Mrs. Jones, a 65-year-old Caucasian female complained of night blindness that has been progressing over the past several months. She has a difficult time driving at night, and just attributed this to old age. She reports that her vision during the daytime is fine. She has no history of any visual problems in the past. She disclosed that she has been on a keto diet for almost a year, and dislikes vegetables and rarely eats fruits.
1. In your understanding of nutrition, what vitamin deficiency can this patient suffer from? Do you think her diet contributed to her symptoms?
2. What vitamin supplement do you expect the healthcare provider to prescribe?
Mrs. Jones consulted an ophthalmologist. To fully examine the retina and optic nerve, atropine ophthalmic (anticholinergic) to both eyes was ordered.
3. When Mrs. Jones asked what the eyedrops are for, and how will they help with the examination, how will you explain it to the patient?
4. Compare and contrast myopic and mydriatic drugs and uses of both.
5. What patient teaching is needed after the use of mydriatic drops?
A day after Mrs. Jones was seen at the ophthalmologist’s office, she came back with complaints of pruritus and burning sensation around the periorbital area. The skin around the eyes are swollen and red. The patient was told that the atropine drops may have caused an allergic reaction and has to be treated for contact dermatitis with a topical steroid.
6. What patient teaching should you include regarding the use of a topical steroid? Are there any special instructions for using topical steroid around the eye area? What are the adverse effects of this medication?
7. Using a concept map, provide a graphic representation of the relationships between all the symptoms presented, and the pharmacological agents that correspond to each. Include the diagnosis, the drug class, brand name, nursing considerations and adverse effects. A concept map template is provided for you. Edit it to fit the case scenario as you see fit.

Answers

Answer 1

Answer:

Q1) Vitamin A deficiency.

Explanation:

An almost informal answer:

The diet may or may not contribute, there are mainly two types of ketogenic diets:

1. Dirty ketogenic diet.

The food might fall under ketogenic food, but it could be GMO, or includes some hidden processed ingredient that violates ketosis, or added sugar or high netcarbs...

Non organic or grass fed meat, vegetables, or fruit beries...

2. So called clean ketogenic diet or lifestyle.

Even if it's a clean ketogenic diet, does the dish include all the right amount of vitamins and minerals?

Green leaf is a key component in ketogenic lifestyle, Spanish is rich in Vitamin A (VA), however, if one consumes carrots which is also a good source for VA, but it is not keto...

Assuming the patient is consuming clean ketogenic food, then it should be a factor in VA deficiency, because ketogenic in theory has all the necessary nutrients from complex carbs to vitamins and minerals that the body needs.

VA also known as "retinol", plays a role in the transformation of the nerve cells impulses into images reflected on the retina.

BTW there are other causes of nyctalopia:

diabetes.glocuma.genetics factors...etc.

Q2)

After blood test has taken place, we expect a VA deficiency, for that reason we would prescribe VA supplement and food rich with VA.

In addition:

Having said that from my personal experience with my patients I prescribe A-Z vitamins, and different minerals, and trace minerals because they are all interrelated, operate as one block.

Further more, I would recommend fasting assuming there are no underline conditions, and taking various factors into consideration.

to be continued


Related Questions

Krisha goes to check on her roommate and finds her unconscious. Krisha
confirms that her roommate has no pulse, but is untrained in CPR. What
should Krisha do while waiting for the ambulance to arrive?
I think it’s A) Krisha should administer chest comprehension while waiting for the ambulance to arrive

Answers

yes, krisha should do compressions until the ambulance arrives, since she’s untrained.

Answer:

Kirsha should administer chest compressions while waiting for the ambulance to arrive.

Explanation:

Just in case you don't understand the other answer!

The health department found an alarming number of individuals with a rare disease. They decide to collaborate with a major hospital in the area to conduct a study to uncover possible past exposures. The hospital plans to match healthy controls to those with the rare disease. This type of study would be classified as: Experimental study Case-control study Cross-sectional study Retrospective cohort

Answers

Answer: Case-control study

Explanation:

Case control study can be defined as the type of observational study in which outcomes are identified by observing the changes in controlled and experimental samples. The incidences and frequencies of the rare diseases can be recorded and analyzed using hospital health records this will help in analyzing of the effect and emergence of a particular rare disease in the community or the population located or confined to a particular geographical area. This an example of case control study. Here, in the given study the occurrence of rare diseases and their frequency is compared with normal people in the population.

u.
What is the term that means bone pain?

Answers

Answer:

Musculoskeletal pain affects bones, joints, ligaments, tendons or muscles. An injury such as a fracture may cause sudden, severe pain. A chronic condition like arthritis may also cause pain.  osteodynia. [osteo- + G. algos, pain]

Explanation:

Ostealgia: pain in bone

the affected woman in generation IV is thinking about her future and ask her oncologist whether she can know wheter any or all her children will have a high risk of the same cancer. The doctor would be expected to advise which of the followingg (I) genetic counseling; (II) prenatal diagnosis when/if she becomes pregnant; (III) testing to see whether she has the allelle; (IV) testing to see whether her future spouse or partner has the allelle

Answers

Answer:

(I), (II) and (IV)  

Explanation:

In genomic medicine, genetic counseling refers to the process of advising patients of the risks and predisposition to suffer genetically inherited disorders/conditions (in this case, cancer predisposition), as well as for seeking consent for genetic testing when appropriate. This information is very useful for patients since it may help them to consider options regarding risk management and family planning. Moreover, prenatal diagnosis, also known as prenatal screening, is the procedure that aims at identifying genetically inherited health problems before birth.  Chorionic villus sampling and amniocentesis are two major prenatal testing methods used to identify possible fetal genetic abnormalities. Finally, genetic "carrier testing" is the procedure to identify the presence of undesirable gene variants (i.e., alleles) in an individual (in this case, the partner or spouse) related to the risks of transmitting genetic diseases and/or disabilities to their children.

The diagram shows a side view of an eye.



Which label represents the cornea?

W
X
Y
Z

Answers

Answer:

W

Explanation:

The cornea is the transparent front part of the eye that covers the iris, pupil, and anterior chamber.

Which of the following is NOT a good guideline to follow when walking out doors?
Obey traffic signals
Walk in dark and deserted areas
Walk with a buddy
Wear reflective clothing at night

Answers

Answer:

I would say walk in dark and deserted areas

Explanation:

you have to 'Be Visible'

Wear bright colors when walking in the daytime. When walking at night, wear light-colored clothing and reflective clothing or a reflective vest to be visible. Drivers are often not expecting walkers to be out after dark, and you need to give them every chance to see you, even at street crossings that have crossing signals.

1.2
At which ages should a child be vaccinated with the pneumococcal
conjugated vaccine?​

Answers

Answer:

One dose at 4 months of age. One dose at 6 months of age. One dose at 12 to 15 months of age.

Explanation:

that's it really :)

What has four legs but cant walk?

Answers

Table, chair..........

a chair

Explanation:

Just because it's maid of wood

The technique test for radiography certification must be taken on a human
patient.

Answers

X-ray technician certificate.
Hope this helps!

3) As left heart failure progresses:
A. left ventricular preload increases.
B. systemic vascular resistance decreases.
C. left end-diastolic volume decreases.
D. pulmonary vascular resistance decreases.
E. right ventricular preload increase​

Answers

A

Left-sided heart failure is defined not as a disease, but a process. Left-sided heart failure occurs when the left ventricle, the heart's main pumping power source

I believe it is A but it might be C but I’m pretty sure it’s A

Finish
Which of the following guests should be cared for by providing supplemental oxygen using a
non-rebreather mask?
19
Select one:
11
A guest who is dehydrated, suffering from a bad sun burn
A guest who may be having an asthma attack, with a pulse ox reading of 98%
A guest with a pulse, but not breathing normally
O A guest with labored breathing and a pulse ox reading of 89%
Clear my choice

Answers

Answer: A guest with labored breathing and a pulse ox reading of 89%.

Explanation:

A non-rebreather mask refers to a device that's used in delivering oxygen therapy. They re used in case of emergency situations to deliver high oxygen concentrations.

We should note that a pulse oximeter readings that range between 94% to 99% shows a normal oxygen saturation, while a reading below 90% indicates low blood oxygen.

Therefore, the guests should be cared for by providing supplemental oxygen using a non-rebreather mask is a guest with labored breathing and a pulse ox reading of 89%.

Assisting in Pulmonary and Cardiology Medicine and Performing EKGs: Professionalism Assignment

Predict the outcome from this scenario and validate the course of action. Identify unprofessional behavior and establish preventive measures.

A male medical assistant volunteered to perform an EKG on an 18-year-old female. The parents of the patient remained in the waiting room area and no other staff attendees were in the exam room assisting the MA. The patient was instructed to remove her clothing from the waist up and was not given a drape to cover herself. He explained that “modesty” does not apply in healthcare or medicine. The patient appeared to be nervous but under the impression that this was normal practice for an EKG.

Precordial electrodes were placed correctly and a tracing was initiated in an air conditioned room. Although the patient was anxious, she now was cold and started shivering. Somatic tremor artifacts were indicated and present on the EKG tracing. The artifacts were not resolved, corrected, or prevented. The MA dismissed the patient and forwarded the tracing for its interpretation to the provider.

Answers

Answer:

Explanation:

Sooo I'm literally in high school but I wanna be a doctor so I'm gonna see if I can answer this with some course of knowledge. So I'm assuming that since hes a male medical assistant, and the girl is 18, he is allowed to preform an EKG? I also know that if he has proper training he can preform an EKG. It seems kinda weird that no other staff attendees were in the exam room, and how she was instructed to remove her clothing and was obviously not comfortable. He should have asked the girl if she wanted someone else in the room with her, such as a female medical assistant or even just another female. I think he should have also given her something to drape over herself, once the pads were in place. Maybe since she didn't have a drape over her she became cold, and anxious. That's all I can really answer:)

1. When one muscle of a pair contracts, the other muscle does what ?

Answers

when one muscle contracts, the other one lengthens gl
Contraction and lengthening

In general, how did Jacob and Monod study the function of the lac operon?

Answers

Answer:

The model proposed by Jacob and Monod predicted that a specific DNA sequence near the transcription start site of the lac operon is a binding site for lac repressor. ... In this system, separate mutations in both copies of lacI in a given cell are required to generate a lacI− constitutive mutant, a low-probability event.

As the office manager you come into contact with various drug representatives that provide you your office with free samples. It is important to keep them organized in a locker drawer. What is the most efficient way to organize the samples ?

Answers

Answer:

Keep the samples in bins for each specific sample, label each bin so that the samples don't get mixed up.

Explanation:

Hope this helps! <3

How do vaccines work? Do they work against viruses and bacteria? Why there
are so many vaccines.

Answers

Answer:

Vaccines train our immune systems to create proteins that fight disease, known as ‘antibodies’, just as would happen when we are exposed to a disease but – crucially – vaccines work without making us sick. Live, attenuated vaccines fight viruses and bacteria. These vaccines

contain a version of the living virus or bacteria that has been weakened

so that it does not cause serious disease in people with healthy immune

systems. Because live, attenuated vaccines are the closest thing to a

natural infection, they are good teachers for the immune system.

Examples of live, attenuated vaccines include measles, mumps, and

rubella vaccine (MMR) and varicella (chickenpox) vaccine. Even

though they are very effective, not everyone can receive these vaccines.

Children with weakened immune systems—for example, those who are

undergoing chemotherapy—cannot get live vaccines. Those are only some vaccines, of course not all vaccines inject a live virus into your body. And of course, there are so many vaccines because (unfortunately) there are so many diseases!

what can i use as a natural mascara other then vaseline?​

Answers

You can use coconut oil, aloe vera gel, and avocado oil. I'm sure there's a lot more, but these are the only ones that come to my mind.

Answer:

Mix few drops of castor oil with coconut oil and apply it gently on the lashes with the help of a cotton tip. Do it every night before going to bed and wash it in the morning

Define the two types of ASCs and the main differences between the billing procedures.

Answers

Answer:

The first difference is the rate. ASCs are reimbursed at roughly 60 percent of the rate of hospitals for a similar procedure, which was a primary motivating factor for hospitals in acquiring off-campus ASCs. The second major difference is the reimbursement methodology.

Addendum AA (Final ASC-covered Surgical Procedures) includes comments, payment indicators, and final payment amounts for covered surgical procedures. (See the Addendum AA example on the next page.) Addendum BB (Final Integral to Covered Surgical Procedures) covers included and separately billable ancillary services.

Explanation:

The two types of ASCs are hospital and independent Ambulatory Surgical Centers (ASCs).

What are Ambulatory Surgical Centers (ASCs)?

Ambulatory Surgical Center is an agency that functions exclusively to handles the outpatient surgical services of patients.

There are two types of Ambulatory Surgical Center which include:

Hospital Ambulatory Surgical Centers: This type is under common ownership, licensure or control of a hospital.

Independent Ambulatory Surgical Centers: This type is not under any hospital facility or part of a provider of services.

Therefore the major difference between the two type of Ambulatory Surgical Centers is that the hospital type is owned and controlled by a hospital while the independent type is not under the control of a hospital.

Learn more about surgical centers here:

https://brainly.com/question/26724240

I NEED HELP IM STUCK!!!

Answers

OSHA occupational safety and health administration
CDC Center for disease control
CLIA ..... I am unsure what this stands for.
Immunity... when you’re body protects you from a infection or disease. Natural immunity is when you get sick and recover. Your body makes T cells so If you are exposed to the infection again the T cell remember and fight the infection. Herd immunity is when most people in the community has had the virus or infection. Keeps the infection from spreading in that area because most people are already immune to it.

Behaviors that promote health and wellness. Eating healthy, not smoking, exercising.

Eating healthy can prevent disease. Not eating processed foods that are high in fat, fried foods lower risk of heart attack, cancer, ect.

Which of these examples can be categorized as external disasters?

A.
liquid spill, earthquake
B.
equipment failure, hurricane
C.
liquid spill, equipment failure,
D.
flood, earthquake

Answers

Answer:

The Answer is gonna be B.

equipment failure, hurricane

I hope I helped

the answer is B. equipment failure, hurricane

Unsaturated fat comes from animal products such as butter and cheese.
Group of answer choices

True

False

Answers

Answer:

true

Explanation:

Unsaturated fat come from animals.

It becomes solid when it is in room temperature

True, beacase it's a solid substance with double and triple bonds

Traditional medicines derived from the roots of nut-grass (Cyperus rotundus) have been used to treat a variety of ailments, including blood disorders and leprosy. Compound A is the active component in these medicines derived from nut-grass. A synthetic method for making compound A includes an intramolecular SN1 reaction to form a new ring. Identify (circle it) which of two possible starting materials is a better candidate and justify your choice.

Answers

Answer:

yep

Explanation:

True OR False:
cones sense color and intensity of light, rods only sense color

Answers

cones sense color and intensity or a light, rods and only sense color is true

What is the measurement scale for years?

Answers

Answer:

interval scale

Explanation:

Topic Test

The rationale for twin studies is that twins do not normally develop under similar environments.

Please select the best answer from the choices provided

a. T
b. F​

Answers

Answer:

B. False

Explanation:

I calculated it logically

Which of the following is described in the video as a consequence of Debra's severe depression? Check all that apply.
She begins to withdraw from her husband, children, and friends
She has to leave her job as a high-level lawyer
She loses her house because she can't work and make her mortgage payments
Her husband ultimately divorces her because of her daily withdrawal

Answers

I don't know what the video is so I cannot say for sure but all of those are outcomes of severe depression. Without seeing/watching the video, i would say all of those are correct.

Depression is a disease that harms the mental and physical condition of the human body. The symptoms of depression are very hard to find but some of the symptoms are as follows:-

InsomniaAggressionIsolation

According to the question, there is no video attached to the question, but as per the option, the only suitable option to the question is 1  in which she begins to withdraw from her husband, children, and friends which is the symptoms of the isolation.

For more information, refer to the link:-

https://brainly.com/question/20262792

Kenya is unsure how to spell the respiratory system term that means “normal breathing.” How should she spell it?

eupnea
epnia
hypopnea
hyponia

Answers

Answer : eupnea

Hope this helps

Answer:

A. eupnea

Explanation:

What are examples of eye surgeries? Check all that apply.

•phacoemulsification
•corneal transplant
•Lasik
•cochlear implant
•otoplasty
•tympanoplasty

Answers

Answer:

LASIK surgery is the example of eye surgery..

hope it is helpful to you ☺️

Ron is a healthcare worker. His job requires him to lift and move medical equipment. How should he approach his work?
A.
bend at the knees to life the object
B.
bend at the waist to life the object
C.
carry the object away from the body
D.
use maximum arm strength without using the body support

Answers

Answer:

A

Explanation:

because

A. Bend at the knees

In normal healthy adult, Calculate the Gain of control system of cold temperature if A cold exposure is expected to bring the body temperature down to 20°C but brings it down only to 36.5°C?

Answers

Answer:

Increased intraluminal pressure may help maintain vasodilation in a dependent arm even after hypothermia triggers centrally mediated thermoregulatory vasoconstriction. We therefore tested the hypotheses that the threshold (triggering core temperature) and gain (increase in vasoconstriction per degree centigrade) of cold-induced vasoconstriction is reduced in the dependent arm during anesthesia. Anesthesia was maintained with 0.4 minimum alveolar anesthetic concentration of desflurane in 10 volunteers in the left-lateral position. Mean skin temperature was reduced to 31 degrees C to decrease core body temperature. Fingertip blood flow in both arms was measured, as was core body temperature. The vasoconstriction threshold was slightly, but significantly, less in the dependent arm (36.2 degrees C +/- 0.3 degrees C, mean +/- SD) than in the upper arm (36.5 degrees C +/- 0.3 degrees C). However, the gain of vasoconstriction in the dependent arm was 2.3-fold greater than in the upper arm. Consequently, intense vasoconstriction (i.e., a fingertip blood flow of 0.15 mL/min) occurred at similar core temperatures. In the lateral position, the vasoconstriction threshold was reduced in the dependent arm; however, gain was also increased in the dependent arm. The thermoregulatory system may thus recognize that hydrostatic forces reduce the vasoconstriction threshold and may compensate by sufficiently augmenting gain.

Implications: The threshold for cold-induced vasoconstriction is reduced in the dependent arm, but the gain of vasoconstriction is increased. Consequently, the core temperature triggering intense vasoconstriction was similar in each arm, suggesting that the thermoregulatory system compensates for the hydrostatic effects of the lateral position.

Other Questions
Answer my question here for my watch silence class compro una bicicleta y pago en tres cuotas. En el primer tramo pago 3/10 del total, en el segundo pago 4/5 del resto, y en el tercero solo tengo que pagar 21 $. Cunto cuesta la bicicleta? the length of a rectangular is 2 m less than twice the width.if the erea of the rectangular is 112m, what is the width Help me answer please? convert the following into decimal 111.01 1. Humans made tools from metal in the Paleolithic Age.true or false2. The first civilizations started in the mountains of Asia.true or false3. Humans invented the bow and arrow in the Bronze Age. true or falseplease help me with these 3 A student wants to develop an explanation of the role cellular respiration and photosynthesis play in the cycling of matter.Answering which of the following questions would MOST help the student develop an explanation? aWhich type of energy is used during photosynthesis and released during cellular respiration? bWhich products of cellular respiration are also used as inputs during photosynthesis? cWhich inputs or outputs of photosynthesis and cellular respiration are a source of heat? dWhich cell organelles carry out the processes of photosynthesis and cellular respiration? how many neutrons does the isotope of hydrogen called deuterium have External economies of scale occur when average costs of a firm: A. rise as the industry grows larger. B. fall as the industry grows larger, but may or may not rise as the representative firm grows larger. C. fall as the representative firm and industry grows larger. D. remain constant. i need help how do you do this which of the following are considered prokaryotic organisms? select all that apply. Help me out Physics 2.4.3 lab, please help, i just need this so i could move on to the next unit. 75 points if you could please do this $40 jacket is 25% off how much will u save can someone help me with this quickly Which verb is in the future tense? a. will dream b. dreams c. dreamed d. have dreamt 4. When I was a child.......................the violin.a. I was playing b. I had played c. I play d. I played I need help . Thanks What is the distance between 5,-6 and 5,6 transport that moves materials against the concentration gradient is said to be