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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Marcus is displaying signs of muscle dysmorphia.
<h3>What is muscle dysmorphia?</h3>
Muscle dysmorphia is a psychological disorder that makes a person addicted to building muscles and doing bodybuilding exercises. Even though the body is formed and the muscles are enlarged, people with muscle dysmorphic disorder will continue to try to make their bodies more muscular and muscular.
The following are the characteristics of people with muscle dysmorphic disorder.
- All-out workout to increase muscle mass.
- Panic and stress if you can't or don't have time to exercise.
- Continue to exercise even if you are sick or injured.
- Eating disorders, usually consuming excessive amounts of protein
- Steroids addiction.
- Too often look in the mirror and check the shape of the body.
- Comparing his body with other bodybuilders.
- Not confident with body shape and self-image.
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They can encode proteins that provide additional benefits for the bacteria to survive in the local environment. They hold nutrients necessary for the bacteria to survive.
Answer:
Middle zone , outer zone & inner zone.