2021-09-02 01:03
Abdomen
Without tenderness, no guarding. Peristaltic waves can be visible in thinner children.
Shape: Symmetric and without protrusions are around the umbilicus
Infants and toddlers have ro… Read More
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When You Should Visit For Emergency Room Services? Blog
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Emergency Clinic is the best place to visit when we need any medical emergency, but if you don’t know when we should go for ER care, then here are the some professional tips for you, follow the tips to visit and care about yourself.
2021-09-02 01:02
Circulatory System
Heart
Inspection
Precordial activity
Shape and symmetry
Heave: an obvious lifting of the chest wall during contraction, may indicate an enlarged heart
Palpation
Apical… Read More
2021-09-02 01:01
Chest and Lungs
Chest shape
Infants: Shape is almost circular with anteroposterior diameter equaling the transverse or lateral diameter
Children and adolescents: The transverse diameter to… Read More
2021-09-02 01:00
Ears
During the tympanic membrane exam:
In infants – Pull pinna down and back
In children older than 3 – Pull pinna up and back
The ear canal should be pink with fine hairs
The… Read More
2021-09-02 00:59
Hair and scalp
Hair should be evenly distributed, smooth, and strong
Manifestations of nutritional deficiencies include hair that is stringy, dull, brittle, and dry
Hair loss or balding sp… Read More
2021-08-19 04:15
Performing Pediatric Physical Examination
Perform the examination in an appropriate, nonthreatening area:
Have room well-lit and decorated with neutral colors.
Have room temperature comforta… Read More
2021-08-19 04:15
Sequence of examination
Infant
Before able to sit alone — supine or prone, preferably in parent’s lap; before 4 to 6 months, can place on examining table
After able to sit alone… Read More
2021-08-19 04:13
Clinical Assessment of Nutritional Status
Evidence of Adequate Nutrition
Evidence of Deficient or Excessive Nutrition
Deficiency or Excess
General Growth
Normal weight gain, growth velocity… Read More
2021-08-19 04:09
Nutrition
Dietary intake
Dietary Reference Intakes (DRI) are a set of four evidence-based nutrient reference values that provide quantitative estimates of nutrient intakes for use in assessi… Read More
2021-08-19 04:09
Review of systems
Constitutional:
Overall state of health, fatigue, recent or unexplained weight gain or loss (period for either), contributing factors (change of diet, illness, alter… Read More
2021-08-19 04:08
Pediatrics Health History
Identifying information
Name
Address
Telephone
Birth date and place
Race or ethnic group
Sex
Religion
Date of interview
Informant (most likely the parent)
Chief co… Read More
2021-08-19 04:07
Blocks to communication
Communication Barriers (Nurse)
Socializing
Giving unrestricted and sometimes unsought advice
Offering premature or inappropriate reassurance
Giving over-ready encoura… Read More
2021-08-19 04:07
Communication and Physical Assessment of the Child and Family
Communicating with Children
Importance of creating a safe environment
Introduce yourself
Involve the child from the beginning of… Read More
2021-08-19 04:06
Cultures
Exploring a Family’s Culture, Illness, and Care
What do you think caused your child’s health problem?
Why do you think it started when it did?
How severe is your child&r&hell…Read More
2021-08-19 04:06
Mass Media
Media Effect
Potential Consequences
Violence
Government, medical, and public health data show exposure to media violence as one factor in violent and aggressive behavior.
B… Read More
2021-07-19 14:42
WHO Recommends the following :
What to do to keep yourself and others safe from COVID-19
Maintain at least a 1-metre distance between yourself and others to reduce your risk of in… Read More
2021-07-19 14:39
What is the Delta Variant and how does it compare to the original COVID-19?
The Delta Variant is a new strain of the virus that’s taking over the country, according to recent studie… Read More
2021-07-19 14:34
The highly contagious delta variant is causing a surge in new cases. Here’s what you need to know about how to keep yourself and your family safe. It’s not clear how many of thes… Read More
2021-04-13 02:35
CPT Code
CPT Short Description
CPT Default Price
0202U
COVID-19 BioFire Respiratory Panel 2.1 (RP2.1) Testing
$1,500.00
10060
INCISION/DRAINAGE ABSCESS
$1,243.38
10061
INS/DRAIN ABSCESS COMP… Read More
2021-04-13 02:33
CPT Code
CPT Short Description
CPT Default Price
0202U
COVID-19 BioFire Respiratory Panel 2.1 (RP2.1) Testing
$1,500.00
10060
INCISION/DRAINAGE ABSCESS
$748.24
10061
INS/DRAIN ABSCESS COMPL… Read More
2021-01-11 05:04
Nursing Management
Nursing Assessment
Subjective Data
Important Health Information
Past health history:
Previous urinary tract infection.
Urinary calculi, reflux, strictures, or retention… Read More
2021-01-11 05:04
Diagnostic Studies
History and physical examination
Dipstick urinalysis
Identify presence of nitrites, WBCs, and leukocyte esterase
Urine culture
Urine for culture and sensitivity (if indic… Read More
2021-01-11 05:03
Clinical Manifestations
Painful urination
Abdominal or back pain
Fever
Sepsis
Decreased kidney function in some cases of pyelonephritis
Symptoms related Storage:
Urinary frequency
Abnormally… Read More
2021-01-11 05:03
Urinary Tract Infection
Etiology and Pathophysiology
Urinary tract above urethra normally sterile
Defense mechanisms exist to maintain sterility/prevent UTIs
Complete emptying of bladder
Ur… Read More
2021-01-11 05:01
Urinary Tract Infection
Most common bacterial infection in women
May be caused by a variety of disorders
Bacterial infection most common
Bladder and its contents are free of bacteria in maj… Read More
2020-12-01 14:33
Dr. Anteneh Mahari Belay is doing shifts at Frontline ER Richmond as a Partner.
Places Dr. Anteneh Mahari Belay has worked.
Memorial Emergency Center
14520 MEMORIAL DR HOUSTON,TX,77079
Tel… Read More
2020-12-01 14:26
Frontline ER is happy to have Dr. Syed Sameer Ali, MD do shifts at Frontline ER Richmond.
Dr. Ali works in Houston, TX and 3 other locations and specializes in Emergency Medicine. Dr. Ali is… Read More
2020-11-24 06:17
https://cbsloc.al/3nNcrOY
DALLAS (CBSDFW.COM) – Those who run coronavirus testing locations say they are being overwhelmed as people prepare to gather for the holidays.
Doctors sa… Read More
2020-08-13 16:11
Chronic heart failure
Clinical manifestation
Dependent on age, underlying type and extent of heart disease, and which ventricle is affected
FACES
Fatigue
Limitation of Activities
Chest conge… Read More
2020-08-13 16:11
Acute Decompensated Heart Failure
Clinical manifestation
ADHF
Sudden onset of signs and symptoms of HF
Requires urgent medical care
Pulmonary and systemic congestion due to increased left-si… Read More
2020-08-13 16:10
Compensatory mechanism
Renin-Angiotensin-Aldosterone-System (RAAS)
Neurohormonal response – RAAS
Endothelin release (contractility)
Cytokine release (Hypertrophy)
Inadequate stroke vol… Read More
2020-08-13 16:10
Pathophysiology
Systolic heart failure
HFrEF – HF with reduced EF
Inability to pump blood forward
Caused by
Impaired contractile function
Increased afterload
Cardiomyopathy
Mechanica… Read More
2020-08-05 15:38
Nursing management
Nursing Assessment
Subjective Data
Important Health Information
Past health history: Known duration and past workup of high BP; cardiovascular, cerebrovascular, renal, or… Read More
2020-08-05 15:36
Hypertension in older persons
BP goal for people > 60 is
Preferred antihypertensive drugs
Thiazide diuretic
Calcium channel blockers
ACE inhibitors or ARBs
Caution use of NSAIDS
Hypert… Read More
2020-08-05 15:36
Nursing diagnoses
Ineffective health management related to lack of knowledge of pathology, complications, and management of hypertension
Anxiety related to complexity of management regimen
S… Read More
2020-08-05 14:36
Resistant hypertension
Failure to reach goal BP in patients taking full doses of an appropriate 3-drug therapy regimen that includes a diuretic. Reasons include
Improper BP measurement
Drug… Read More
2020-07-29 22:18
Nursing diagnoses
Ineffective airway clearance related to bronchospasm, excessive mucus production, tenacious secretions, and fatigue
Anxiety related to difficulty breathing, perceived or ac… Read More
2020-07-29 22:17
Nursing management
Health promotion
Teach patient to identify and avoid known triggers
Use dust covers
Use scarves or masks for cold air
Avoid aspirin and NSAIDs
Prompt diagnosis and… Read More
2020-07-29 22:16
Drug therapy
Three types of anti-inflammatory drugs
Corticosteroids (e.g., beclomethasone, budesonide)
Suppress inflammatory response
Reduce bronchial hyper-responsiveness
Decrease mucous pr… Read More
2020-07-24 00:53
Nursing Assessment
History
Physical symptoms
Productive cough
Night sweats
Afternoon temperature elevation
Weight loss
Pleuritic chest pain
Crackles over apices of lungs
Sputum collection
N… Read More
2020-07-24 00:52
Interprofessional care
Hospitalization not necessary for most patients
Infectious for first 2 weeks after starting treatment if sputum +
Drug therapy used to prevent or treat active disease… Read More
2020-07-24 00:52
Diagnostic Studies
Tuberculin skin test (TST)
AKA: Mantoux test
Uses purified protein derivative (PPD) injected intradermally
Assess for induration in 48 – 72 hours
Presence of indura… Read More
2020-07-24 00:51
Complications
Miliary TB
Large numbers of organisms spread via the bloodstream to distant organs
Fatal if untreated
Manifestations progress slowly and vary depending on which organs are infe… Read More
2020-07-21 15:28
Preparation and handling of chemotherapy agents
May pose an occupational hazard
Drugs may be absorbed through
Skin
Inhalation during preparation, transportation, and administration
Only p… Read More
2020-07-21 15:27
Respiratory System
Pneumonitis
Radiation pneumonitis develops 2-3 months after start of treatment.
After 6-12 months, fibrosis occurs and is evident on x-ray.
Side effect of some chemotherap… Read More
2020-07-21 15:26
Genitourinary Tract
Hemorrhagic Cystitis
Cells lining bladder are destroyed by chemotherapy (e.g., cyclophosphamide, ifosfamide).
Side effect of radiation when located in treatment field.
En… Read More
2020-07-21 15:26
Nervous System
Intracranial Pressure
May result from radiation edema in central nervous system.
Monitor neurologic status.
May be controlled with corticosteroids.
Peripheral Neuropathy
Pares… Read More
2020-07-20 18:06
Role of immune system
Immune response is to reject or destroy cancer cells
May be inadequate as cancer cells arise from normal human cells
Some cancer cells have changes on their surface an… Read More
2020-07-20 18:05
Gene mutations: Development of cancer
Inherited
About 5% to 10% of all cancers or predisposition to cancers are inherited
Lead to a very high risk for cancer
Acquired
Most cancers are acqu… Read More
2020-07-20 18:05
Biology of Cancer
Two major dysfunctions in the process of cancer development:
Defective cell proliferation (growth)
Stem cells
Undifferentiated cells
Ultimately differentiate and become mat… Read More
2020-07-20 18:05
Cancer
Cancer – Incidence
Group of diseases characterized by uncontrolled and unregulated growth of cells
Occurs in people of all ages
Majority of cases are diagnosed in those over age… Read More
2020-07-19 16:31
Dallas ER Offering Overnight Drive-Up Rapid Coronavirus Tests Amid Backlog In Texas Labs
The post Dallas ER Offering Overnight Drive-Up Rapid Coronavirus Tests Amid Backlog In Texas Lab… Read More
2020-07-14 13:58
Nursing Assessment
Patient’s ability to understand and comply with treatment
Patient’s psychologic reaction to sight-threatening disorder
Family reaction and support
Caregiver av… Read More
2020-07-14 13:58
Hearing loss and deafness
Causes of hearing loss
External ear
Impacted cerumen
Foreign bodies
External otitis
Middle ear
Otitis media
Serous otitis
Otosclerosis
Tympanic membrane trauma
Cho… Read More
2020-07-14 13:56
Glaucoma
A group of disorders characterized by
Increased IOP and consequences of elevated pressure
Optic nerve atrophy
Peripheral visual field loss
Second leading cause of blindness in U.S… Read More
2020-07-14 13:56
Nursing assessment
Visual acuity
Psychosocial impact of visual disability
Level of knowledge of disease
Comfort and ability to comply with postoperative treatment
Nursing diagnosis
Self-ca… Read More
2020-07-08 22:37
Healing Process
The final phase of the inflammation process is healing
Healing includes two major components:
Regeneration
Replacement of lost cells and tissues with cells of the same type… Read More
2020-07-08 22:37
Pressure Ulcers
Localized injury to the skin and/or underlying tissue (usually over a bony prominence) as a result of pressure or pressure in combination with shear
Located at tailbone, heel… Read More
2020-07-08 22:37
Role of Nursing Personnel
Registered Nurse (RN)
Assess patients for pressure ulcer risk and develop a plan of care to prevent the development of pressure ulcers.
Assess patients for factors… Read More
2020-07-08 22:36
Nursing and Interprofessional management
Nursing Implementation
Health Promotion
Prevention of injury
Adequate nutrition
Early recognition of inflammation
Immediate treatment
Acute Interven… Read More
2020-07-03 22:22
Effects of aging
Drug-receptor interaction
Brain receptors become more sensitive, making psychoactive drugs very potent.
Metabolism
Liver mass shrinks.
Hepatic blood flow and enzy… Read More
2020-07-03 22:21
Nursing management
Nurses play a critical role
Conducting a comprehensive history and physical assessment
Participating in plan of care
Teaching patient and caregiver
Symptom management
Eval… Read More
2020-07-03 22:21
Chronic illness and Older Adults
Older Adults
Aging population
Surviving acute illness
Living with chronic illness
Becoming more educated and resourceful
More ethnically diverse
Demographic… Read More
2020-07-03 22:20
Process of patient teaching
Assessment of learning needs involves 4 main areas:
Physical factors
What is the patient’s age?
Is the patient acutely ill?
Is the patient fatigued or in pa… Read More
2020-06-29 23:09
12 Step Program
The 12 step program is a set of guidelines designed as a guide towards recovery. They are as follows:
We admitted we were powerless over alcohol—that our lives have be… Read More
2020-06-29 23:08
Nursing diagnosis
Risk for trauma/falls
Due to impaired physical mobility, Loss of muscle strength, disorientation, presence of illness, use of medications
Hypothermia
Age-related changes… Read More
2020-06-29 23:07
Control of the Decision-Making process
Patient Self-Determination Act
Require that healthcare facilities provide clear, written information to every patient regarding his or her legal rights… Read More
2020-06-29 23:07
Special Concerns of Elderly people
Retirement
Social implications
Economic implications
Long-term care
Potential need for services which may be predicted by a number of factors
Abuse
Curren… Read More
2020-06-22 20:13
Alcohol Use Disorder: Patterns of use
Phase I. Pre-alcoholic phase: Characterized by use of alcohol to relieve everyday stress and tensions of life
Phase II. Early alcoholic phase: Begins wi… Read More
2020-06-22 20:13
Fetal Alcohol Syndrome (FAS)
Alcohol use during pregnancy can result in fetal alcohol spectrum disorders (F A S D’s).
Fetal alcohol syndrome (F A S): Problems with learning, memory, at… Read More
2020-06-22 20:12
Classes of Psychoactive substances
Alcohol
Caffeine
Cannabis
Hallucinogens
Inhalants
Opioids
Sedatives/hypnotics
Stimulants
Tobacco
Predisposing Factors
Biological factors
Genetics: Apparent… Read More
2020-06-22 20:12
Substance-Related and Addictive Disorders
Use of the substance interferes with the ability to fulfill role obligations
Attempts to cut down or control use fail
Intense craving for the substa… Read More
2020-06-19 20:13
RAPID 15 Minute Covid-19 Antigen Test and Molecular (PCR) Test
Available Now at Frontline ER
Appointments Required
No Physician Referrals for Testing or Treatment
Affordable Credit Card… Read More
2020-06-19 19:44
COVID-19
Frontline FAQ
Are you testing for COVID-19?
Yes, we have two tests; we can perform Antigen Test and Molecular Test. We screen you at the door to determine which test is most… Read More
2020-06-19 19:14
TRUE OR FALSE – COVID-19
Someone could feel perfectly healthy and still have COVID-19? TRUE OR FALSE?
The answer is true.
Some people develop fever, cough and/or difficulty breathin… Read More
2020-06-18 16:33
LOCATION*DALLASHOUSTON Schedule COVID-19 Testbooking*ASAPPick a time*ASAP - (Within 15 mins)Time*
:
HH… Read More
2020-06-18 16:32
LOCATION*DALLASHOUSTON Schedule COVID-19 Testbooking*ASAPPick a time*ASAP - (Within 15 mins)Time*
:
HH… Read More
2020-06-11 04:33
Predisposing factors to depression
Biological theories
Genetics
Hereditary factor may be involved
Biochemical influences
Deficiency of norepinephrine, serotonin, and dopamine has been im… Read More
2020-06-11 04:33
Depressive Disorders
Depression is the oldest and one of the most frequently diagnosed psychiatric illnesses.
Transient symptoms are normal, healthy responses to everyday disappointments in… Read More
2020-06-11 04:33
Development Implications
Childhood depression
Symptoms
Ages 3 to 5: Accident proneness, phobias, excessive self-reproach
Ages 6 to 8: Physical complaints, aggressive behavior, clinging beha… Read More
2020-06-11 01:27
Treatment Modalities
Individual psychotherapy
Cognitive therapy
Behavior therapy
Systematic desensitization
Implosion therapy
Other non-pharmacologic treatments for anxiety
Treatment Modali… Read More
2020-06-04 22:46
Anxiety, Obsessive-Compulsive, and Related Disorders
Anxiety is an emotional response to anticipation of danger, the source of which is largely unknown or unrecognized.
Anxiety is a necessar… Read More
2020-06-04 22:45
The Nursing Process in Psychiatric Mental Health
The Nursing Process is a systematic framework for the delivery of nursing care that uses a problem-solving approach, goal-directed, with its… Read More
2020-06-04 22:45
Documentation
Documentation of the steps of the nursing process is often considered as evidence in determining certain cases of negligence by nurses.
It is also required by some agencies tha… Read More
2020-06-04 22:45
Why Nursing Diagnosis
The identification and classification of nursing phenomena began in 1973 with the First National Conference on Nursing Diagnosis.
General and specialty standards are wr… Read More
2020-05-22 23:09
Nontherapeutic Communication
Example
Rationale
Reassuring
-Indicting there is not cause for anxiety.
“Everything will be all right.”
“I wouldn&r&hell…Read More
2020-05-22 23:09
Interpersonal Techniques
Therapeutic Communication Techniques (Recommended to use when interacting with a patient)
Examples
Rationale
Silence
-Absence of verbal communication… Read More
2020-05-22 23:08
Nursing Liability
Negligence- failure to exercise the care toward others that a reasonable or prudent person would do in the circumstances, or taking action that such a reasonable person wou… Read More
2020-05-22 23:07
Hospitalization
Voluntary admissions
Involuntary commitments- where the client is in imminent danger to themselves or other, or unable to perform ADL (activities of daily living)
Emergency c… Read More
2020-05-21 20:06
Facebook Reviews for Frontline ER Dallas
Lenora Deloney
Arrived at Frontline ER under siege from a monster migraine I am so grateful for the care I received to the staff dr Guy, nurs… Read More
2020-05-21 19:49
Google Reviews for Frontline ER Dallas
Dr. Matthew Pennell
Fantastic job! Unfortunately I had to make a stop at Frontline due to a cut on my hand. They brought me in, did an exam, fixed t… Read More
2020-05-21 18:29
Facebook Reviews for Frontline ER Richmond
Maleak Jackson
I most definitely will recommend Frontline ER Richmond, because they are super fast! They are very attentive to your needs!!… Read More
2020-05-20 22:03
DALLAS–(BUSINESS WIRE)–Frontline ER understands America’s need for critical healthcare support during the COVID-19 health emergency. And because of CMS’ initiati… Read More
2020-05-20 22:01
Frontline ER understands America’s need for critical healthcare support during the COVID-19 health emergency. And because of CMS’ initiative to expand healthcare options, th… Read More
2020-05-20 21:46
Frontline ER Now Available to Medicare Patients
DALLAS–(BUSINESS WIRE)–Frontline ER understands America’s need for critical healthcare support during the COVID-19 heal… Read More
2020-05-20 21:44
C19 6×9 POSTCARD
Aperchil laboriatio bea est maximin tibust quia doluptatis voles mo ipsa volorum voluptatus acea perovitiunt quae. Occus nemposanit volesti bustis eumporent rest… Read More
2020-05-02 16:15
Top 10 Tips: Will Teladoc Treat Tooth Infection
Teladoc, as per the subject matter experts over at frontlineer.com, is one of the most popular telemedicine platforms out there, allowing folk… Read More
2020-05-02 16:14
Top 10 Tips: Why Telemedicine is the Future of the Healthcare Industry
Telemedicine has helped break down geographical boundaries and has brought with it great convenience when it comes to a… Read More
2020-05-02 16:14
Top 10 Tips: Which Insurances Cover Telemedicine
Telemedicine, despite being extremely useful and helpful in so many ways as covered in more detail over at frontlineer.com, is still relative… Read More
2020-05-02 16:13
Top 10 Tips: Where is Telemedicine Frequently Used
Telemedicine, as its name suggests and as discussed in more detail over at frontlineer.com, basically involves the diagnosis and treatment… Read More
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