3. Q) a patient who needs dialysis for a period longer than 3 weeks will usually receive what?…
Tests preformed: Albumin (liver function), amylase (pancreatic function), bilirubin (liver function, shield from light), blood urea nitrogen AKA BUN (kidney function), Calcium (parathyroid function), carcinoembryonic antigen AKA CEA (monitors cancer progress), Cholesterol (cardiac risk monitoring, fasting), creatinine (kidney function), digoxin (monitoring of cardiac medication), dilatin…
Dehydration, blood pressure of 90/60, heart rate of 100 bpm, dry skin with decreased turgor, dry oral mucous membranes are dry, BUN level of 60 and creatinine of 1.2, and dark amber urine with a specific gravity of 1.028.…
1. Based on the patient history and the signs and symptoms, identify the fluid imbalance the patient is experiencing with rationale. (See: Edema)…
Patient 1-Patient now complains of nausea and is experiencing intermittent vomiting. Patient is extremely fatigued and dizzy and blood pressure is rising. Patient 2- Oxygen saturation has decreased slightly as the patient noted increased difficulty breathing. Supplemental oxygen was administered. Patient complains of a tingling and weakness in the hands, feet, legs, and arms. Patient has difficulty swallowing and requires a feeding tube.…
Previous high fevers, cause, and treatment? 5. History of abnormal pulse? 6. History of abnormal respiratory rate or character?…
Vascular collapse Seizures Coma Death Codeine: Sedation Lethargy Restlessness Hallucinations Bradycardia Hypotension Tachycardia Circulatory collapse Dry mouth Urine retention Respiratory depression Respiratory paralysis Dyspnea Acetaminophen:…
Serum electrolytes were normal. Potassium was low at 3.3, BUN-to-creatinine ratio was normal. Glucose was within normal range. Stool study was normal. Urinalysis within normal limit except for 8 to 10 WBCs. Specific gravity was 1.025…
The patient's fluid and diet intake had decreased, he slept more frequently, and was found to be confused at times; Mr Brown had high tolerance to opioids which later progressed to opioid toxicity. As noted age effects all elements of the body’s system and increased age did have an impact on Mr Brown. As the patient had a drop in blood pressure and circulating volumes, this sent the body into survival mode, therefore by decreasing blood flow to the kidneys, this caused the kidneys to become hypoperfused causing little to no urine; by producing no urine this cause a buildup of a waste and toxins within the body causing the patient to have serious…
| Hypervolemia: * Weight gain * binding pulse * increased BP * edema * venous distentionNeuromuscular: * muscle weakness * seizuresIntracellular dehydration * thirst * fever * decreased urine output * shrinkage of brain cells * confusion * coma * cerebral hemorrhage…
Mr. Jones with past medical history of MI, and be came to clinic today complaining of DOE that began 6 months ago. Currently he developed edema on his low extremities, and he gained 13 lbs recently. His LVEF is less than 20%. His SOB is worsening in last 4 days, which he has a difficulty to breathe after 30 feet of walking. According to the ACC/AHA guidelines, his hemodynamic subset is class II, which he has a warm and wet due to his sign and symptoms of edema, ascites, and hypertension. Also, he is currently NYHA FC IV, as he can’t breathe regularly at when he lays down1. Currently he is not respond to thiazide (HCTZ). Thus an initial dose of diuretic (furosemide 40 mg qd) to attempt to get Mr. Jones to alleviate his edema and dyspnea symptoms, which is class I of recommendation. He also needs to monitor is K+ between 4.0 to 5.0 meq/L and BUN less than 20. Realizing that his LVEF is less than 20%, and he currently is hypovolemic, which is not increased the dosage of Metoprolol. Once he is euvolemic, Metoprolol dosage will be considered to increase to improve his LVEF. In additional he needs to monitor his diet. Also, he needs to stop naproxen for his pain. Naproxen is an NSAID class, which is contributed to worsen to his heart failure and MI condition. The APAP or Tramadol is recommended to treat his pain as needed. Also, the high dose of ASA is not showing better beneficial for his HF and MI condition. However, it has an inference with Lisinopril, which reduce Lisinopril’s efficacy, and ASP is needed to recude to 81 mg qd. The DASH diet is recommended for his current status, and he needs to watch and keep his sodium diet less than 3 grams per day. He also needs to keep weighting himself. He needs controlled his hypertension carefully. Hypertension plays an important role to increase the risk of his heart failure. Cough is likely a side effect that developed from Lisinopril. He is intolerance to ACEi, and he is…
How would you describe Jim’s self- concept? I think Jim view himself has an average student who is doing his best in school.…
HPI (history of present illness) ALL CASES: OPD CSF AAA PAIN: OPD CSF LIQR AAA OPD CSF ABCDO FLUIDS: (Vomiting, Diarrhea, constipation, cough, vaginal discharge) O Onset of the symptom + precipitating factors P Progression D Duration C Constant /Intermittent S Settings F Frequency L Location of the symptom (forehead, wrist...) I Intensity of the symptom (scale 1-10, 6/10) Q Quality of symptom..BCDSPP(burning,Cramping,dull,Sharp,pulsating,pressure like) R Radiation of the symptom ( to left shoulder and arm) A Associated symptoms ( palpitations, shortness of breath) A Alleviating factors (sitting with my chest on my knees) A Aggravating factors (effort, smoking, large meals) A Amount B Blood C Color C Consistency C Content D Duration O Odor UG Hx: OPD-CSF-AAA + FINISH PUBC…
This case relates to an abdominal infection; therefore, purposefully look into the medication use and vocabulary as they relate to abdominal infections.…
If you have a history or currently dealing with alcoholism, renal or hepatic disease, viral infection, Addison’s disease, cardiac arrhythmia, chronic ulcerative colitis, history of drug abuse or dependency, gallbladder disease, acute abdominal conditions, head injury, intracranial lesions, hypothryroidism, respiratory disease, urethral stricture, peptic ulcer, or if you are pregnant or could be than you should talk to your doctor.[1] If you have any questions at any time, you can feel free to call the office and we will be happy to find you…