A 79 year old white male is taking hydrocodone/APAP 10/325 for lower back pain (pt diagnosed with degenerative disc disease several months ago). The physician had written a prescription for Vicodin® 10/325  1 or 2 tablets Q4-6h prn pain with a quantity of 120.  Her expectation was that this would last the patient for one month.  The patient is now requesting refills about every 10-14 days.  He states he has been taking 2 tabs Q4h (12 tablets per day) because “the pain is so bad I just can’t stand it!”. He also tells the provider he is "constipated so bad it somtimes hurts to sit, bend or walk".

Please help me answer the questions below. Thank you so much! Case Study #4Romina Jackobs is a 45-year-old morbidly obese French woman who moved to theUS one year ago for a job promotion. She lives alone with her two cats. She says thatshe has made a lot of friends in the apartment building that she lives in, and herneighbor has called her and let her know that she will take care of her cats. Becauseshe has only been in her new position for a year, she is worried that she will get intotrouble if she has to miss too many days. As a regional public relations manager forDelta airlines, she has to travel a lot, she is worried she will miss a lot of her reports.She presented in the ER this morning complaining about pain in her right calf. Onassessment her calf was red, edematous and hot to the touch. There was a palpablemass in the calf, so Romina was sent to ultra sound. Ultra sound revealed that therewas an encapsulated mass in the calf, and pt was sent to CT scan. CT revealed thatthere…

What does IV admixture mean? Do the following medication an IV admixture? If not what are they? Norepinephrine 16mg in 250ml D5W Dexmedetomidine 200mcg in 50ml Fentanyl 100mcg in 10ml NSS Midazolam 30mg in 30ml NSS Potassium Chloride 40meq in 1L PLR 1 liter

the answer should be short   1). Gingival ______ is an overgrowth of gum tissue that is often a sideeffect of phenytoin. 2). A nurse witnesses a patient experience a generalized, grand mal seizure. The nurse expects to administer this benzo diazepine 3). Excessive stimulation of neurons in the brain that results intemporary changes in brain function.

A 56-year-old Asian man with hypertension, hypercholesterolemia, and type 2 diabetes mellitus comes to a physician for a check-up. It has been several years since he has been to the doctor. His past medical history is significant for an acute illness at the age of nine, which involved a high fever, pleuritic chest pain, migrating joint pain, and a pink, nonpruritic rash on his torso. His blood pressure is 155/100 mm Hg and heart rate is 70/min. Auscultation of the heart reveals a low-pitched diastolic rumble heard best at the apex. What is the most likely pressure change that would be seen in this patient’s heart? (A) Decreased left atrial pressure (B) Decreased left ventricular pressure (C) Increased left atrial pressure (D) Increased left ventricular pressure (E) Increased right atrial pressure

A 60-year-old woman comes to the physician because of a 2-month history of shortness of breath and cough and a 2- week history of progressive swelling of her face. The cough is productive of approximately /4 cup of mildly blood-tinged, white-to-yellow sputum daily. She has had a 2.3-kg (5-Ib) weight loss over the past 4 months. She has a 15-year history of hypertension treated with enalaprl. She has smoked 1 pack of clgarettes daily for 45 years. Her pulse is 90/min and regular, respirations are 20/min, and blood pressure is 135/90 mm Hg. Physical examination shows edema of the face and neck and jugular venous distention. Breath sounds are mildly decreased throughout all lung fields, and there are no cardiac murmurs. Her serum sodium concentration is 125 mEq/L. Which of the following is the most likely direct cause of this patient's facial edema? A) Angioedema from angiotensin-converting enzyme (ACE) inhibitors B) Impaired cardiac filling from cardiac tamponade C) Increased vascular…

The nurse receives a prescription for midazolam 3mg, IM STAT. The medication is available as midazolam 10mg/2mL. What size needle would be used (gauge and length)?

A 67 years old female patient. She presented to her GP last week, complaining of a very strong headache, followed by dizziness. The symptoms had resolved by the time she could see the GP, who was concerned enough to request a CT  of her head and neck. Diabetes mellitus Type 2: Management: metformin 1000mg, daily enalapril 10 mg daily rosuvastatin 10mg, daily Atrial fibrillation (AF) Management: apixaban 2.5 mg, BD sotalol 40 mg, BD Cigarette smoking: 20 - 30 cigarettes/day, quit 5 years ago.  She underwent a CT scan of the head and neck, but the results were normal. the patient was assessed as requiring changes to her hypertension & AF management and the following changes made: enalapril ceased the following medications commenced or changed; irbesartan/ hydrochlorothiazide 300/25, daily amlodipine 5mg, daily apixaban 5mg, BD  This morning patient woke up at 0600 hours with a 5/10 headache. At 0700 hours she began to feel weak in her limbs, and her headache increased to…

What condition does this patient likely have?

This is a Pediactrcs class for Nursing School Safe Dosage Range Calculation  Digoxin 18 mcg po BID  Child weighs 7lbs.  The safe range is 10-12mcg/kg/24hrs. A) What is the safe 24-hr range? B) Is the ordered dose safe for a 24-hr period? C) If the medication is supplied 50mcg/ml, how many mL will you administer per dose?