You are a volunteer with the Red Cross in a developing country and you find the following situation exists. Young children relying on un-enriched rice porridge show symptoms of fatigue/muscle weakness, apathy, confusion and poor memory. They constantly cry out to you "I can't, I can't" in their native language. What vitamin deficiency do they have? What is this deficiency called? How can it be prevented from recurring

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Rajiv Adhikari (57 years old) has recently returned from theatre after a cholecystectomy earlier in the day. He is having his second dose of IV Flucloxacillin and is receiving Fentanyl by Patient Controlled Analgesia (PCA) for pain. Rajiv has a history of angina, type 2 diabetes mellitus and asthma. A visitor alerts you to the fact that Rajiv 'doesn't look well'. Please assess Rajiv using the DR ABCDE approach. Question: Reflecting on this scenario, what would you do the differently, and why?

Rajiv Adhikari (57 years old) has recently returned from theatre after a cholecystectomy earlier in the day. He is having his second dose of IV Flucloxacillin and is receiving Fentanyl by Patient Controlled Analgesia (PCA) for pain. Rajiv has a history of angina, type 2 diabetes mellitus and asthma. A visitor alerts you to the fact that Rajiv 'doesn't look well'. Please assess Rajiv using the DR ABCDE approach. Question: What was your reasoning behind this decision?

A patient with Diabetic Ketoacidosis uses the following medications. Explain the pharmacodynamics of the medications. Diovan 80 mg po OD Prinivil 10 mg po OD Omeprazole 20 mg OD Lantus 18 units subcutaneous q AM Humalog 19 units subcutaneous TID before meals

Develop a personalized care plan for your patient with pyelonephritis aimed at promoting cellular regulation

Alfonso is a 67-year-old male. He is admitted to the hospital due to an infection. Alfonso only speaks Spanish and has trouble communicating with the healthcare staff. He has dysphagia, difficulty swallowing and must meet his nutritional needs via a tube feeding. At home, he is very self-sufficient and does his own bolus feedings. He has been in the hospital for nearly forty-eight hours. The nursing notes indicate that he has been tolerating his tube feeding well and administering it himself, however, when he meets with the dietitian, the patient admits that he has not had any tube feeding. The dietitian looks in the room and does not see any tube feeding products. The dietitian speaks with the RN and the Nurse Manager to discuss the situation.

Kenny is on an “all you can eat fruit diet”. Basically Kenny can eat any fruit he wants at any amount as long as he’s not eating anything else other thanfruit. Kenny thinks this is quite healthy and he should be losing weight even if he doesn’t exercise. Kenny has been on this diet for 2 month withoutexercising and he is NOT losing weight! Also, he noticed that he gets sick easier. He doesn’t understand why. Explain what Lynn is experiencing. Include the energy conversions and nutrition

Consider the person Harrison Johnson, aged 21, was diagnosed with Type 1 diabetes mellitus when he was 12 years old after a viral illness. He and his family learned to manage his diabetes although his teenage years were difficult with episodes of low and high blood glucose. He is now a 3rd year nursing student and enjoys the course very much. However, at times he has found the study and PEP stressful, and this has made managing his blood glucose difficult at times. He is very active and enjoys running and football, and nights out with his friends. Harrison acquired both a continuous glucose monitor and an insulin pump 3 months ago. He is still learning how to use them effectively. Last week Harrison developed a heavy cold with a significant green mucus discharge. He has been feeling very unwell, experiencing episodes of rigors and fever. He has a productive cough. He has presented to the clinic feeling even worse, very tired, thirsty, and urinating more frequently. Collect cues Vital…

Wayne, age 27, calls the doctor’s office to report abdominal pain and cramping, “funny-looking” diarrhea, nausea, and vomiting. He asks what antidiarrheal medication he should take. He also says he has always worried about developing Crohn disease, which he remembers his grandfather struggling with, and that his great-grandfather had colon cancer. What do you tell Wayne to do? What screening questions do you ask him? What conditions might the doctor think most likely, and why?