Carson-Newman University Student_______ _______________ Department of Nursing Date ________________________ NURS 303L – Clinical Case Study Assignment Client Age __________ M F Admit Date__________________ Allergies__________________________________ Admitting Diagnosis __Hypertension______________________________________________________________________________________________ Activity Level__________________________________ Diet____________________________________________________________
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feels like tightness. She is not having any associated fever‚ chills‚ nausea‚ vomiting‚ diarrhea‚ lower extremity edema or pain. All other systems are reviewed and are negative. Past medical history is notable for the hypertrophic cardiomyopathy‚ AICD‚ atrial fibrillation‚
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skin reaction to allergen Strong hereditary linkage seen in human Autoimmune haemolytic anaemia Spontaneous/ induced by drugs Reacts to blood group Ag – produce Ab to self RBC Test: direct antiglobulin test Anaphylaxis Systemic mediated Edema in tissue‚ fall BP(secondary to vasodilation) Cause by: Ag from injection present in blood Insect sting Absorption across epithelium surface i.e. skin‚ GUT Allergen → activates mast cell → release of mediators → gain access to vascular beds
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INTRODUCTION Bacillus anthracis has recently become popular as the causative agent of anthrax infections. Belonging to the bacillus species‚ the bacterium is considered‚ along with Bacillus cereus‚ to be of extreme medical importance. Until recently‚ the condition caused by the bacterium was rarely heard of. Although the bacterium is naturally found in the soil‚ its rare occurrences in humans have only been observed in those working with livestock or imported livestock products‚ therefore the
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According to Teleanu and Constantinescu (2014)‚ spontaneous intracerebral hemorrhage can occur from sudden small vessel bleeding secondary to hypertension or angiopathy‚ which is called primary spontaneous intracerebral hemorrhage‚ or from arteriovenous malformations‚ coagulopathies‚ vasculitis‚ tumors‚ or trauma‚ which is called secondary spontaneous intracerebral hemorrhage. The recommended treatment plan for patients with an intracranial hemorrhage includes blood pressure management‚ increased
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150/99 mmHg 2. Moderate 160/109 mmHg 3. Severe < 160/110mmHg Causes 1. Excessive inflammation 2. Angiogenic imbalance 3. Enlarged uterus 4. Metabolic changes 5. Immunological disorders 6. Blood vessels damage Symptoms 1. Headache 2. Weight gain 3. Edema 4. Blurred vision 5. Abdominal pain 6. Nausea and vomiting 7. Impaired liver function 8. Thrombocytopenia 9. Proteinuria which is an excessive loss of protein in urine 10. Kidney disorder Diagnosis First‚ class of hypertension must be identified
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The ischemic (ischaemic) cascade is a series of biochemical reactions that take place in the brain and other aerobic tissues after seconds to minutes of ischemia (inadequate blood supply).[1] This is typically secondary to stroke‚ injury‚ or cardiac arrest due to heart attack. Most ischemic neurons that die do so due to the activation of chemicals produced during and after ischemia.[2] The ischemic cascade usually goes on for two to three hours but can last for days‚ even after normal blood flow
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symptom relief with appropriate medications (Ferguson & Wise‚ 2011) These include analgesics such as APAP and NSAIDS for pain relief; Mechanical irrigation with saline spray to thin secretions; Topical corticosteroids reduces inflammation and edema (Hwang & Getz‚ 2012). * If symptoms persist longer than 2 weeks‚ the diagnoses of acute bacterial rhinosinusitis is more likely. At this time antibiotic therapy could be indicated. Recent studies have shown identical results with
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and goes into blood stream. At this point exotoxins attack cells in response causing edema‚ septicemia shock and eventually if untreated‚ death. Whatever the cause of anthrax‚ being able to recognize the sign and symptoms as early as possible‚ is the key to survival. Sometimes it is only days after first symptoms when death occurs. Signs/symptoms range from necrosis in cutaneous infection‚ to malaise‚ shock‚ edema‚ delirium‚ or flu like symptoms. In table (1) it gives a list of different diseases
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congestion-Hacking cough‚ dyspnea/breathlessness‚ crackles or wheezes in lungs‚ frothy‚ pink tinged sputum‚ tachypnea‚ s3/s4 summation gallop. Right Side: Systemic Congestion- Jugular distention‚ enlarged liver and spleen‚ anorexia and nausea‚ dependent edema‚ distended abdomen‚ swollen hands and fingers‚ polyuria at night‚ weight gain‚ increased blood pressure or decreased blood pressure. 4. List the goals in the interdisciplinary care of a patient with chronic heart failure. Relieve symptoms and improve
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