Dengue starts with coldness‚ headache‚ pain upon moving the eyes‚ and low backache. Painful aching in the legs and joints occurs during the first hours of illness. The temperature rises quickly‚ with relatively low heart rate andlow blood pressure (hypotension). The eyes become reddened. A flushing or pale pink rash comes over the face and then disappears. Fever and other signs of dengue last for two to four days‚ followed by a rapid drop in body temperature with fully sweating. This previous a period
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in the myocardium due to the damaged ventricle (Wagner & Hardin-Pierce‚ 2014). The heart will compensate for decreased cardiac output from the failing ventricle. Therefore‚ tachycardia will develop as an effect of sympathetic stimulation while hypotension is due to compromised coronary flow (Bucher‚ Johnson & Rolley‚ 2015). The increased SNS stimulation creates vasoconstriction‚ which will prolonged the capillary refill and the extremities will be cool‚ clammy and mottled due to reduced tissue perfusion
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minute and white blood count higher than 12‚000 cells per microliter or lower than 4000 cells per microliter’(Latto 2008). Severe sepsis requires rapid diagnosis and treatment it can be described as ‘the presence of sepsis with organ dysfunction‚ hypotension or poor perfusion’. (Lovick‚ 2009). Mrs Mary Smith was the patient in the nurse’s care who developed severe sepsis; she was a 76 year old female with no-known drug allergies‚ admitted to the ward with laceration to the forehead due to fall‚ difficulty
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Spinal Cord InjuriesArticle Last Updated: Aug 8‚ 2006 BackgroundPatients with spinal cord injury (SCI) usually have permanent and often devastating neurologic deficits and disability. According to the National Institutes of Health‚ "among neurological disorders‚ the cost to society of automotive SCI is exceeded only by the cost of mental retardation."The goals for the emergency physician are to establish the diagnosis and initiate treatment to prevent further neurologic injury from either pathologic
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Case Study 1: Breast Cancer Situation: The client is a 50-year-old female teacher who was notified of an abnormal screening mammogram. Diagnosis of infiltrating ductal carcinoma was made following a stereotactic needle biopsy of a 1.5 x 1.5 cm lobulated mass at the 3:00 position in her left breast. The client had a modified radical mastectomy with lymph node dissection. The sentinel lymph node and 11 of 16 lymph nodes were positive for tumor. Estrogen receptors and progesterone receptors were
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Introduction This paper presents the care to a patient during one shift in the Intensive Care Unit (ICU). Tony*‚ a 79 year old‚was admitted to ICU with suspected anoxic brain injury;post Out of Hospital Cardiac Arrest; and Head Injury. Cardiopulmonary Resuscitation was initiated by his son. When the EMTambulance arrived Tony was pulseless‚ cardiac monitoring showed Ventricular fibrillation – he was cardioverted twice at the scene. Inthe Emergency Department (ED) he developed Ventricular tachycardia
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the diastolic pressure is approximately 70 to 80. Abnormal resusts are mild hypertension were diastolic pressure is 90 to 104. Significant hypertension is when systolic pressure is above 200 or diastolic pressure is above 100. Hypotension is when blood pressure is below normal. Consult the health care provider if
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condition is referred to as hypertension. When the small blood vessels are subjected to high pressure due to the deposition of atheroma is more likely to rupture or been blocked. If this condition is not treated in time it leads to organ damage. Hypotension is low level of blood pressure than the set point. The basic activities of the body will not be carried out efficiently as blood supply is reduced. (Guyenet‚
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Case Study 1 1.) Define hypoglycemia. What are hypoglycemic blood glucose values in an adult? Hypoglycemia: Low blood glucose level that results from too much insulin‚ not enough food‚ or excess activity. It is defined as the presence of Whipple’s triad: manifestations consistent with low blood glucose‚ a low plasma glucose concentration‚ and resolution of symptoms or signs after plasma glucose concentration is raised. Four common causes are: 1.) excess insulin‚ 2.) deficient intake or absorption
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Pharmacology Teaching Plan The patient is a 70 years old man‚ admitted in Clinton Cardiology Center for repeated chest pain‚ fainting‚ hypotension‚ thoracic discomfort and cough‚ which appeared suddenly the same day. The clinical exam showed: cold‚ pale‚ sweated skin‚ dyspnea‚ tachycardia‚ a diastolic murmur in the third intercostal space near the sternum edge‚ a third degree systolic murmur above the lower sternum‚ and a blood pressure of 80/60
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