Tutor profile: Carol C.
I have been struggling with understanding the pathophysiology of nausea/vomiting and how antiemetics work.
Nausea and Vomiting can be a more complicated medical issue than one might think. We know that the stimulation that causes nausea and resultant vomiting comes in through different parts of the brain depending stimulus. Then, if the stimulus is strong enough or not removed from the patient, it will reach the vomiting center. Stimulants can be from the stomach (via the vagus nerve or vagal afferents) or from chemotherapy or medications, sights, sounds, smells, or stimulus to the vestibular apparatus. Serotinin, dopamine, musicaniric, and histamine disruptions may be involved. As the nurse, is it most important that a deep assessment is made to attempt to understand what the stimulus that is causing the nausea to the patient. Patients are incredibly desperate to relieve themselves of this miserable sensation. First, if you are able, remove the stimulus. Then if the nausea or vomiting does not subside or causes "retractable vomiting", anti emetics may be needed. Consider the different anti-emetic medications that are generally known to be helpful with the source of nausea your patient may be experiencing. Lets go through a number of pt scenarios and look at medication charts to help in understanding appropriate medication recommendations for patients. We can also look at other considerations for the health of these patients related to hydration and symptoms they may be presenting with, if dehydrated.
My teacher has asked me to write an essay on courage and who in my life I would chose as a model for courage and why. I can t seem to get started or even to write more than a few sentences. I hate writing and I am stuck. I can never think of anything to say.
This is such a common issue, especially for those of us who are concrete and objective kind of people. Would you say that is who you are? Lets honor whatever you bring to the writers table because we all have really important things to say. First lets talk about you and courage and what you think that is in your own words. I am going to write what you say. Then after that, I have a few methods, each no longer that 90 seconds a piece that we can do together that will get your brain "juiced up" and the words flowing and we can begin to make an essay out that work.
In a diverse classroom, how do I differentiate instruction for students who are working at different levels, pace and learning styles?
Recognizing and knowing your students diverse needs is the first step to success. The second step is to reflect and sketch out the needs that you see in your students to create an informal assessment. You can also add in formal assessments information if you have it. Next, by using intentional grouping mixes, mini lectures, multiple activities and choice of learning products you can develop a unit on any subject that will meet your students needs. If you want to share with your students needs and we can begin together to make an assessment of your students and their needs, I would be happy to listen and guide your process.
needs and Carol will reply soon.