Appendix NCLEX Questions The following two alternate format NCLEX questions were created related to the case study information and focus on the nursing responsibilities prior to blood administration and the signs/symptoms of acute hemolytic transfusion reactions. NCLEX Question #1 The RN on day shift is looking after Anita, a 93-year-old female patient in with an upper GI bleed. Anita’s latest lab results show an Hgb of 62 g/L. The registered nurse notifies the physician, who then orders for Anita to receive 1 unit of packed red blood cells (PRBCs). What are some of the nursing responsibilities before administering the ordered PRBCs?
Methods: A 10-year retrospective study , between 2001, and 2010 was conducted at King Khalid University Hospital in Riyadh , Which included 392 pregnant women with sickle cell disease and 784 controls group . Results: The major complications in the pregnant group were anemia (86.2%); sickle cell crisis (64.8%); bacterial infection (8.8%); preterm delivery (15.3%). Conclusion: Pregnant Saudi women associated with sickle cell disease are at increased risk for complications . the need for exists of multidisciplinary approach to the management of complications in pregnancy is
A rare cause of Acute Respiratory Distress Syndrome (ARDS) - Mycoplasma pneumonia in a middle aged women Case History A 66-year-old female presented to the Emergency Department of Sri Jayewardenepura General hospital with generalized weakness, faintness, and progressive worsening of difficulty in breathing over a week prior to admission. She also had dry non-productive cough, general malaise with myalgia and a low grade fever. She had consulted a GP and treated with salbutamol and steroid inhalers on outpatient basis. However, since her symptoms became more and more troublesome, she was admitted to the hospital. She is a diagnosed patient with type 2 diabetes mellitus for last 10 years and was taking oral metformin for the control.
Flannery O’ Connor (1925-1964) was an American author, best known for her two books and thirty-two novels. Her stories are often written in a gothic style. One of her novels that I will immerse myself in, is called Everything That Rises Must Converge published 1961. It is about a mother that does not feel well, and therefore decides to visit her doctor. After obeserving her, the doctor informs her that she must lose at least twenty pounds, due to her high blood pressure.
Prior to the formulation, preformulation study was carried out on drug and excipients, in the present work, formulation part divided in to four steps. In first step, preparation of preparation of dummy tablets were done by using different such as lactose monohydrate , Mannitol, microcrystalline cellulose and its combination in different ratio . The detailed composition is shown in table . The dummy tablets were also evaluated for various physical parameters such as thickness, hardness, friability, weight variations, and disintegration. The powder blends were subjected to evaluation such as angle of repose, bulk density, tapped density, % compressibility and Hausner ratio.
Synthesis of 3-[5-(4-substituted) phenyl-1,3,4-oxadiazole-2yl]-2-styrylquinazoline-4(3H)-ones was carried out by following steps: Step 1: Synthesis of 4- substituted benzaldehyde semicarbazon51(2) Semicarbazide Hydrochloride (0.1M) and sodium acetate (0.2M) was added and dissolved in 15-20ml of distilled water placed in flat-bottomed flask. In a separate beaker containing required aromatic aldehyde (1) (0.1M) was dissolved in aldehyde free alcohol. This ethanolic aromatic aldehyde solution was added slowly to the solution of semicarbazide hydrochloride. The precipitate, which gets separated, was filtered, dried and recrystallised from 95% hot ethanol. Table 1: Quantity of aldehydes taken S. No.
• Serine, threonine and cysteine proteases use a nucleophilic residue (usually in a catalytic triad). That residue performs a nucleophilic attack to covalently link the protease to the substrate protein, releasing the first half of the product. This covalent acyl-enzyme intermediate is then hydrolysed by activated water to complete catalysis by releasing the second half of the product and regenerating the free enzyme. A comparison of the two hydrolytic mechanisms used for proteolysis. enzyme is shown in black, substrate protein in red and water in blue.The top panel shows 1-step hydrolysis where the enzyme uses an acid to polarise water which then hydrolyses the substrate.
In the film, The Fault in Our Stars, we are introduced to Hazel Grace Lancaster, a teenage girl diagnosed with stage IV cancer. She shares her backstory and discusses her cancer diagnosis. Hazel states that it started out as thyroid cancer, but it moved onto her lungs. She explained, “there wasn’t much they could do, but they tried anyway” (Boone, 2014). In the beginning of the film, Hazel and her mother are attending a doctor’s appointment where they are seen meeting with Dr. Maria.
“Simultaneous determination of Neomycin sulphate and Polymyxin B sulphate by Capillary Electrophoresis with Indirect UV detection”  Stationary Phase: fused silica capillary with 50 μm i.d. and 27 cm total length at an applied voltage of 6 kV Mobile Phase: 15 mM phosphate run buffer (pH 5.0) containing 40 mM N-(4-hydroxy-phenyl)acetamide and 50 mM tetradecylammonium bromide (TTAB) Detection: 280nm 7. “Flow Injection Chemiluminescence determination Of Neomycin in Pharmaceutical Formulations”  Procedure: The chemiluminescence reaction is based on the enhancing effect of neomycin on the chemiluminescence reaction between luminol-hydrogen peroxide catalysed by potassium ferrocyanide in the Triton X-100 alkaline media. Neomycin solution was injected into a water carrier stream and then mixed with hydrogen peroxide in the presence of Triton X-100 solutions. The reaction mixture was then merged at a Y-piece with a reagent stream consisting of potassium ferrocyanide and luminol in alkaline solution.
DEMOGRAPHIC DETAILS Name: Madam SY Age: 29 years old Ethnic Group: Malay Occupation: Primary School Teacher R/N: SB 00442720 Date of admission: 21st of July 2016 Date of discharge : - GENERAL REPRODUCTIVE HISTORY Parity 3 Day 1 post vaginal delivery Last menstrual period (LMP): Not sure of LMP. Hence, ultrasound scan was done at 10 weeks period of gestation during her booking. PRESENTING COMPLAINT(S) Madam SY, a 29 year old Malay Primary School Teacher, Parity 3, day 1 post vaginal delivery was admitted to referred to Hospital Sungai Buloh from Tanjung Karang a day ago which she was 39 weeks+3 days period of gestations with chief complaint of reduce in fetal movement. She was unsure of her last menstrual period. Thus, Ultrasound scan