Preview

Hyponatremic Case Studies

Good Essays
Open Document
Open Document
193 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Hyponatremic Case Studies
The patient is a 64-year-old female who is sent from Dr. Benz office for evaluation of fever. The patient recently underwent round 2 of chemotherapy for pancreatic carcinoma. She has had a fever for last 2-3 days. She is complaining of a cough nonproductive with occasional phlegm. She also has some nausea but no active vomiting, no chest pain or shortness of breath. The patient has a porta a cath on the right side and she is admitted for suspected sepsis: She has a fever of 102.6. Her medical history is significant for depression, fibromyalgia and the bipolar just disorder and demyelinating tumor of the head of the pancreas. Laboratory work reveals her to be somewhat hyponatremic at 134. Her glucoses are 187 and 316. Albumin is 3.4
Continue Reading
View Writing Issues

You May Also Find These Documents Helpful

  • Powerful Essays

    Hillcrest Medical Case 1
    • 669 Words
    • 3 Pages

    Hillcrest Medical Case 1

    Review Systems: Patients complains of a lower abdominal pain for the past week that apparently got much worse last night and by this morning wasn’t tolerable. She is also having some nausea and vomiting.…

    • 669 Words
    • 3 Pages
    Powerful Essays
    Read More
  • Satisfactory Essays

    Gerald Edwards Discharge Summary
    • 551 Words
    • 3 Pages

    Gerald Edwards Discharge Summary

    The patient was placed initially on a sliding scale of insulin. The patient underwent incision and drainage of his right foot on July 17, had no complications and tolerated surgery well. One day post-op the patient spiked a temperature to 101 degrees Fahrenheit. The patient was placed on Unasyn. He defervesced quickly. At the time of discharge his vital signs were stable. He was afebrile. His antibiotics were changed to Augmentin and he was discharged to his daughter’s home.…

    • 551 Words
    • 3 Pages
    Satisfactory Essays
    Read More
  • Good Essays

    Central Line Case study
    • 861 Words
    • 4 Pages

    Central Line Case study

    The patient is a 45 year old man who had GI surgery 4 days ago. He is NPO, has a nasogastric tube, and IV fluids of D51/2saline at 100 mL/hr. The nursing physical assessment includes the following: alert and oriented; fine crackles; capillary refill within normal limits; moving all extremities, complaining of abdominal pain, muscle aches, and "cottony" mouth; dry mucous membranes, bowel sounds hypoactive, last BM four days ago; skin turgor is poor; 200 mL of dark green substance has drained from NG tube in last 3 hours. Voiding dark amber urine without difficulty. Intake for last 24 hours is 2500mL. Output is 2000mL including urine and NG drainage. Febrile and diaphoretic; BP 130/80; pulse 88; urine specific gravity 1.035; serum potassium 3.0 mEq/l; serum sodium 140mEq/l, CL 92mEq/l, Mg 1.4 mg/dL.…

    • 861 Words
    • 4 Pages
    Good Essays
    Read More
  • Powerful Essays

    Care Plan Template NSG 1705: Student Resuscitation Status Full Code
    • 2547 Words
    • 11 Pages

    Care Plan Template NSG 1705: Student Resuscitation Status Full Code

    This patient was admitted for shortness of breath, fever and chills. He has a history of cystic fibrosis, with secondary diabetes.…

    • 2547 Words
    • 11 Pages
    Powerful Essays
    Read More
  • Satisfactory Essays

    NUR 200 Care Plan Assignment 2 2 2

    • 258 Words
    • 1 Page

    NUR 200 Care Plan Assignment 2 2 2

    Beth is a 65 year old woman of African American heritage. She was admitted to the ER, 2 days ago with a serum blood sugar of 457. She states she is unaware that she has diabetes and this is a new diagnosis for her. Her daughter states this is not true, that her mother was diagnosed with “some sort of blood sugar problem” 2 years ago, but her mother did not follow up with her doctor. Beth c/o visual blurriness, thirst and frequent urination. She has snacks hidden in her bedside table because she is “always hungry.” She has been placed on oral medication, Metformin 500 mg BID and is currently on a corrective insulin regime utilizing Novolog insulin. Her blood sugar is still not stabilized, often in the 200’s. In addition, Beth has 2 black spots on her first and second toes of her left foot, has uncontrolled hypertension, an elevated Blood Urea Nitrogen (BUN) and Creatinine (Cr). VS: B/P 190/88, R 98.7°F, P 87, RR 22.…

    • 258 Words
    • 1 Page
    Satisfactory Essays
    Read More
  • Good Essays

    Chapter 12 6
    • 728 Words
    • 3 Pages

    Chapter 12 6

    The patient was brought to my office by her daughter on the day of admission. She appeared dehydrated and weakened. There were periumbilical ecchymosis and…

    • 728 Words
    • 3 Pages
    Good Essays
    Read More
  • Powerful Essays

    Proofreader #1
    • 404 Words
    • 2 Pages

    Proofreader #1

    PHYSICAL EXAMINATION: GENERAL: The patient is a well-developed, well-nourished male who appears to be in moderate distress, with pain and swelling in the upper left arm. Vital sign: Blood pressure 140/90, temperature 98.3, pulse 97, and respiration 18.…

    • 404 Words
    • 2 Pages
    Powerful Essays
    Read More
  • Powerful Essays

    Patrick Platt
    • 413 Words
    • 2 Pages

    Patrick Platt

    GENERAL: The patient is a well-developed, well-nourished male who appears to be in moderate distress with pain and swelling in the upper left arm. Vital signs: Blood pressure 140/90, temperature 98.3 degrees Fahrenheit, pulse 97, respiration 18.…

    • 413 Words
    • 2 Pages
    Powerful Essays
    Read More
  • Good Essays

    Chapter 3 Medical Field Report
    • 815 Words
    • 4 Pages

    Chapter 3 Medical Field Report

    Patient is 63 year old African American/Black male. Patient was brought in emergency department. The patient wife said he has been complaining of unusual stomach pains. According to the patients wife before bringing him in to the emergency room he was vomiting blood.…

    • 815 Words
    • 4 Pages
    Good Essays
    Read More
  • Satisfactory Essays

    Vital Signs
    • 575 Words
    • 3 Pages

    Vital Signs

    PHYSICAL EXAMINATION: Physical exam reveals a well-developed, well-nourished 35 year old white female in a moderate amount of distress at the time of the examination. VITAL SIGNS: Show temperature 97 degrees; pulse 53; respirations 22; blood pressure 108/60. HEENT: Unremarkable except for poor dentation. Neck: Soft and supple. CHEST: Lungs are clear in all ???. HEART: Regular rate and rhythm. ABDOMEN: Soft but positive tenderness of her lower abdominal…

    • 575 Words
    • 3 Pages
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    proofreading
    • 372 Words
    • 2 Pages

    proofreading

    PHYSICAL EXAMINATION: The patient is a well-developed, well-nourished male who appears to be in moderate distress with pain and swelling in the upper left arm. VITAL SIGNS: Blood pressure 140/90, temperature 98.3 degrees Fahrenheit, pulse 97, respiration 18.HEENT: Head normal, no lesions. Eyes, arcus senilis, both eyes. Ears, impacted cerumen, left ear. Nose, clear. Mouth, dentures fit well, no lesions. NECK: Normal range of motion in all directs. INTEGUMENTARY: Psoriatic lesion, right thigh, approximately 1 mL in diameter. CHEST: Clear breath sounds bilaterally. No rales or rhonchi noted. HEART: Normal sinus rhythm. There is a holosystolic murmur. No friction rubs noted. ABDOMEN: Normal bowl sounds. Liver, kidneys, and spleen are normal to palpitation. GENITALIA: Tests normally descended bilaterally. RECTAL: Prostate 2+ and benign. EXTREMITIES: Pain and swelling noted above…

    • 372 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Good Essays

    Sepsis in the ED
    • 1012 Words
    • 5 Pages

    Sepsis in the ED

    The word sepsis is commonly used to diagnose patients, but the debate continues as to the true definition. The word sepsis comes from the Greek meaning decay or to putrefy.” (A). Sepsis is a general term that is applied to patients that develop clinical signs of infection. Unlike other diseases sepsis is not diagnosed by the location or type of microbe involved in the infection. Some of the criteria used to diagnose sepsis are abnormalities of body temperature, pulse, respirations, and white blood cell counts. Some symptoms that are common in septic patients are fever, hypothermia, heart rate greater than 90 beats per minute, altered mental status, swelling of the extremities, and high blood glucose in diabetic patients. Sepsis is considered severe when there is organ dysfunction involved. Some examples of this kind of dysfunction are low oxygen level, low urine output; high levels of creatnine in the blood, absent bowel sounds, and low platelet count in the blood. The scary fact about sepsis is that it can occur in incidents as minor as…

    • 1012 Words
    • 5 Pages
    Good Essays
    Read More
  • Better Essays

    Pregnancy Induced Hypertension
    • 919 Words
    • 4 Pages

    Pregnancy Induced Hypertension

    Patient (RM) was a 26 year old primigravid admitted on 10/27/13. She had type O+ blood, non-immune to Rubella, negative for group beta strep, previous appendectomy, and right rotator cuff surgery. She had spontaneous rupture of membranes and was admitted with a blood pressure ranging in the 180’s for systolic and 100’s-110’s for diastolic. She also had increased amounts of protein in her urine which is a warning sign for renal damage. She was placed on magnesium sulfate to help treat her hypertension and as prophylaxis for seizures. She stated she was unaware of her blood pressure until she was admitted. She also stated she is very active and is involved in high school sports and coaching and was very surprised to learn about how increased her blood pressure had become. Hypertension does not run in her family but there is a history of arthritis and cancer among her grandparents.…

    • 919 Words
    • 4 Pages
    Better Essays
    Read More
  • Good Essays

    Familial Mediterranean Fever Case Study
    • 505 Words
    • 3 Pages

    Familial Mediterranean Fever Case Study

    A 48 year old Jewish woman of Sephardi origin, suffering from about three years of biweekly experience of fever up to 39.5 Celsius. The patient was sent to a hospital due to the fact that her fever is unidentified. Doctors have started to run a medical check for any evidence for her fever case. There were about ten tests run on her to determine what the solution is. After doing a bone scan, a colonoscopy, multiple total body computant, and upper and lower gastrointestinal series, doctors found out that the patient was normal except for a finding of normocytic anemia with normal serum iron levels, and hypercalcemia which related to raising parathyroid…

    • 505 Words
    • 3 Pages
    Good Essays
    Read More

Related Topics