Nursing
The post has assignments
1:
Nursing
Order Description
Discuss the differences between chronic liver failure and acute liver failure. Are there similarities and is the management the same.
You must do the citation,citation and references are not word counted .so need 300 words
2:Scenario planning at Royal Dutch Shell
Order Description
The presentation should answer all the questions at the end of the attached case study.
Requirements:
1. Synopsis (summarised answers to the study case questions and reference list)
2. PowerPoint slids
2:Central Nervous system
Order Description
Topic: Central Nervous System (Topic 1)
The following is a case study with two questions. You are required to respond to both questions. Response to each question should not exceed 250 words and the length of the entire assignment is 500 words.
Case Study 1
Twenty one years old John presented with complaining of a two-day history of mild weakness in his lower limbs and a recent tendency to trip when walking. He said that about two weeks ago, he had the “flu” with a running nose and a cough and had felt cold. He had not seen a doctor and only took OTC medication.
On the examination, he had abnormal gait with loss of planar flexion, and a marked decrease in his ability to dorsiflex, invert and evert his feet. He had loss of sensation to deep pressure in his feet and decrease deep tendon reflexes at the ankle and knee. The strength in his quadriceps was reduced with a score of 3/5. Further examination demonstrated loss of position sense below mid-calf, and between sharp and blunt objects. Sensation, movement and strength were normal in his trunk and arms. No speech and swallowing deficits, breathing difficulties or cardiac arrhythmias were present at this time.
Following admission, John was monitored for progression of the paralysis, cardiac irregularities and respiratory function. Progression of his symptoms continued with loss of quadriceps strength and tendon reflexes. Cardiac monitoring showed sinus rhythm; his respiratory rate and depth, vital capacity and pulse oximetry remained within normal limits. An examination of cerebrospinal fluid (CSF) revealed an increase in protein and normal white cell count. Based on the information, a diagnosis of Guillain–Barré syndrome was made.
Questions to answer:
1. What is the pathophysiology of this disease?
2. Explain about the management of this disease including diagnostic investigation and drug therapy
