We can work on Nguyens’ Elimination

Nam Nguyen has been prescribed the following medicines:
• Lisinopril 20 mg PO daily
• Hydrochlorothiazide 25 mg PO daily in the a.m.
• Metformin 500 mg PO before breakfast and lunch
Today he had blood drawn for analysis. Following are the electrolyte panel results:
Sodium 136 mEq/L
Potassium 3.0 mEq/L
Chloride 96 mEq/L
Bicarbonate 24 mEq/L
BUN 18 mg/dL
Creatinine

Question
0.8 mg/dL

  1. Review the lab results. Compare Nam’s lab work with the established norms for these values. Based on the lab results, what kind of assessment questions would be appropriate to ask Nam?
  2. Use your pharmacology text to review Nam’s medications. Which, if any, of these medicines might be contributing to Nam’s lab results?
  3. What teaching would be appropriate for Nam?
    For reference please use :
    Treas, L. S., Wilkinson, J. M., Barnett, K. L., & Smith, M. H. (2018). Basic Nursing: Thinking, Doing, and Caring(2nd ed.).

Sample Solution

al capacity of meeting legal criteria for responsibility plays a relevant role in determining criminal responsibility (Lymburner & Roesch). Research provided by Lymburner & Roesch (1997) shows that defendants who are not criminally responsible by reason of insanity were diagnosed with psychotic disorders, many of which were schizophrenics. To dive deeper into the realm of disorders, more than 62% of acquittees were diagnosed with psychotic disorders, 7% with a major affective disorder, 10% were found to have a schizoaffective disorder, 4% were suffering from delusional disorder, 7% had organic disorder, and 10% had a primary diagnosis of personality disorder” (Lymburner & Roesch). One or more disorders may be present within an individual. The insanity defense is similar to the diminished capacity defense in ways that both of these defenses look into the mental capacity of the defendant. The important difference between these two however, is that “pleading with the “reason of insanity” is a full defense to a crime while diminished capacity is pleading to a lesser crime” (Cornell Law). Big Five Personality Traits in the Brain: The Big Five represents the basic structure of all personality traits based upon openness, conscientiousness, extraversion, agreeableness and neuroticism. Through many of the categories of neurobiological methods, researchers are able to explore details of the structure and function of the brain while examining how personality is rooted deeply inside. A few of the neurological categories that has a representative correlation with personality and can be seen through brain scans are neuroimaging techniques such as MRI and fMRI, Electrophysiological techniques (EEG), surface-based morphology analysis (SBM) and positron emission tomography (PET).>

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