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N 510 Module 8: Pathophysiology in Disaster and Trauma Situations Assignment

N 510 Module 8: Pathophysiology in Disaster and Trauma Situations Assignment
Pathophysiology in Disaster and Trauma Situations Assignment Exercises:

Choose one of the following infectious diseases and discuss the potential impact of the disease, pathogenesis, mechanism of transmission, and associated risks.

Cholera
HIV/AIDS
Influenza
Marburg hemorrhagic fever
Severe acute respiratory syndrome
Smallpox

Differentiate among several types of shock: cardiogenic, hypovolemic, obstructive, distributive, and septic. Explain the pathophysiology of each.
Discuss the risks of morbidity and mortality and the preparation and prevention measures for one type of natural disaster
Explain how to set up for disaster closet in the emergency department. What items should it contain? Who should have access?  Should it be locked?  What type of drills should be conducted?
Elaborate on the pathophysiology of burns. Differentiate between first, second, and third degree burns.  What are the potential complications of each?
Discuss the pathogenesis and progression of ebola. What safety concerns were addressed during the 2014 outbreak?

Pathophysiology in Disaster and Trauma Situations Assignment – Professional Development
Write an essay on the following topic:

Traumatic Brain Injury

The essay should contain at least two scholarly sources in addition to the textbook. It should cover the following points:

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Explain the pathophysiology of the disease
Discuss common clinical manifestations
List differential diagnoses
Determine which lab tests would confirm the diagnosis and expected results
Analyze a current protocol for treatment and discuss how the treatment works from the pathophysiological perspective

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Pathophysiology in Disaster and Trauma Situations Assignment
Exercises
Cholera
The potential impact of the disease
Irrespective of the extensive advances that have been made in the management of the cases of this disease it is still a major health issue. Finger et al. (2018) opine that in epidemic cases, the fatalities of this health condition is more than 30 percent. Cholera is a diarrheal disease that is caused by a bacterial infection called Vibrio cholera. The major impacts if the health condition is that it results in the loss of water by the patient through diarrhea and vomiting.
Pathogenesis
The initial stage involves the cases where the bacteria called Vibrio cholera enterotoxin activates the stimulatory Gs proteins through the ADP ribosylation. This process causes the secretion of ions of chlorine and the water that is from the electrolytes to the small intestines. This results in vomiting and watery diarrhea.
Mechanism of transmission
Cholera is transmitted by cases of fecal and oral route. Mainly, the health condition is seen when one takes food that is contaminated since this is considered to be the common cause of the health condition in the countries that are developed. In the developing countries, the main transmission mechanism of cholera is by contaminated water.
Associated risks
The risks factors that are associated with the issue of cholera is considered to be seen in areas that are overpopulated and in refugee camps. This is attributed to the fact that the population may result in the increase in chances of having a poor sanitation. In addition, the condition increases the chances of the people taking unsafe water and the congestion may as well increase the chances of having person to person transmission.
Differentiate among several types of shock: cardiogenic, hypovolemic, obstructive, distributive, and septic. Explain the pathophysiology of each
Gaieski and Mikkelsen (2016) depict that cardiogenic shock is about the pump and it occurs when there is a failure of the heart of a patient. The results in the cases of heart attacks and hence causing cardiogenic shock. On the other hand, the development of hypovolemic shock occurs as a result of the cases of lack of fluids in the bloodstreams. The shock occurs even when the vessels or pumps are working and are intact.
Obstructive shock occurs when there is blood blockage by an outside force. This is one of the special kinds of shocks that occur and an example of the obstructive shock is that in the tension pneumothorax. Distributive shock occurs due to the occurrence of an excessive vasodilation and impairment of the distributive shock. One of the common forms of distributive shock is called septic shock and this is featured by a considerable mortality of patients.
Risks of morbidity and mortality and the preparation and prevention measures for one type of natural disaster
One of the natural disasters that are common in the world is the cases of earthquakes. This is one of the devastating disasters that could result in the destruction of property as well as the loss of life. For the preparation of this kind of disaster, it is prudent for the leaders in the community to ensure that there are structures put in place to help in the management of any issues of the earthquake. As such, there is a need for the development of emergency response units that are supposed to help in the management of the health issue pertaining to the occurrence of the disaster.
How to set up for a disaster closet in the emergency department. What items should it contain? Who should have access?  Should it be locked?  What type of drills should be conducted?
The set of up of a disaster closet in the emergency department is crucial and it should be accessed easily and one should know how to make use of the materials in the closet. The items that should be there include a first aid kit, cloves, firefighting clothes including boots, and fire extinguisher. The access of the closet should be free from any of the employees for them to attend to any disaster that may arise in the department or when the need arises anywhere. Along these lines, it is important that the closet is not closed. One of the drills that should be conducted should be a fire drill.
Pathophysiology of burns. Difference between first, second, and third-degree burns, potential complications of each
Burns is a type of painful wounds that may result from electric, thermal, the chemical of the exposure to electromagnetic injuries (Nielson et al., 2017). The leading causes of burns are the cases of smoke as well as in open flames. Burns can be classified as forts degree, second degree and third-degree burns. In the first degree burn, the only part of the skin that is affected is the epidermis or the outer layer of the skin. The site that is burned is red and dry and without any blisters being seen. An example of the first-degree burn is that by sunburns. The risk factor that is associated with the case of the first-degree burn is an increase of a decrease in the color of the skin.
The second-degree burns or the partial thickness burn is one that affects the epidermis and part of the dermis layer of the skin. The burn site is seen to be red in color and there are blisters. The blisters are as well painful and are swollen. The third-degree burns are seen to have a total destruction of the epidermis and dermis layer of the skin. This category of burn may as well result in the burn of the underlying bones, the muscles, as well as the tendons and in the case that this arises, the kind of burn is referred to be a fourth-degree burn. The burn site for this case is seen to be white or it is seen to be charred. Due to the burn, the risk factor that is common in this case is the fact that one does not have any feeling in the area of the burn.
Pathogenesis and progression of Ebola. What safety concerns were addressed during the 2014 outbreak?
The initial signs that are seen for an individual who is suffering from Ebola will be a headache, fever, soreness of muscles, and fatigue that is seen in 7 to nine days after one contracts the disease. From the tenth day, one will experience cases of a sudden increase in fever, the cases of vomiting of blood and a passive behavior. The patient will have bruising, damage of the brain, bleeding from the nose, mouth, eyes, and anus in the 11th day. This is followed by loss of consciousness and seizures in the 12th day which will as well result in the death of the patient.
Professional Development: Pathophysiology in Disaster and Trauma Situations Assignment
Traumatic Brain Injury
Pathophysiology of the disease
 The cases of Traumatic Brain Injury causes issues of direct and damages of and the impairment of the metabolisms of CBF. The condition will as well increase the chances of patients having to manage the cases of increased permeability as a result of the cases of accumulation of the issues of lactic acid. The issues as well increase the chances of the formation of edema. Williams (2018) argues that vasospasm results in the rise in the number of people affected and it affects more than one-third of the patients. More than 50 percent of the people hypoperfusion and end up developing the cases of vasospasm.
Common clinical manifestations
The clinical manifestation of the health condition results in the cases of mood destruction and this could include the cases of irritability, the increase in the chances of sadness of the patient, or the rise in the cases of anxiety. The physical clinical manifestation that is seen for an individual with Traumatic Brain Injury include the cases of dizziness the sensitivity to noise, fatigue and the issues of a headache. The cognitive clinical manifestation includes the concentration, deficit of memory of the patient the increasing cases of cognitive fatigue. The issues as well result in the increased in the issues of fogginess. The patients with this condition as well will have a rise in the challenges of sleeping and hence the patients will continuously be awake during the night with little or no sleep.
List differential diagnoses
One of the differential diagnosis of the Traumatic Brain Injury is the issue of depression that as well causes a rise in the challenge of sleeping and one will end up having headaches. In addition, the cases of anxiety, the posttraumatic stress disorder, and sleep disturbance are as well considered to be the differential diagnosis. Other differential diagnoses that could be confused with Traumatic Brain Injury are the cases of vestibular disturbance, the symptoms exaggeration for compensation or another gain.
Lab tests would confirm the diagnosis and expected results
The lab test that will be used for the determination of this condition is the use of a blood test. In this case, there is a test of the level of two proteins called the UCH-L1, and GFAP. When there is an injury there will be a release of proteins in the blood. Along these lines, the elevation of the level of the protein is an indication of the damage in the brain.
The current protocol for treatment and discuss how the treatment works from the pathophysiological perspective
The process of treatment of the condition can be carried out by the use of medication of therapies. The use of medication such as the diuretics is the common step that is taken (Zasler, 2016). The use of diuretics is important for the reduction of the number of fluids that are produced in the brain and hence increasing the amount of output in the urine. The use of this medication is carried out in an intravenous manner and are useful for the reduction of the pressure that one could have inside the brain as a result of the condition that one is suffering from.

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