Homework is to be presented as a short (50-100-word) paragraph response for each question. The assignment is to be submitted as a Microsoft Word document electronically to the instructor.

1. Explain the process and purpose of the Five Rights.
2. What are the various methods of drug administration? Explain why one method may be chosen over another.
3. Assess the conditions under which a chest tube is placed and the maintenance and precautions needed.
4. What purpose do arterial venous lines serve and which vessels are they placed in.
5. Why is a pulmonary arterial line not an arterial line in the strictest sense of the word?
6. Organize a plan for your participation in a code.
7. What are the general requirements for a code cart setup?

APA format is not required, but solid academic writing is expected.

Discussion:

Discussion: Anemia

In clinical settings, advanced practice nurses often encounter patients with blood disorders such as anemia. Consider the case of a 17-year-old girl who is rushed to the emergency room after suddenly fainting. The girl’s mother reports that her daughter has had difficulty concentrating for the past week, frequently becomes dizzy, and has not been eating normally due to digestion problems. The mother also informs the nurse that their family has a history of anemia. With the family history of anemia, it appears that this is the likely diagnosis. However, in order to properly diagnose and treat the patient, not only must her symptoms and family history be considered, but also factors such as gender, ethnicity, age, and behavior. This poses the question: How do patient factors impact the incidence and prevalence of different types of anemia?

To Prepare

· Review Chapter 21 in the Huether and McCance text. Reflect on the pathophysiological mechanisms of iron deficiency anemia.

· Select one of the following types of anemia: pernicious anemia, folate deficiency anemia, sideroblastic anemia, chronic inflammation anemia, or post-hemorrhagic anemia. Identify the pathophysiological mechanisms of the anemia you selected.

· Consider the similarities and differences between iron deficiency anemia and the type of anemia you selected.

· Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact these anemic disorders.

·

Post an explanation of the pathophysiological mechanisms of iron deficiency anemia and the anemia you selected. Compare these two types of anemia, as well as their potential causes. Finally, explain how genetics, gender, ethnicity, age, and behavior might impact the anemic disorders you selected.

Please use below resources for reference

Huether, S. E., & McCance, K. L. (2012). Understanding pathophysiology (Laureate custom ed.). St. Louis, MO: Mosby.

• Chapter 20, “Structure and      Function of the Hematologic System”

This chapter examines components of the hematologic system, development of blood cells, mechanisms of hemostasis, and hematologic value changes in pediatrics and geriatrics. It also focuses on common blood tests for hematologic disorders.

• Chapter 21, “Alterations of      Hematologic Function”

This chapter focuses on common alterations of hematologic function, including alterations of erythrocyte function, leukocyte function, lymphoid function, splenic function, platelets, and coagulation.

• Chapter 22, “Alterations of      Hematologic Function in Children”

This chapter expands on alterations of hematologic function by presenting disorders that affect children, such as disorders of erythrocytes, coagulation, and platelets.

Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th ed.). New York, NY: McGraw-Hill Education.

• Chapter 6, “Blood Disorders”

This chapter begins by exploring the anatomy and physiology of blood and the coagulation system. It then examines two types of anemia caused by red cell disorders. White blood cell disorders and platelet disorders are also examined.

In clinical settings, advanced practice nurses often encounter patients with blood disorders such as anemia. Consider the case of a 17-year-old girl who is rushed to the emergency room after suddenly fainting. The girl’s mother reports that her daughter has had difficulty concentrating for the past week, frequently becomes dizzy, and has not been eating normally due to digestion problems. The mother also informs the nurse that their family has a history of anemia. With the family history of anemia, it appears that this is the likely diagnosis. However, in order to properly diagnose and treat the patient, not only must her symptoms and family history be considered, but also factors such as gender, ethnicity, age, and behavior. This poses the question: How do patient factors impact the incidence and prevalence of different types of anemia?

To Prepare

· Review Chapter 21 in the Huether and McCance text. Reflect on the pathophysiological mechanisms of iron deficiency anemia.

· Select one of the following types of anemia: pernicious anemia, folate deficiency anemia, sideroblastic anemia, chronic inflammation anemia, or post-hemorrhagic anemia. Identify the pathophysiological mechanisms of the anemia you selected.

· Consider the similarities and differences between iron deficiency anemia and the type of anemia you selected.

· Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact these anemic disorders.

·

Post an explanation of the pathophysiological mechanisms of iron deficiency anemia and the anemia you selected. Compare these two types of anemia, as well as their potential causes. Finally, explain how genetics, gender, ethnicity, age, and behavior might impact the anemic disorders you selected.

Please use below resources for reference

Huether, S. E., & McCance, K. L. (2012). Understanding pathophysiology (Laureate custom ed.). St. Louis, MO: Mosby.

• Chapter 20, “Structure and      Function of the Hematologic System”

This chapter examines components of the hematologic system, development of blood cells, mechanisms of hemostasis, and hematologic value changes in pediatrics and geriatrics. It also focuses on common blood tests for hematologic disorders.

• Chapter 21, “Alterations of      Hematologic Function”

This chapter focuses on common alterations of hematologic function, including alterations of erythrocyte function, leukocyte function, lymphoid function, splenic function, platelets, and coagulation.

• Chapter 22, “Alterations of      Hematologic Function in Children”

This chapter expands on alterations of hematologic function by presenting disorders that affect children, such as disorders of erythrocytes, coagulation, and platelets.

Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th ed.). New York, NY: McGraw-Hill Education.

• Chapter 6, “Blood Disorders”

This chapter begins by exploring the anatomy and physiology of blood and the coagulation system. It then examines two types of anemia caused by red cell disorders. White blood cell disorders and platelet disorders are also examined.

Each student will select a topic that they feel presents an ethical dilemma. Certain topics may be of a sensitive nature and somewhat subjective; therefore, if you have any questions or are struggling to identify a topic, reach out to your instructor for guidance.  Each student will create/submit a PowerPoint Presentation that addressed each element identified in the assignment guidelines.

Here is a list of some topics that have been used in the past for this assignment. You can also identify your own topic.

Topic Ideas

· Same-sex parenting/adoption/surrogates

· Organ donation and transplant issues

· Stem cell transplants and cord blood banking

· Sperm and/or Egg preservation in teens (usually those diagnosed with cancer)

· Circumcision and/or female genital alterations

· Parental refusal of medical treatments due to religious or cultural beliefs (e.g. blood transfusions, medications)

· Child refusing treatment (e.g. wants to stop chemotherapy for cancer)

· Gender-neutral parenting

· Munchausen Syndrome

· End-of-Life Care/Decision-Making

· Neglect and Abuse (physical abuse, sexual abuse, starving, over demanding, drug-addicted at birth)

· Health Insurance Issues (e.g. lack of coverage, coverage denials, access to care)

· Foster care for medically needy children

· Teen seeking birth control, pregnancy care, or abortion (without parental guidance)

· Separated or divorced parents fighting during hospitalization

· Parents with HIV/AIDS having children

· Social isolation due to homeschooling or other alternate schooling options

· Behavioral health patients boarding on Pediatric Medical-Surgical units

Assignment Guidelines

· Dilemma description (25 points)- Identify the chosen ethical dilemma and identify the key elements (who, what, when, how, why)

· Identify the resources at the clinical agency or in the community to assist dealing with the chosen ethical dilemmas (10 points)- Identify resources available for your chosen dilemma. Identify resources available through your clinical facility and in the community (including organizations for your specific topic).

· Writing Style, APA format, Grammar/Spelling/Mechanics (5points)- All references used should be scholarly/reputable and must be cited using current edition APA format. If you need assistance with APA formatting, refer to https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html