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MARK KLIMERK AUDIO NOTES 2019
Drawing TAP Levels (Peak and Trough) 
For drugs that have a narrow therapeutic level and are toxic 
Route determines TAP – Not the drug 
TROUGH PEAK 
IV 30 MIN BEFORE NEXT DOSE IV 15-30 min after its done 
IM 30 MIN BEFORE NEXT DOSE IM 30-60 min after its given 
SUB Q 30 MIN BEFORE NEXT DOSE Subling 5-10 min after its in the system 
PO 30 MIN BEFORE NEXT DOSE 
Heart Rhythms 
Ca Channel Blockers are chill pills for the heart 
 They end in DEPIM or ZEM 
Rhythms 
Asystole: No QRS – Letha...
- Summary
- • 26 pages •
Drawing TAP Levels (Peak and Trough) 
For drugs that have a narrow therapeutic level and are toxic 
Route determines TAP – Not the drug 
TROUGH PEAK 
IV 30 MIN BEFORE NEXT DOSE IV 15-30 min after its done 
IM 30 MIN BEFORE NEXT DOSE IM 30-60 min after its given 
SUB Q 30 MIN BEFORE NEXT DOSE Subling 5-10 min after its in the system 
PO 30 MIN BEFORE NEXT DOSE 
Heart Rhythms 
Ca Channel Blockers are chill pills for the heart 
 They end in DEPIM or ZEM 
Rhythms 
Asystole: No QRS – Letha...
LITERATURE REVIEW ON EVALUATING ER PROCESSES TO IMPROVE PATIENT THROUGHPUT
Scope and Significance of the problem 
An increasing number of patients have been visiting the ER to address their medical 
needs. According to Hing and Bhuiya (2012), the number of visits has increased from 102.8 
million visits in 1999 to 136.1 million visits in 2009 and the average wait time has also increased 
from 46.5 minutes to 58.1 minutes (Hing & Bhuiya, 2012). An increase in wait times is 
associated with boarding patients, ambulance diversion, and patients presenting with nonem...
- Class notes
- • 19 pages •
Scope and Significance of the problem 
An increasing number of patients have been visiting the ER to address their medical 
needs. According to Hing and Bhuiya (2012), the number of visits has increased from 102.8 
million visits in 1999 to 136.1 million visits in 2009 and the average wait time has also increased 
from 46.5 minutes to 58.1 minutes (Hing & Bhuiya, 2012). An increase in wait times is 
associated with boarding patients, ambulance diversion, and patients presenting with nonem...
UNFOLDING REASONING CAS STUDY TEST BANK
Education Priorities/Discharge Planning 
1. What will be the most important discharge/education priorities you will reinforce with her medical condition to 
prevent future readmission with the same problem? 
Monitor blood sugar and take insulin as prescribed. Finish full course of antibiotics to treat 
pneumonia infection. 
2. What are some practical ways you as the nurse can assess the effectiveness of your teaching with this patient? 
Have the patient summarize the teachings you provided....
- Summary
- • 27 pages •
Education Priorities/Discharge Planning 
1. What will be the most important discharge/education priorities you will reinforce with her medical condition to 
prevent future readmission with the same problem? 
Monitor blood sugar and take insulin as prescribed. Finish full course of antibiotics to treat 
pneumonia infection. 
2. What are some practical ways you as the nurse can assess the effectiveness of your teaching with this patient? 
Have the patient summarize the teachings you provided....
ASM 275- FORENSIC ANTHROPOLOGY STUDY GUIDE,
- Exam (elaborations)
- • 12 pages •
EFFECTS OF Ph LEVEL,ENZYME CONCENTRATION AND TEMPARATURE .
Introduction 
In chemistry, a catalyst is a compound that speeds up the rate of a chemical reaction 
without changing its own chemical makeup permanently. In the human body, there are catalysts 
that are made up of proteins, and they are called enzymes. Life probably wouldn’t be possible 
without enzymes because they catalyze every single chemical reaction inside the cell (Wilson, 
Nguyen, D’Alessio, Lavin, & Keith 2018). Studying enzymes is not only important to research 
because they ...
- Summary
- • 17 pages •
Introduction 
In chemistry, a catalyst is a compound that speeds up the rate of a chemical reaction 
without changing its own chemical makeup permanently. In the human body, there are catalysts 
that are made up of proteins, and they are called enzymes. Life probably wouldn’t be possible 
without enzymes because they catalyze every single chemical reaction inside the cell (Wilson, 
Nguyen, D’Alessio, Lavin, & Keith 2018). Studying enzymes is not only important to research 
because they ...
MICROBIOLOGY-CELL TEST BANK
The first known use of epidemiology to trace the source of a disease outbreak was the 
identification of contaminated water as the cause of cholera transmission in London. Which 
of the following was the physician who accomplished this? 
A. Joseph Lister 
B. John Needham 
C. Ignaz Semmelweis 
D. John Snow* 
Difficulty: Easy 
ASM Standard: N/A 
2. Which of the following is a series of steps for determining the causative agent of a particular 
disease? 
A. Koch’s postulates* 
B. Lister’s check...
- Exam (elaborations)
- • 198 pages •
The first known use of epidemiology to trace the source of a disease outbreak was the 
identification of contaminated water as the cause of cholera transmission in London. Which 
of the following was the physician who accomplished this? 
A. Joseph Lister 
B. John Needham 
C. Ignaz Semmelweis 
D. John Snow* 
Difficulty: Easy 
ASM Standard: N/A 
2. Which of the following is a series of steps for determining the causative agent of a particular 
disease? 
A. Koch’s postulates* 
B. Lister’s check...
ATI COMMUNITY HEALTH AND DEVELOPMENT
50. a nurse is discussing short and long term goals with a client who has alcohol use 
disorder and is being admitted to a treatment facility. which of the following statements is 
appropriate for the nurse to include in the discussion? 
1. you will be taking a once weekly dose of disulfiram to help control withdrawal symptoms 
during treatment 
2. remaining physically active will help to minimize drowsiness and chills associated with initial 
alcohol withdrawal. 
3. attending Al anon meeting...
- Exam (elaborations)
- • 16 pages •
50. a nurse is discussing short and long term goals with a client who has alcohol use 
disorder and is being admitted to a treatment facility. which of the following statements is 
appropriate for the nurse to include in the discussion? 
1. you will be taking a once weekly dose of disulfiram to help control withdrawal symptoms 
during treatment 
2. remaining physically active will help to minimize drowsiness and chills associated with initial 
alcohol withdrawal. 
3. attending Al anon meeting...
FULL BODY CHECK TEST BANK
The function of the foramen ovale in a fetus allows what to occur? (Points : 2) 
Righttoleft blood shunting 
Lefttoright blood shunting 
Blood flow from the umbilical cord 
Blood flow to the lungs 
It has been determined that a tumor is in stage 2. What is the meaning of this finding? (Points : 
2) 
Cancer is confined to the organ of origin. 
Cancer has spread to regional structures. 
Cancer is locally invasive. 
Cancer has spread to distant sites 
What ...
- Exam (elaborations)
- • 11 pages •
The function of the foramen ovale in a fetus allows what to occur? (Points : 2) 
Righttoleft blood shunting 
Lefttoright blood shunting 
Blood flow from the umbilical cord 
Blood flow to the lungs 
It has been determined that a tumor is in stage 2. What is the meaning of this finding? (Points : 
2) 
Cancer is confined to the organ of origin. 
Cancer has spread to regional structures. 
Cancer is locally invasive. 
Cancer has spread to distant sites 
What ...
PSYCHOLOGY AND BEHAVIOURISM IN HUMAN
What type of question would a learning researcher most likely ask regarding a baby’s first words? 
A) Does positive reinforcement help a baby learn new words faster? 
B) What areas of the brain must be developed for a baby to say its first words? 
C) Is the age at which parents learn their first words associated with when a baby 
learns its first words? 
D) What environmental factors contribute to when a baby learns its first words? 
View Feedback 
Question 2 
Question 6 1 / 1 point 
As a dru...
- Exam (elaborations)
- • 151 pages •
What type of question would a learning researcher most likely ask regarding a baby’s first words? 
A) Does positive reinforcement help a baby learn new words faster? 
B) What areas of the brain must be developed for a baby to say its first words? 
C) Is the age at which parents learn their first words associated with when a baby 
learns its first words? 
D) What environmental factors contribute to when a baby learns its first words? 
View Feedback 
Question 2 
Question 6 1 / 1 point 
As a dru...
CASE STUDY -94 NON HODJIKINS LYMHOMA ACUTE TUMOR LYSIS SYNDROME
Tara Bolger 
Professor Kernan 
Case Study 94 Non- Hodgkin’s Lymphoma Acute Tumor Lysis Syndrome 
Decrease in urine, fatigue, loss of appetite, headache, nausea, and vomiting, abnormal heart 
rhythms, which can be severe and life-threatening. Fluid balance is frequently affected, though 
blood pressure can be high, low or normal. 
10. List four independent nursing interventions that you would include in H.J.'s plan of care and the 
rationale for each. 
Accurately record intake and output 
M...
- Exam (elaborations)
- • 3 pages •
Tara Bolger 
Professor Kernan 
Case Study 94 Non- Hodgkin’s Lymphoma Acute Tumor Lysis Syndrome 
Decrease in urine, fatigue, loss of appetite, headache, nausea, and vomiting, abnormal heart 
rhythms, which can be severe and life-threatening. Fluid balance is frequently affected, though 
blood pressure can be high, low or normal. 
10. List four independent nursing interventions that you would include in H.J.'s plan of care and the 
rationale for each. 
Accurately record intake and output 
M...