What is the etiology of Diabetic Ketoacidosis?

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Need 2 nursing post done. Please make sure you answer every question.

Requirements (FOR EACH POST****)

· 350 words min

· 1 scholarly source *less than 5 years*

· APA format

POST 1

Ms. Blake is an older adult with diabetes and has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. She has a history of Type I diabetes. On admission her laboratory values show:

Sodium (Na+)

156 mEq/L

Potassium (K+)

4.0 mEq/L

Chloride (Cl–)

115 mEq/L

Arterial blood gases (ABGs)

pH- 7.30; Pco2-40; Po2-70; HCO3-20

Normal values

Sodium (Na+)

136-146 mEq/L

Potassium (K+)

3.5-5.1 mEq/L

Chloride (Cl–)

98-106 mEq/L

Arterial blood gases (ABGs)

pH- 7.35-7.45

Pco2- 35-45 mmHg

Po2-80-100 mmHg

HCO3–22-28 mEq/L

1. What is the etiology of Diabetic Ketoacidosis?

2. Describe the pathophysiological process of Diabetic Ketoacidosis.

3. Identify the hallmark symptoms of Diabetic Ketoacidosis.

4. Identify any abnormal lab results provided in the case and explain why these would be abnormal given the patient’s condition.

5. What teaching would you provide this patient to avoid Diabetic Ketoacidosis symptoms?

POST 2

A three-month-old baby boy comes into your clinic with the main complaint that he frequently vomits after eating. He often has a swollen upper belly after feeding and acts fussy all the time. According to his parents, the vomiting has become more frequent this past week and he is beginning to lose weight. After careful history taking, a thorough physical exam and diagnostic work-up, the patient is diagnosed with pyloric stenosis.

1. What is the etiology of pyloric stenosis?

2. Describe in detail the pathophysiological process of pyloric stenosis.

3. Identify hallmark signs identified from the physical exam and presenting symptoms. What diagnostic tests would help to confirm the diagnosis of pyloric stenosis?

4. Describe the pathophysiology of complications of pyloric stenosis.

5. What teaching would you provide this patient/parents regarding pyloric stenosis?

write a comparison/contrast essay exploring the similarities and differences of your claim about Phoenix Jackson and Saunder’s claim about Phoenix James.

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Having a clear understanding of what is in this article is crucial to being successful on the final exam. For the final exam, you will write a comparison/contrast essay exploring the similarities and differences of your claim about Phoenix Jackson and Saunder’s claim about Phoenix James.

What do these similarities and differences reveal about Phoenix? Did your opinion of Phoenix change? Did you see her in a new light? Did any of his evidence strengthen your claim?

In your outline for your final exam, include your thesis, topic sentences, relevant quotes from your paper (cite using your last name and page number), Saunder’s article, and Welty’s story that you intend to use.

Review the sample paper for an example of a paper on this essay prompt. Notice how the writer cited his paper throughout the text as well as in the works cited page.

How do effective nurse leaders and others approach problem solving and decision making in organizations?

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The problem that I would like to use is.  Is it better for the patient in the emergency room to be roomed and triaged or triaged and roomed?  In the emergency room in the United States we usually triage a patient and then place them in a room that is suitable for their complaint.  A trauma or critical patient gets a critical care room, a patient with abdominal pain gets a regular room, a psychiatric patient that is suicidal gets a psych room.  Now, the want us to just room patients in any room that is open, and triage them there because it helps their door to MD times, and increases our patient satisfaction scores because the patients think they are being seen faster.  When in fact, I feel that patients should be triaged into the proper rooms because it helps the care that they receive, and expedites the care that they need.
Also, please see attached.  This will help with this discussion question and the paper due this week

Discussion: Transitioning From Closed to
Open Systems

How do effective nurse leaders and others approach problem solving and decision making in organizations? As suggested in this week’s Learning Resources, systems theory provides a valuable way to assess situations and prepare to address problems.
For this week’s Discussion, you identify an issue or process that could be improved and apply knowledge and strategies related to systems theory.
Note: You may find it helpful to view the Assignment instructions and use the same problem for this Discussion.
To prepare:
  • Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems.
  • Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.
  • Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?
By Day 3
Post a description of the problem that you identified in your selected organization. Explain the problem from a closed-system perspective. Then, describe how the problem could be addressed by viewing it from an open-system perspective, and explain how this modification would help you and others improve health care outcomes.
Read a selection of your colleagues’ responses.

how are culture and climate manifested within the organization?

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Discussion: Organizational Foundations

As you strive to grow in your leadership skills and abilities, you will find that the context in which you work influences your motivation and areas of focus. In a similar vein, your commitment to developing professionally can contribute toward organizational effectiveness.
To that end, it is critical to recognize the importance of organizational culture and climate. In particular, through this week’s Learning Resources, you may consider several questions: How do an organization’s mission, vision, and values relate to its culture? What is the difference between culture and climate? Moreover, how are culture and climate manifested within the organization?
For this Discussion, you explore the culture and climate of your current organization or one with which you are familiar. You also consider decisions and day-to-day practices and the way they relate to the organization’s mission, vision, and values.
To prepare:
  • Review the information related to planning and decision making in health care organizations presented in the textbook, Leadership Roles and Management Functions in Nursing: Theory and Application. Consider how planning and decision making relate to an organization’s mission, vision, and values, as well as its culture and its climate.
  • Familiarize yourself with the mission, vision, and values of your organization or one with which you are familiar. Consider how the statements and actions of leaders and others within the organization support or demonstrate the organizational mission, vision, and values. In addition, note any apparent discrepancies between word and deed. Think about how this translates into expectations for direct service providers. Note any data or artifacts that seem to indicate whether behaviors within the organization are congruent with its mission, vision, and values.
  • Begin to examine and reflect on the culture and climate of the organization. How do culture and climate differ?
  • Why is it important for you, as a master’s-prepared nurse leader, to be cognizant of these matters?
By Day 3
Post a description of your selected organization’s mission, vision, and values. Describe relevant data, or artifacts, words, and actions of leaders and others in the organization that support, or perhaps appear to contradict the organization’s mission, vision, and values statement. In addition, discuss the organization’s culture and its climate, differentiating between the two. Explain why examining these matters is significant to your role as a nurse leader.
At http://www.sclhealthsystem.org-/ this is where I work.  below is their mission vision, etc.
Mission, Vision & Values
Mission

We reveal and foster God’s healing love by improving the health of the people and communities we serve, especially those who are poor and vulnerable.

Vision

Inspired by our faith,
  • We will be distinguished as the premier person-centered health system and trusted partner.
  • We will engage patients in their care decisions and share accountability with clinicians and other stakeholders to coordinate care across all settings and improve access, quality, health outcomes and affordability.
  • We will grow as community-based health networks in partnership with others who share our vision and values and align with us to be an essential provider to those we serve.
Values
Caring Spirit – We honor the sacred dignity of each person.
Excellence – We set and surpass high standards.
Good Humor – We create joyful and welcoming environments.
Integrity – We do the right thing with openness and pride.
Safety – We deliver care that seeks to eliminate all harm for patients and associates.
Stewardship – We are accountable for the resources entrusted to us.