Mr. Johnson is a 63-year-old client who has been admitted to the emergency department following traffic accident. He is exhibiting manifestations of an increased heart rate, and increased cardiac output. His Accu-Chek shows an elevated blood glucose level. His respiratory rate is increased, and he has audible wheezes. During a neurological check, he exhibits pupil dilation.
1. Compare and contrast the sympathetic nervous system with that of the parasympathetic nervous system.
2. Discuss the difference between the efferent neurons and afferent neurons of the peripheral nervous system.
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3.What are the primary neurotransmitters of the ANS?
4.Discuss how albuterol may be effective with this client.
Frank Brown is a 72-year-old retired accountant. An accomplished musician and composer, Mr. Brown also worked as an organist in various churches during all of his adult life. Over the past several years, Mr. Brown has had increasing difficulty with his memory, finding that he is now unable to play familiar pieces of music that he had memorized years before. His increasing difficulty with memory and with cognitive ability has recently forced him to retire from his organist positions. Mr. Brown, accompanied by his wife, is seen at the medical clinic today. The Browns are informed that Frank is exhibiting symptoms of early Alzheimer’s disease.
1. Mr. Brown is given a prescription for rivastigmine. Mrs. Brown asks if this medication will cure the Alzheimer’s disease. How should the nurse respond?
2. Mr. Brown states that a friend of his was diagnosed with Alzheimer’s disease and is on donepezil. He asks why he has not been given this drug. How should the nurse answer this question?
3. Discuss the major points that the nurse should include in a teaching plan for the Browns regarding rivastigmine.