Use of intravenous quinine sulfate remains to treat severe malaria Essay

Use of intravenous quinine sulfate remains to treat severe malaria - Essay Example She did not take the malaria tablets but instead took her son’s leftovers tablets after becoming sick. She at first presents with a normal mental state of mind but is febrile and ill appearing. She soon becomes obtunded. The laboratory tests clearly reveal that important anion-gap acidosis, but the blood smear is not at present in progress. The objective related critical parts include the following, to identify that the patient is suffering and is in risk and to order the relevant tests for severe malaria and other diseases in the differential diagnosis, to identify the seizure, com, and acidosis as the manifestations of the severe malaria, and more so to remember to look for or treat hypoglycemia. Another thing is to offer supportive care , including the fluids, anticonvulsants and end tracheal intubation as needed to begin on the empiric therapy for severe malaria with the intravenous articulate to identify the complications of the treatment, to also seek for the outside ass istance of the malaria care, including consulting those individuals who are specialized. Over the years, the intramuscular quinine has been the first-line treatment for the treatment of malaria. Since the intravenous quinine is not available in the US, guanidine is the only drug of choice. This is a more effective drug than quinine and is less likely to bring about hypoglycemia, but is endemic and hence calls for continuous monitoring. In case of severe malaria with elevated parasitemia, which do not respond clearly to the anti-malarial drugs, an individual may consider an exchange transfusion, although there is no strong clinical evidence to support its issue. Thick and... The intention of this study is severe malaria as prevalent globally, yet as an uncommon disease posing a challenge to education in nonendemic countries. Severe malaria refers to the malaria with signs of end organ dysfunction, as manifested by comma, pulmonary edema, renal failure, circulatory collapse, or severe anemia. Malaria accounts for over a million deaths per year. A very useful aspect of the severe malaria case management is pre-referral treatment that is administered to patient with severe malaria before they are referred to a health facility as explained by Beauchamp & Childress. This is crucial, as most malaria deaths, particularly in Africa, take place outside the hospitals, either in the communities or at a lower level of care. Studies evaluating the role rectal articulate and as a pre-referral treatment have found that these options are highly efficacious. However, the biggest challenge faced in resource-limited settings has been the non-availability of these preparati ons in health centers. The author of the paper has tabled a review of research in regard to the effectiveness of Intravenous quinine as a treatment for the severe malaria and hoe the considerations of the empirical understanding on this subject has helped shaped my evidence-based practice for the future as stated by Holland & Rees. In addition he has acknowledged the understanding of the other four fundamental patterns of knowing is important to the awareness of the complexity and diversity of the nursing understanding.

The Learning and Growth Perspective Essay Example | Topics and Well Written Essays - 750 words

The Learning and Growth Perspective - Essay Example This has been the principal reason why she turned to the learning and growth perspective of Futura (Gumbus and Johnson, 2003). The use of this balanced scorecard makes Futura have the ability maintain talented people and to attract them in the local market place. Analysis At Futura Company, it tries to create an environment and set goals that will help improve employee performance, as well as being able to provide a safe, challenging and enjoyable environment and be able to recruit individuals that have interests of the company at hand. Futura measures turnover and according to Gumbus & Johnson (2003), the turnover of the company has gone down by 33% from 1998. She says that the improvement is because of a work-life initiative that is done with an aim of a corporate culture that is based on performance and commitment of employees. She further states, to achieve this, it is fundamental to provide a healthy and a balanced workplace and be able to treat employees as an individual. The m easures the company uses to evaluate growth and learning include surveys such as; employee friendly initiatives at Futura, where employees are approached by Futura each year, and they are given a form to fill up a list of benefits and what they think is beneficial to them. For example, some of the benefits are, medical benefits and spouse scholarships. Another measure is that of birthday review; this normally applies every month, and it is an interview of HR with the employee. According to Gumbus and Johnson (2003), they are asked questions that are aimed at finding out how happy the employees may be at work, as well as some of the problems they encounter. They are also asked where they get information on the company, as well as how they think the company can improve its communication. Futura also uses leadership survey, where employees are questioned on how they can help the manger improve his management and leadership skills. This in turn, will increase the effectiveness of the em ployees and promote a two-way communication between the manger and employee. Futura has also certification and training matrix as a measure, which has provided a guide to compensation and able to monitor the employee future career improvement with the company. It has also encouraged employees to see clearly and be able to improve on their future performance at Futura. Other measures include; customer service, here the company is determined to provide exceptional customer service through hiring people with interest in company goals and able to retain those that have an excellent customer service. This dimension measures customer satisfaction and complaints, on-time delivery and return material rate (Gumbus and Johnson, 2003). To be able to achieve this Johnson management conducts meeting every month. Other measures include internal operations and financial and also flexibility of the balanced scorecard. Futura was encouraged to introduce a tool that would improve the cost of informat ion on each customer and this tool have been used by sales force, to manage net-gross, margin levels and be able to analyze each customer. Futura may use internal operations to predict the ability of the job to be successful and be able to measure continually, and because employees’ skills change so should the balanced scorecard (Gumbus and Johnson, 2003). Conclusion The measures implemented by Futura do capture the full