The nurse administers cimetidine to a 75-year-old client diagnosed with a Gastric ulcer the nurse should monitor the client for the following adverse reactions Headache, Sleepiness, Confusion, Dizziness, Nausea which contribute for the change in Metal status.
- Cimetidine is a H
Receptor Antagonist. - Gastric partial cells contains receptors for Histamine.
- Histamine is released from the Enterochromaffin cells upon the stimulation from food intake or from Vagus nerve stimulation.
- Thus Histamine released from Enterochromaffin cells binds to H receptors on the parietal cells and increases the secretion of HCl.
- Cimetidine has totally opposite effect and decreases the secretion of HCl from the parietal cells.
- Not only on gastric cells H receptors are also present in CNS where they stimulate brain cells.
- The above point justifies the adverse effects of Cimetidine.
- Patients over the age of 50 or those who are severely ill may experience transient confusion while taking H
blockers, particularly cimetidine.
Hence from these points we can conclude that patients who are above 50 years and receiving Cimetidine medication for gastric ulcer should be monitored for the above mentioned adverse reactions.
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Answer:
When studying the human body, student may experience the following difficulties:
- Learning while keeping up (This is a hard topic to learn at school)
- Maturity (Some words and phrases may innapropriate and reactions would be immature)
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Answer:
The most correct answer is: It varies in consistency based on the amount of protein fibers and fluid
Explanation:
The extracellular matrix (ECM) is the environment surrounding cells, which is normally composed by fibers (i. e.: collagen, elastin, etc...), soluble proteins and other macromolecules (such as hyaluronic acid) embedded in fluid. The relative concentration and composition of those components conditions, among other things, the physical consistency of the ECM.
- No blood vessel arises from ECM; they derive from specific precursor cells. Additionally, cartilage is an avascular (has no blood vessel) type of connective tissue.
- ECM does provide oxygen and nutrients to diverse tissue, including bone, however bone tissue <em>does</em> have blood vessels.
- Neuronogenesis (generation of new neurons) takes place within the developing nervous system, with neuronal precursor cells being thoroughly surrounded by other cells such as radial glia. Typically, neighboring ECM has a minor or negligible role in this process.
A nurse's initial action should be to ask to see a copy of the advance directive.
Nurses have a moral obligation to ensure that healthcare advocates base their decisions on the patient's wishes. When a patient is helpless and irreplaceable, caregivers should support decisions that are best for the patient and ensure that all values are upheld.
If you are healthy become seriously ill or are unable to make medical decisions in the future talk to your healthcare provider about completing your living will. Otherwise, ask who would like to make decisions if the patient is no longer able to make them.
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