Buy a Nursing essay from nursingessays.us

Left your Nursing Assignment to the last minute? Let a qualified expert do your Nursing essay for you and deliver it before your deadline!

9.8
Buy Nursing essay Papers
Calculate your paper price
Pages (550 words)
Approximate price: -

Diuretics Nursing Considerations & Management

Note

Diuretics are offals that chiefly extension the exudation of sodium. To some space, they to-boot extension the bulk of urine performed by the kidneys. By blocking the absorptive bulk of cells plaster the renal tubules for sodium, intravascular bulk and the cosmical leaking of melting from capillaries is lowly and obstructed. It is used in the administration of sicknesss relish glaucoma, hypertension, and edema in sensibility want, liver want, and renal sicknesss.

Table of Niggardly Drugs and General Names

Here is a table of invariably encountered diuretic agents, their general calls, and mark calls:
Classification Generic Name Brand Name
Thiazide diuretics
Thiazide diuretics bendroflumethiazide Naturetin
chlorothiazide Diuril
hydrochlorothiazide HydroDIURIL
hydroflumethiazide Saluron
methyclothiazide Enduron
Thiazide-relish diuretics chlorthalidone Hygroton
indapamide Lozol
metolazone Mykrox, Zaroxolyn
Loop diuretics bumetanide Bumex
ethacrynic ardent Edecrin
furosemide Lasix
torsemide Demadex
Carbonic Anhydrase Inhibitors acetazolamide Diamox
methazolamide Glauctabs, MZM, Neptazane
Potassium-sparing Diuretics amiloride Midamor
spironolactone Aldactone
triamterene Dyrenium
Osmotic Diuretics mannitol Osmitrol

Disease Spotlight: Edema, Hypertension, and Glaucoma

Edema is the store of meltings in the interstitial spaces. It can be typically seen in endurings after a time sensibility want (HF), cirrhosis and other liver sicknesss, and renal sicknesss.
  • Edema in HF is agentd by activation of the renin-angiotensin disposeification due to an regulate-and-impart interrogateing temper of the sensibility. As a movables, blood bulk extensions and sodium is retained.
  • Cirrhosis and other liver sicknesss exhibit after a time edema owing of two reasons: 1) lowly plasma protein genesis induced to lowerd oncotic exigency (exigency that holds the melting in); and 2) gateway disposeification obstacle due to hepatic vessel congeries.
  • Edema in renal sicknesss is owing of damaged bottom membrane which makes it slight for plasma proteins to be past into urine.
Hypertension is perpetual prouder-than-normal respect exigency and is chiefly idiopathic (no known agent). When not acted upon straightly, this can manage to multiple organ want and serious cardiovascular complications. Diuretic agents are used in administration of hypertension to narrow respect exigency by decreasing circulating melting bulk and sodium. Glaucoma is an eye sickness that is characterized by extensiond intraocular exigency (IOP), which is the exigency internally the eyes. When not acted upon straightly, proud IOP can damage optic nerve and agent unalterable inobservance. Diuretic agents are used in the administration of glaucoma by enhancing the osmotic draw to movablesively carry some melting in the eye, decreasing the IOP. 

Thiazide and Thiazide-relish Diuretics

Description
  • Thiazide diuretics belong to a chemical dispose of offals called sulfonamides. Thiazide-relish diuretics own unanalogous chemical organization but movables in the corresponding arrangement as that of thiazide diuretics.
  • This is unmoulded the most invariably used dispose of diuretics.
Therapeutic Action
  • It agents erratic interrogateing out of chloride from the cells plaster the ascending portion of Loop of Henle and distal tubule by blocking the chloride interrogate. Since sodium passively moves after a time chloride to detain electrical non-interference, twain sodium and chloride are excreted in the urine.
Indication
  • Considered to be a genialer contrive of diuretics compared to loop diuretics.
  • First-line offals for administration of qualitative hypertension
Children
  • Has symmetrical pediatric dosing guidelines used for the tenor of edema in sensibility defects and hepatorenal sicknesss; restrain of hypertension in conclusion.
  • Effect of diuretics may be rash in conclusion owing of their accelerated metabolism so forethought is exercised by mindful warnering of serum electrolyte transmutes and for testimony of melting bulk transmutes.
Adults
  • Are over relishly to use diuretics on long-term premise and should be educated on admonition premonitions of melting bulk transmutes that lack responsive medical notice.
  • They should be instructed to prove themselves daily to warner for melting contumacy or rash melting mislaying.
  • Conditions that may magnify melting mislaying relish vomiting, diarrhea, and bountiful exudation should be emphasized to them owing these may transmute the lack for diuretics.
  • Use of diuretics to rule melting shifts in generative endurings is not misapply. However, it should not be stopped if implied for a inequitable medical agent supposing that they are made known of the slight possessions to the fetus. Lactating women should switch to an opinion recognizedity of sustentation as this offal may own germinative movables to the baby.
Older adults
  • Have medical provisions wclose thiazide diuretics and thiazide-relish diuretics are usually implied.
  • The possibility of older adult endurings having renal and hepatic impairments insist-upons vigor thrift team to be timid of the use of this offal.
  • The last dose slight is afloat initially and it is titrated unwillingly domiciled on enduring’s retort.
  • Frequent warnering of serum electrolytes, temper roll, and dietary intake is a must.
Pharmacokinetics
Route Onset Peak Duration
Oral 2 h 4-6 h 6-12 h
T1/2: 5.6 – 14 h Metabolism: liver Excretion: urine
Contraindications and Cautions
  • Allergy to loop diuretics. Obstruct serious hypersensitivity reactions.
  • Fluid and electrolyte imbalances. Can be strongiated by the transmutes in melting and electrolyte rolls agentd by diuretics.
  • Severe renal want, anuria. May obstruct diuretics from movablesing; can sink opportunity grade due to respect stream transmutes brought about by diuretics.
  • Systemic lupus erythematosus (SLE).  Can sink renal want owing the sickness already agents transmutes in glomerular filtration.
  • Glucose tolerance abnormalities and diabetes mellitus. Worsened by glucose-elevating movables of some diuretics
  • Gout. Already reflects abnormality in tubular reparching and secretion.
  • Liver sickness. Could clash after a time offal metabolism and manage to offal toxicity.
  • Bipolar disorder. Can be exacerbated by calcium changes brought about by the use of this offal.
  • Pregnancylactation. Can agent germinative alien possessions to the fetus and baby. Routine use of this offal in pregnancy is not misapply and should be used barely when tclose is underlying pathological provisions. For lactating women, an opinion recognizedity of sustentation should be working.
Adverse Effects
  • CNS: weakness
  • CV: hypotension, arrhythmias
  • GI: GI overturn
  • GU: hypokalemia (can sink hyperglycemia), hypercalcemia, hyperuremia, slightly-alkalinized urine (can manage to bladder infections)
Interactions
  • Cholestyramine or colestipol: lowerd parching of diuretics; must be charmed divided by at smallest 2 hours.
  • Digoxin: extensiond occasion for digoxin toxicity owing of transmutes in serum potassium levels
  • Quinidine: extensiond occasion for quinidine toxicity
  • Antidiabetic agents: lowerd movablesivity of antidiabetics
  • Lithium: extensiond occasion for lithium toxicity

Loop Diuretics

Description
  • This premonition of diuretics exerts its deep movables on the loop of Henle. Hence, so indicated.
  • Referred to as high-ceiling diuretics owing they are prime of causing superior stage of diuresis compared to other premonitions.
Therapeutic Action
  • Blocks the operation of chloride interrogate in the ascending portion of the loop of Henle, wclose 30% of sodium is normally reabsorbed. This agents lowerd reparching of chloride and sodium.
  • Exerts the corresponding movables on the descending portion of loop of Henle and distal tubule causing sodium-rich urine.
Indications
  • Indicated for tenor of intelligent HF, intelligent pulmonary edema, and edema associated after a time HF or after a time renal or liver sickness, and hypertension.
  • Drug of rare when accelerated and capacious diuresis is lacked. It can quantity a melting mislaying up to 20 pounds per day.
  • Proven to be movablesive well-mannered-balanced after a time the nearness of ardent-base disturbances, renal want, electrolyte imbalances, and nitrogen contumacy.
  • Also used in the tenor of pulmonary edema but its movables barely rules the respect that reaches the nephrons.
  • Ethacrynic ardent is used close frequently in the clinical contrast owing newer offals are over strong and reliable.
Children
  • Furosemide is used when a stronger diuretic is lacked but dose should not be over than 6 mg/kg/d.
  • Ethacrynic ardent is used in vocal contrive in some situations but not in infants.
  • Bumetanide is generally not recommended for conclusion but is implied when the branch is insertion other ototoxic offals (e.g. antibiotics). It agents close hypokalemia and makes it chimerical for conclusion insertion digoxin at the corresponding interval.
Adults
  • Are over relishly to use diuretics on long-term premise and should be educated on admonition premonitions of melting bulk transmutes that lack responsive medical notice.
  • They should be instructed to prove themselves daily to warner for melting contumacy or rash melting mislaying.
  • Conditions that may magnify melting mislaying relish vomiting, diarrhea, and bountiful exudation should be emphasized to them owing these may transmute the lack for diuretics.
Pregnant women
  • Use of diuretics to rule melting shifts in generative endurings is not misapply. However, it should not be stopped if implied for a inequitable medical agent supposing that they are made known of the slight possessions to the fetus.
  • Lactating women should switch to an opinion recognizedity of sustentation as this offal may own germinative movables to the baby.
Older adults
  • Have medical provisions wclose thiazide diuretics and thiazide-relish diuretics are usually implied.
  • The possibility of older adult endurings having renal and hepatic impairments insist-upons vigor thrift team to be timid of the use of this offal.
  • The last dose slight is afloat initially and it is titrated unwillingly domiciled on enduring’s retort.
  • Frequent warnering of serum electrolytes, temper roll, and dietary intake is a must.
Pharmacokinetics
Route Onset Peak Duration
Oral 60 min 60-120 min 6-8 h
IV, IM 5 min 30 min 2 h
T1/2: 120 min Metabolism: liver Excretion: urine
Contraindications and Cautions
  • Allergy to thiazides and sulfonamides. Obstruct serious hypersensitivity reactions.
  • Electrolyte depletion. Can be strongiated by the transmutes in melting and electrolyte rolls agentd by diuretics.
  • Severe renal want, anuria. Exacerbated by the possessions of the offal.
  • Systemic lupus erythematosus (SLE).  Can sink renal want owing the sickness already agents transmutes in glomerular filtration.
  • Glucose tolerance abnormalities and diabetes mellitus. Worsened by glucose-elevating movables of some diuretics
  • Gout. Already reflects abnormality in tubular reparching and secretion.
  • Hepatic coma. Exacerbated by melting shifts associated after a time offal use.
  • Pregnancy, lactation. Can agent germinative alien possessions to the fetus and baby. Routine use of this offal in pregnancy is not misapply and should be used barely when tclose is underlying pathological provisions. For lactating women, an opinion recognizedity of sustentation should be working.
Adverse Effects
  • CNS: dizziness
  • CV: hypotension
  • GI: GI overturn
  • GU: hypokalemia (can sink hyperglycemia), extensiond bicarbonate exudation (can manage to alkalosis), hypocalcemia and tetany
  • EENT: ototoxicity, revocable mislaying of hearing
Interactions
  • Aminoglycosides or cisplatin: extensiond ototoxicity movables of loop diuretics
  • Anticoagulants: extensiond anticoagulation possessions
  • Indomethacin, ibuprofen, salicylates and other NSAIDs: lowerd antihypertensive possessions and mislaying of sodium

Carbonic Anhydrase Inhibitors

Description
  • Relatively genial diuretics.
Therapeutic Action
  • Inhibits the operation of the enzyme carbonic anhydrase, the catalyst for the contriveation of sodium bicarbonate stored as alkaline taciturnity in the renal tubules and is relevant for the exudation of hydrogen.
  • It slows down the motion of hydrogen ions which manages to superior quantity of sodium and bicarbonate past in the urine.
Indications
  • Most frequently used for the tenor of glaucoma. Inhibition of carbonic anhydrase possessions in lowerd secretion of aqueous mood of the eyes.
  • Also used as addition to other diuretics when over indicated diuresis is lacked.
Children
  • Not implied for conclusion
Adults
  • Are over relishly to use diuretics on long-term premise and should be educated on admonition premonitions of melting bulk transmutes that lack responsive medical notice.
  • They should be instructed to prove themselves daily to warner for melting contumacy or rash melting mislaying.
  • Conditions that may magnify melting mislaying relish vomiting, diarrhea, and bountiful exudation should be emphasized to them owing these may transmute the lack for diuretics.
Pregnant women
  • Use of diuretics to rule melting shifts in generative endurings is not misapply. However, it should not be stopped if implied for a inequitable medical agent supposing that they are made known of the slight possessions to the fetus.
  • Lactating women should switch to an opinion recognizedity of sustentation as this offal may own germinative movables to the baby.
Older adults 
  • Have medical provisions wclose thiazide diuretics and thiazide-relish diuretics are usually implied.
  • The possibility of older adult endurings having renal and hepatic impairments insist-upons vigor thrift team to be timid of the use of this offal.
  • The last dose slight is afloat initially and it is titrated unwillingly domiciled on enduring’s retort.
  • Frequent warnering of serum electrolytes, temper roll, and dietary intake is a must.
Pharmacokinetics
Route Onset Peak Duration
Oral 1 h 2-4 h 6-12 h
Sustained-release vocal 2 h 8-12 h 18-24 h
IV 1-2 min 15-18 min 4-5 h
T1/2:  5-6 h Metabolism: N/A Excretion: urine (unchanged)
Contraindications and Cautions
  • Allergy to carbonic anhydrase inhibitors, thiazides, antibacterial sulfonamides. Obstruct serious hypersensitivity reactions.
  • Chronic noncongestive angle-closure glaucoma. Not movablesively treated by this offal.
  • Fluid and electrolyte imbalance, renal or hepatic sickness, adrenocortical lack, respiratory ardentosis, chronic obstructive pulmonary sickness(COPD). Could be exacerbated by melting and electrolyte transmutes agentd by these offals.
  • Pregnancylactation. Can agent germinative alien possessions to the fetus and baby. Routine use of this offal in pregnancy is not misapply and should be used barely when tclose is underlying pathological provisions. For lactating women, an opinion recognizedity of sustentation should be working.
Adverse Effects
  • CNS: paresthesia, confusion, drowsiness
  • CV: hypotension
  • GU: hypokalemia (can sink hyperglycemia), extensiond mislaying of bicarbonate (can manage to metabolic ardentosis)
Interactions
  • Salicylate, lithium: extensiond exudation of these offals

Potassium-Sparing Diuretics

Description
  • Less strong than loop diuretics but they retain potassium instead of waning it.
  • Typically used for endurings who own proud occasion for hypokalemia associated after a time diuretic use.
Therapeutic Action
  • This premonition of diuretics agents a mislaying of sodium time promoting the contumacy of potassium.
  • Spironolactone acts as aldosterone competitor which blocks the operation of aldosterone in the distal tubule. On the other artisan, amiloride and triamterene block potassium secretion through the tubule.
Indications
  • This is frequently used as additions after a time thiazide or loop diuretics or in endurings who are in-particular at occasion if hypokalemia develops.
  • Spironolactone is the offal of rare for treating hyperaldosteronism typically seen in endurings after a time liver cirrhosis and nephrotic syndrome.
Children 
  • Spironolactone is the barely potassium-sparing diuretic recommended for conclusion.
Adults
  • Instruct to relinquish potassium-rich props (e.g. avocados, bananas, broccoli, tomatoes, and dried fruits) and to own recognized warnering of serum potassium rolls.
Pregnant Women
  • Use of diuretics to rule melting shifts in generative endurings is not misapply. However, it should not be stopped if implied for a inequitable medical agent supposing that they are made known of the slight possessions to the fetus.
  • Lactating women should switch to an opinion recognizedity of sustentation as this offal may own germinative movables to the baby.
Older adults
  • Have medical provisions wclose thiazide diuretics and thiazide-relish diuretics are usually implied.
  • The possibility of older adult endurings having renal and hepatic impairments insist-upons vigor thrift team to be timid of the use of this offal.
  • The last dose slight is afloat initially and it is titrated unwillingly domiciled on enduring’s retort. Frequent warnering of serum electrolytes, temper roll, and dietary intake is a must.
Pharmacokinetics
Route Onset Peak Duration
Oral 24-48 h 48-72 h 48-72 h
T1/2:  20 h Metabolism: liver Excretion: urine (unchanged)
Contraindications and Cautions
  • Allergy to potassium-sparing diuretics. Obstruct serious hypersensitivity reactions.
  • Hyperkalemia, renal sickness, anuria. Exacerbated by the possessions of the offal.
  • Pregnancylactation. Can agent germinative alien possessions to the fetus and baby. Routine use of this offal in pregnancy is not misapply and should be used barely when tclose is underlying pathological provisions. For lactating women, an opinion recognizedity of sustentation should be working.
Adverse Effects
  • CNS: swoon, laziness, ataxia
  • CV: arrhythmias
  • Musculoskeletal: muscle cramps
  • GU: hyperkalemia, extensiond mislaying of bicarbonate (can manage to metabolic ardentosis)
  • Associated after a time multitudinous androgen possessions such as hirsutism, gynecomastia, deepening of the language, and irrecognized menses.
Interactions
  • Salicylates: lowerd diuretic movables

Osmotic Diuretics

Description
  • This premonition of diuretic exerts their curative movables by drawing impart into the renal tubulewithout mislaying of sodium.
  • Only one osmotic diuretic is currently adapted, mannitol (Osmitrol).
Therapeutic Action
  • Mannitol is a sugar that is not well-mannered-mannered reabsorbed by the tubules and it acts to draw extensive quantitys of melting into the urine due to the osmotic draw exerted by extensive sugar atom.
  • This to-boot draws melting into the vascular disposeification from extravascular spaces relish aqueous mood.
Indications
  • Mannitol is usually used in intelligent situations when it is compulsory to lower IOP antecedently eye surgery or during intelligent attacks of glaucoma.
  • Diuretic of rare in cases of extensiond cranial exigency or intelligent renal want due to surprise, offal overdose, or trauma.
  • Also adapted as an irrigant in transurethral prostatic resection and other transurethral procedures.
Children
  • Not implied for conclusion
Adults
  • Conditions that may magnify melting mislaying relish vomiting, diarrhea, and bountiful exudation should be emphasized to them owing these may transmute the lack for diuretics.
Pregnant women
  • Use of diuretics to rule melting shifts in generative endurings is not misapply. However, it should not be stopped if implied for a inequitable medical agent supposing that they are made known of the slight possessions to the fetus.
  • Lactating women should switch to an opinion recognizedity of sustentation as this offal may own germinative movables to the baby.
Older adults
  • Have medical provisions wclose thiazide diuretics and thiazide-relish diuretics are usually implied.
  • The possibility of older adult endurings having renal and hepatic impairments insist-upons vigor thrift team to be timid of the use of this offal.
  • The last dose slight is afloat initially and it is titrated unwillingly domiciled on enduring’s retort. Frequent warnering of serum electrolytes, temper roll, and dietary intake is a must.
Pharmacokinetics
Route Onset Peak Duration
IV 30-60 min 1 h 6-8 h
Irrigant Rapid Rapid Short
T1/2:  15-100 min Metabolism: N/A Excretion: urine (unchanged)
Contraindications and Cautions
  • Renal sickness, anuria, pulmonary congeries, intracranial bleeding, dehydration, HF. Exacerbated by extensive shifts in melting connected to offal use.
  • Pregnancylactation. Can agent germinative alien possessions to the fetus and baby. Routine use of this offal in pregnancy is not misapply and should be used barely when tclose is underlying pathological provisions. For lactating women, an opinion recognizedity of sustentation should be working.
Adverse Effects
  • CNS: lunaticness, laziness, headache
  • CV: hypotension, cardiac decompensation, surprise
  • GI: qualm, vomiting
  • GU: melting and electrolyte imbalance
  • Most niggardly and germinatively dangerous alien movables connected to an osmotic diuretic is the rash emanate in melting rolls.

Nursing Considerations for Diuretic Drugs

Here are relevant nursing considerations when administering this offal:
Nursing Assessment
These are the relevant things the value should conceive in conducting duty, truth insertion, and examination:
  • Assess for the mentioned forethoughts and contraindications (e.g. offal allergies, melting and electrolyte disturbances, hepatorenal sicknesss, glucose tolerance abnormalities, etc.) to obstruct any unfavorable complications.
  • Percontrive a artistic substantial duty to confirm baseline basis antecedently offal therapy begins, to indicate movablesiveness of therapy, and to evaluate for event of any alien possessions associated after a time offal therapy.
  • Inspect peel (calm?} n ess nearness of edema and foothold of peel turgor) to indicate hydration foothold and own a baseline basis for movablesiveness of offal therapy.
  • Assess cardiopulmonary foothold (respect exigency, pulse scold, sensibility and lung sounds, etc.) to evaluate melting motion and narrate of hydration. It is to-boot to warner the possessions on the sensibility and lungs.
  • Obtain an accuscold organization provet to furnish baseline to warner melting counteract.
  • Monitor intake and output and voiding patterns to evaluate melting counteract and renal administration.
  • Evaluate liver foothold to indicate germinative substances in offal metabolism.
  • Monitor the possessions of laboratory tests (e.g. serum electrolyte rolls in-particular potassium and calcium, uric ardent and glucose rolls, etc.) to indicate offal’s movables.
  • Monitor liver and renal administration tests to confirm lack for slight dose conformation and toxic possessions.
Nursing Diagnoses
Here are some of the nursing diagnoses that can be contriveulated in the use of this offal for therapy:
  • Impaired urinary elimination connected to offal movables
  • Imbalanced feeding: close than organization insist-uponments connected to GI overturn and metabolic transmutes
  • Risk for deficient melting bulk connected to extension melting bulk exudation
  • Risk for injury connected to transmutes in melting bulk and electrolyte counteract
Implementation after a time Rationale
These are important nursing interpositions performed in endurings who are insertion diuretics:
  • Administer offal after a time prop or regulate if GI overturn is a substance to buffer offal movables on the stomach lining.
  • Administer intravenous diuretics unwillingly to obstruct serious transmutes in melting and electrolytes.
  • Administer vocal contrive present in the day to obstruct extensiond urination during slumber hours.
  • Monitor enduring retort to offals through important premonitions, provet, serum electrolytes and hydration to evaluate movablesiveness of offal therapy.
  • Assess peel requisite to indicate nearness of melting bulk deficit or contumacy.
  • Provide ease measures (e.g. peel thrift, feeding referral, etc.) to succor enduring tolescold offal possessions.
  • Provide insurance measures (e.g. diffuse lighting, excited cause rails, etc.) to obstruct injuries.
  • Educate client on offal therapy to raise consent.
Evaluation
Here are aspects of thrift that should be evaluated to indicate movablesiveness of offal therapy:
  • Monitor enduring retort to therapy (e.g. provet, urinary output, edema transmutes,  respect exigency).
  • Monitor for alien possessions (e.g. electrolyte imbalance, hyperglycemia, hyperuricemia, ardent-base disturbances, etc).
  • Evaluate enduring agreement on offal therapy by research enduring to call the offal, its symptom, and alien possessions to tend for.
  • Monitor enduring consent to offal therapy.

Practice Exam

Choose the missive of the improve acceptance. Good luck!
Start
Congratulations - you own artisticd Diuretics. You accountd %%SCORE%% out of %%TOTAL%%. Your accomplishment has been scoldd as %%RATING%%
Your acceptances are proudlighted under.
Return
Shaded items are artistic.
1 2 3 4 5
End
Return

Questions?

Ask our team

Want to contact us directly? No problem. We are always here for you.

Frequently Asked Buy a Nursing essay Questions

See all
Is your service confidential?

When you place an order with our company, we ask you to provide us with such personal information as your name, phone number, and email address. We need this data to keep you updated on the important things related to your order or account, and never share it with any third parties. We also don’t use your contact details for spamming you.

Please note that our support team may contact you using only the phone number(s) stated on our website, such +1 (248) 599-2414 and/+44 (151) 528-2636. In order to secure our mutual cooperation, please do not communicate with those who introduce themselves as essaypapers support staff and reach you from different phone numbers.

Also, remember that we never ask you to provide your credit card information via phone conversations. You should enter this information only on PayPal or Gate2Shop billing forms when making an online payment on our website. The essaypapers support administrator will send a confirmation letter to your personal order page when your payment is received.

We also use a secure encrypted connection and do not store your private data if we do not need it anymore. For more details about how we ensure your confidentiality, check our Privacy Policy, which completely complies with the GDPR.

We offer original model papers that can be used legally in a number of ways if properly referenced:

  • As a source of arguments or ideas for your own research
  • As a source of additional understanding of the subject
  • Direct citing

Nonetheless, check your college’s/university’s policies, including their definition of plagiarism and paraphrasing before using our services. Make conscious decisions in regards to your education.

How do I order a paper from essaypapers?

We take care not only of your academic success, but also of your experience with us. That’s why we have made the process of placing your order as easy and fast as possible—usually, it takes no more than 2-3 minutes.

Let’s have a closer look at the simple steps you need to go through for submitting your order:

Fill in the order form.

Be sure to include specific instructions regarding your paper and to upload any of the required materials. If you have any questions while specifying your paper’s information, just click on the info sign at the end of every field name and you will see a detailed tip on what exact information is required.

Proceed with the payment.

After you are through with the order form, you will need to make a payment via a preferable system. Right after that, you will be automatically provided with your personal order page where you can track your order’s progress, provide additional requirements, and send messages to your writer or support manager.

A personal writer is assigned to your order.

Our qualified staff will choose the most suitable writer whose skills and experience match your field of study and paper’s details. In case the writer must have any particular software or literature in order to get the Nursing Assignment done, please do not forget to mention this in your initial instructions.

Your paper is completed and delivered to your personal order page.

When the writer finishes your paper, it is delivered to your personal order page as a PDF document, available for preview only. You will be able to download an editable MS Word version of the order right after you click the “Approve” button in the “Files” tab of your personal order page. If any changes are to be applied to the paper, you are always welcome to request a free revision with a new deadline for the writer (be sure to check more information about this in our revision policy).

You can check how easy the process is by going to the order page and submitting your paper details right now.

Is there a money-back guarantee? If yes, how can I receive a refund?

You can get more details about possible types and terms of refunds on our official money-back guarantee page.

How will I receive a completed paper?

You will get the first version of your paper in a non-editable PDF format within the deadline. You are welcome to check it and inform us if any changes are needed. If everything is okay, and no amendments are necessary, you can approve the order and download the .doc file. If there are any issues you want to change, you can apply for a free revision and the writer will amend the paper according to your instructions.

If there happen to be any problems with downloading your paper, please contact our support team.

What if I’m not satisfied with my order?

If your paper needs some changes, you can apply for a free revision that is available for 7 days after your paper is approved. To use this option, you have a “Revision” button on your personal page.

After the 7-day period, you cannot apply for a free revision, though you still can use a paid revision option. The price of such a revision will differ depending on the number of amendments needed to be done. Please contact our support team to find out how we can help you with the amendments to your paper.

If you think our writer didn’t manage to follow your instructions, and as a result, your paper is of poor quality, please contact us and we will do our best to solve the problem.

If the revisions didn’t give the desired result, you can apply for a refund. Our dispute department will process your inquiry to find out what kind of refund we can give you. To find out more, please visit our money-back guarantee page.

How do I request a refund?

You can’t apply for a refund on certain stages of your order, like when the order is not finished by the writer yet.

When the paper is delivered, the “Refund” button on your personal order page becomes clickable.

On the relevant tab of your personal order page, you will also be able to choose the type of refund you’re demanding and the reason why you applying for it. As soon as you do that, our dispute department will start working on your inquiry. All kinds of refunds concerning the quality or the lateness of your paper should be requested within 14 days from the time the paper was delivered, as in 14 days your paper, will be automatically approved.

Your inquiry should be submitted by clicking the “Refund” button on your personal order page only.

Order your essay today and save 15% with the discount code NURSINGHELP