epigastric pain described as bad heartburn. Her sister tells the nurse‚ "I felt like that when I had toxemia during my pregnancy." Admission assessment by the nurse reveals: today’s weight 182 pounds‚ T 99.1° F‚ P 76‚ R 22‚ BP 138/88‚ 4+ pitting edema‚ and 3+ protein in the urine. Heart rate is regular‚ and lung sounds are clear. Deep tendon reflexes (DTRs) are 3+ biceps and triceps and 4+ patellar with 1 beat of ankle clonus. The nurse applies the external fetal monitor‚ which shows a baseline
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JM‚ Gehrich JE. Glucose and ketone body kinetics in diabetic ketoacidosis. Clinical Endocrinology & Metabolism. 1983;1:303-319. 15. Glaser NS‚ Wooton-Gorges SL‚ Buonocore MH‚ Marcin JP‚ Rewers A‚ Strain J.‚ et al. Frequency of sub-clinical cerebral edema in children with diabetic ketoacidosis. Pediatric Diabetes. 2006;7:75-80. 16. Wolfsdorf J‚ Glaser N‚ Sperling MA. Diabetic ketoacidosis in infants‚ children‚ and adolescents: a consensus statement from the American Diabetes Association. Diabetes Care
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INTRODUCTION Gemma is a 75 yr old female patient. She had her first Total Hip Replacement (THR) surgery due to arthritis. Although Gemma’s pathway appears to be quite normal according to the transition record‚ she has some issues need to be addressed. She is old‚ had a major surgery of trauma score 5 orthopedic‚ history of Asthma and hypertension‚ and high BMI. She needs to be monitored for complications since she is not only a surgical patient but also an orthopedic patient. The shift started at
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Congested Heart Failure (adapted from McGraw Hill Case Studies) Chief Complaint: 74-year-old woman with shortness of breath and swelling. History: Martha Wilmington‚ a 74-year-old woman with a history of rheumatic fever while in her twenties‚ presented to her physician with complaints of increasing shortness of breath ("dyspnea") upon exertion. She also noted that the typical swelling she’s had in her ankles for years has started to get worse over the past two months‚ making it especially
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29/11/12 Medical Diagnosis: 1. Lower limbs edema 2. Low albumin level 3. hypokalemia and hypocalcaemia 4. Anemia Nursing Diagnosis: Imbalanced nutrition: less than body requirements related to vomiting after eating as evidenced by food intake less than the recommended daily allowance and decreased albumin level. Name of client: Mrs. Tam Age: 65 Sex: Female Student ID:1155016494 Assessment date: 29/11/12 Medical Diagnosis: 1. Lower limbs edema 2. Low albumin level 3. hypokalemia
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finding a prevalence of 16.8%(2). Hyponatraemia creates an osmotic gradient between the brain and the plasma‚ which promotes the movement of water from the plasma into brain cells‚ causing cerebral edema and neurological compromise. Unless acute hyponatraemia is corrected promptly and effectively‚ cerebral edema may manifest through impaired consciousness level‚ seizures‚ elevated intracranial pressure‚ and‚ potentially‚ death due to cerebral
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COMPLETE PHYSICAL EXAM ABBREVIATIONS: Vital Signs: T (temperature) HR (pulse) RR (respiration rate) BP (systolic/diastolic) SPO2 pulse ox SYSTEM Physical Exam Documentation Detailed Abbreviation Explanation GEN: General NAD‚ AAOX4‚ WDWN (AAM‚ AAF‚ WM‚ WF) No acute distress‚ alert‚ awake‚ and oriented times 4 to name‚ place‚ time‚ purpose‚ Well developed well nourished (African American Male‚ African American Female‚ White Male‚ White Female) HEENT: Head‚ NCAT‚ MMM‚ EOMI‚ PERRLA‚ b/l TM intact & Normocephalic
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1. What is the most likely etiological factor for Mrs. Baksh’s primary hypothyroidism? Explain in detail the pathophysiology of primary hypothyroidism using the complex feedback mechanism. According to the American Thyroid Association‚ the three most common causes to hypothyroidism are: the surgical removal of the thyroid gland‚ radiation treatment and the body attacking thyroid tissue as a result of autoimmune diseases like Hashimoto’s thyroiditis (American Thyroid Association‚ 2014). In Mrs. Baksh’s
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eliminate carcinogenic cells and also help against tumors. 8. Useful against chest pains: The root has analgesic properties .Therefore the powdered root is used in the treatment of chest pains. 9. Useful in reducing edema: Horse chestnut can be used to reduce fluid retention that is edema especially the one that is caused due to trauma or sports injury. 10. Useful for respiratory
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which could be fatal | | |from being overloaded with fluid | | | _A___ 2. A 45-year-old female client is receiving a loop diuretic for treatment of edema. The nurse determines the client is experiencing an excessive response to the treatment when the client demonstrates: |a. |BUN 28/mg/dL‚ hematocrit 45%‚ and an 8 pound weight loss |c. |BUN 16 mg/dL‚ Hct 31%‚ and an 8 pound weight loss in 24 |
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