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:
The correct answer is the duodenum.
Explanation:
Pancreatic juice is an alkaline fluid which contains important enzymes for the digestion of proteins, carbohydrates and fats.
Pancreatic juice is secreted by the pancreas when food enters the stomach which is released into the "duodenum" of the small intestine. The pancreatic juice enters duodenum through a pancreatic duct which joins with the bile duct coming from the liver and form "ampulla of Vater" in the duodenum.
Pancreatic juice helps in digestion of carbohydrates, proteins and fats as it contains pro-enzymes and enzymes like trypsinogen, chymotrypsinogen, lipase and many more. It also makes the acidic stomach solution alkaline due to the presence of HCO₃.
Thus, the duodenum is the correct answer.
Answer:
Mrs. Duarte should file an appeal of this initial determination within 120 days of the date she received the MSN in the mail.
Explanation:
A notice is being sent to all clients with original medicare once every three months. This notice will contain all the Medicare Part A and Part B services which the individual has used or attached to the persons portfolio withing Thisntine period. The report is usually detailed, covering the name of services used, the supplier or providers balance, the amount covered by Medicare and that which is to be cleared by the recipient. Therefore. If there is a perceived mistake or error, the individual should send a mail to to refute this claim before 3 months (prior to the roll out of the nest notice). This will allow for investigation and possible correction prior to the best mail being sent out.
Answer:
a. True
Explanation:
Pancreatitis, a disease which involves the inflammation of the pancreas. Pancreatic damage can happen when digestive enzymes become activated before being released into small intestine and the digestive enzymes attack pancreas.
<u>Trypsinogen, chymotrypsinogen and procarboxypepdidase are precursor forms of trypsin, chymotrypsin and carboxypepdidase. </u>
<u>If they are prematurely activated, they will make these enzymes which can degrade/ digest the pancreatic proteins.</u>
