The action the nurse should include in the client's plan of care who is receiving tamoxifen (nolvadex) for the treatment of breast cancer is to help the client cope with hot flashes
Tamoxifen, a selective estrogen receptor modulator, is a form of hormonal therapy (SERM). The medication binds to breast cancer cells' hormone receptors (specific proteins). Once the drug is within the cells, it prevents cancer from getting access to the hormones it needs to proliferate and develop.
Tamoxifen prevents estrogen from binding to the receptor, which prevents the cancer cell from receiving signals from estrogen that would otherwise cause it to grow and reproduce. Hot flashes, exhaustion, an elevated risk of blood clots, and endometrial cancer are some of the side effects that this drug may cause.
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If your amputated finger can be saved, you may need microsurgery. Your doctor will sew together the nerves, blood vessels, and tendons inside your finger. This helps to keep your finger alive and heal well after it's reattached.
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an airbound virus or disease or a nasty dirty infection
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Pyruvate it turns into lactate almost immediately.
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The anaerobic glycolytic system has 10 steps but they happen very fast. The end product is pyruvate but it turns into lactate almost immediately. Pyruvate turns into lactate so quickly that some refer to this system as the lactic or lactate system.
