All About Nursing

Methadone – Pain Medication (reading & sharing)

Methadone hydrochloride (Dolophine) is a synthetic opioid analgesic (Schedule II). Management of moderate to severe pain unresposive to non-narcotics; used in narcotic detoxification maintenance programs and for the treatment of iatrogenic narcotic dependence.

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Chronic Obstructive Pulmonary Disease (COPD) – Reading & Sharing

Chronic obstructive pulmonary disease (COPD) is the third leading cause of death in the United States. It is highly prevalent, and as it progresses, causes patients to become too disabled to work, thus creating substantial economic and social burdens. In 2010, U.S. healthcare data estimated the total economic burden from COPD at $50 billion, of which $30 billion was related to direct medical expenditures and the remaining $20 billion related to morbidity, loss of work, and premature death. There are also unacknowledged and unquantified costs including the economic value of care provided by family members and their potential lost wages as they stay home to care for the patient.

As the disease progresses, some patients will choose mechanical ventilation as a palliative treatment option. although the patient with advanced disease is eligible for hospice care, many hospices cannot afford to accept the patient with mechanical ventilation into their programs because this high-tech intervention drives the cost of care beyond the standard insurance reimbursement. Thus, patients and families may be deprived of the benefits of hospice care.

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All About Nursing

Pacemaker- Cardiac Pacing (Reading & Sharing)

A cardiac pacemaker is an electronic device that delivers direct electrical stimulation to stimulate the myocardium to depolarize, initiating a mechanical contraction. The pacemaker initiates and maintains the heart rate when the heart’s natural pacemaker is unable to do so. Pacemakers can be used to correct bradycardias, tachycardias, sick sinus syndrome, and second- and third-degree heart blocks, and for prophylaxis. Pacing may be accomplished through a permanent implantable system, a temporary system with an external pulse generator and percutaneously threaded leads, or a transcutaneous external system with electrode pads placed over the chest.

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All About Nursing

Metformin- Oral Antidiabetic Drug (reading & sharing)

Metformin (Glucophage) is currently the only biguanide oral antidiabetic drug. It works by inhibiting hepatic glucose production and increasing the sensitivity of peripheral tissue to insulin. Because its mechanism of action differs from that of sulfonylurea drugs, it may be given along with these drugs.

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