancer, which is: a. On physical examination, Edith evidenced changes associated with cancer of the mouth, such as: a. A frequent complication of oral surgery when the salivary glands have to be radiated is:. The Levin tube, a commonly used nasogastric tube, has circular markings at specific points. The distance measured from the tip of the nose to the earlobe and from the earlobe to the xiphoid process. The distance determined by measuring from the tragus of the ear to the xiphoid process. When continuous or intermittent suction is used with a nasogastric tube, the goal is to have the amount of suction in the gastric mucosa reduced to: a. One way to confirm placement of a nasogastric tube is to ensure that the nurse tests the pH of the tube aspirate. Symptoms of oliguria, lethargy, and tachycardia in a patient would indicate to the nurse that the patient may be experiencing the initial common potential complication of nasoenteric intubation, which is: a. The dumping syndrome occurs when high-carbohydrate foods are administered over a period of less than 20 minutes. A nursing measure to prevent or minimize the dumping syndrome is to administer the feeding: a. Gastrostomy feedings are preferred to nasogastric feedings in the comatose patient, because the: a. When administering a bolus gastrostomy feeding, the receptacle should be held no higher than: a. The most common infectious fungal organism for patients receiving parenteral nutrition is: a. Patients who are receiving total parenteral nutrition should be observed for signs of hyperglycemia, which would include: a. Triple-lumen nasogastric tube that also has a duodenal lumen for postoperative feedings b.

Diseases

• Hypertrichosis, anterior cervical
• Ventricular septal defect
• Opsismodysplasia
• Meleda disease
• Osteopathia condensans disseminata with osteopoikilosis
• Retinopathy aplastic anemia neurological abnormalities
• Chromosome 14 ring
• Colitis
• Ruvalcaba Myhre Smith syndrome (BRR)

Placebo-controlled multicenter study of sertraline treatment for obsessive-compulsive disorder weight loss pills hypertensive patients xenical 60 mg on-line. Buspirone and lorazepam in the treatment of generalized anxiety disorder in outpatients weight loss diet for women purchase 60 mg xenical amex. A multicentre double-blind comparison of hydroxyzine weight loss xojane order 60mg xenical fast delivery, buspirone and placebo in patients with generalized anxiety disorder weight loss food plans cheap xenical 60mg mastercard. Placebo-controlled trial comparing intermittent and continuous paroxetine in premenstrual dysphoric disorder. Family history of psychiatric illness as a risk factor for schizoaffective disorder: A Danish register-based cohort study. Risperidone and haloperidol augmentation of serotonin reuptake inhibitors in refractory obsessive-compulsive disorder: a crossover study. Beta-blocking agents in the treatment of catecholamine-induced symptoms in musicians. Venlafaxine extended release vs placebo and paroxetine in social anxiety disorder. Cortisol, learning, memory and attention in relation to smaller hippocampal volume in police officers with posttraumatic stress disorder. Efficacy and safety of hydroxyzine in the treatment of generalized anxiety disorder: a 3-month double-blind study. Haloperidol addition to fluvoxamine-refractory obsessive-compulsive disorder: a double-blind, placebo-controlled study in patients with and without tics. A double-blind, placebo-controlled study of risperidone addition in serotonin reuptake inhibitor-refractory obsessive-compulsive disorder. The aetiology of post-traumatic morbidity: predisposing, precipitating and perpetuating factors. Major depression with moodcongruent psychotic features: a distinct diagnostic entity or a more severe subtype of depression? Selective neuron loss in the paraventricular nucleus of hypothalamus in patients suffering from major depression and bipolar disorder. Development and prediction of postpsychotic depression in neuroleptic-treated schizophrenia. Failed efficacy of fluoxetine in the treatment of posttraumatic stress disorder: results of a fixed-dose. Parahippocampal gray matter density in panic disorder: a voxel-based morphometric study. Amygdalar atrophy in panic disorder patients detected by volumetric magnetic resonance imaging. Imipramine dose-response relationship in panic disorder with agoraphobia: preliminary findings. Electroencephalographic sleep in panic disorder: focus on sleep-related panic attacks. Patients with frequent sleep panic: clinical findings and response to medication treatment. Posterior superior temporal gyrus in schizophrenia: grey matter changes and clinical correlates. Changes in platelet alpha 2autoreceptor binding post partum: possible relation to maternity blues. Efficacy of usual antidepressant dosing regimens of fluoxetine in panic disorder: randomized, placebo-controlled trial. The clinical features of bipolar depression: a comparison with matched major depressive patients. Superiority of clomipramine over imipramine in the treatment of panic disorder: a placebocontrolled trial. Efficacy and safety of pregabalin in the treatment of generalized anxiety disorder: a 6-week multicenter, randomized, double-blind, placebocontrolled comparison of pregabalin and venlafaxine. High-dose sertraline strategy for nonresponders to acute treatment of obsessive-compulsive disorder; a multicenter double-blind trial. Delimitation of generalized anxiety disorder: clinical comparisons with panic and major depressive disorder. Flumazenil provocation of panic attacks: evidence for altered benzodiazepine receptor sensitivity in panic disorder.

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Discuss the nursing considerations and teaching opportunities for asthma patients receiving beta-2 adrenergic agonists weight loss pills 2x buy discount xenical 120mg line, anticholinergics weight loss 4 doctors select nutraceuticals 60 mg xenical sale, and corticosteroids weight loss pills for over 50 order 120 mg xenical mastercard. Chart the sequence of events that illustrate the pathophysiology of chronic bronchitis weight loss nutrition plan xenical 60 mg with mastercard. During assessment, the nurse notes the presence of a "barrel chest," which the nurse knows is caused by: a. The nurse recognizes the need to be alert for the major presenting symptom of emphysema, which is: a. Arterial blood gas measurements that are consistent with a diagnosis of emphysema are: a. Diaphragmatic breathing is recommended for Lois because it does all of the following except: a. Decreased gas exchange at the cellular level resulting from a toxic substance is classified as: a. When oxygen therapy is being used, "No Smoking" signs are posted, because oxygen: a. A patient has been receiving 100% oxygen therapy by way of a nonrebreather mask for several days. Intermittent positive-pressure breathing differs from incentive spirometry in all the following ways except: a. To help a patient use a mini-nebulizer, the nurse should encourage the patient to do all of the following except: a. The suggested sequence of nursing actions for management of an upper airway obstruction is: a. When suctioning secretions from a tracheostomy tube, it is helpful to first instill: a. When suctioning a tracheostomy tube, the nurse needs to remember that each aspiration should not exceed: a. The sigh mechanism on an assist-control ventilator needs to be adjusted to provide sigh(s) per hour at a rate that is times the tidal volume. The term used to describe thoracic surgery in which an entire lung is removed is: a. Preoperatively, the patient who is scheduled for thoracic surgery needs to know that postoperatively: a. The water seal used in a disposable chest drainage system is effective if the water seal chamber is filled to the level of: a. Oxygen transport to the tissues is dependent on four factors:, and. Oxygen toxicity may occur when oxygen concentration at greater than % is administered for (length of time). List five signs and symptoms of oxygen toxicity:, and. Five examples of low-flow oxygen delivery systems are:, and. Cuff pressure for an endotracheal tube should be maintained at mm Hg and be checked every hours. List three types of negative-pressure ventilators:, and. List four nursing diagnoses for a patient receiving mechanical ventilation:, and. For a patient to be safely weaned from a ventilator, the vital capacity should be mL/kg; the minute ventilation should be L/m; and the tidal volume should be mL/kg. To suction source or air Vent to room air Visceral pleura Parietal pleura Lung From patient 20 cm 250 mm Drainage collection chambers To drainage system 1 2 3 Water seal 2 cm Suction control Water seal Vent Drainage collection chambers Suction source Ventilation source Copyright © 2010 Wolters Kluwer Health/Lippincott Williams & Wilkins. Hypoxia: decreased oxygen supply to the tissues:: Hypoxemia:.

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References

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• Salenius P. On the ontogenesis of the human gastric epithelial cells. A histologic and histochemical study. Acta Anat Suppl 1962; 50:1.
• Berger PB, et al. Frequency and significance of right ventricular dysfunction during inferior wall left ventricular myocardial infarction treated with thrombolytic therapy (results from the thrombolysis in myocardial infarction TIMI II trial). The TIMI Research Group. Am J Cardiol. 1993;71(13):1148-1152.
• Pauschinger M, Bowles NE, Fuentes-Garcia FJ, et al. Detection of adenoviral genome in the myocardium of adult patients with idiopathic left ventricular dysfunction. Circulation. 1999;99:1348-1354.