depends on the underlying cause of the condition. ACTIVITY/REST * May report: Weakness‚ fatigue‚ exhaustion * May exhibit: Lethargy * Decreased muscle mass/tone CIRCULATION * May report: History of/recent onset of heart failure‚ pericarditis‚ rheumatic heart disease‚ or cancer (causing liver impairment leading to failure) * Easy bruising‚ nosebleeds‚ bleeding gums * May exhibit: Hypertension or hypertension (fluid shifts) * Dysrhythmias‚ extra heart sounds (S3‚ S4)
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Cardiovascular Case Study: Atrial Fibrillation and Oral Anticoagulation Scenario You are the nurse working in an anticoagulation clinic. K.N. is a patient who has a longstanding irregularly irregular heartbeat (atrial fi brillation‚ or A-fi b) for which he takes the oral anticoagulant warfarin (Coumadin). Recently‚ K.N. had his mitral heart valve replaced with a mechanical valve. You know that there are different PT/INR (prothrombin time/International Normalized Ratio) goal recommendations based
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MTX Side Effects Applies to methotrexate: compounding powder‚ injectable powder for injection‚ injectable solution‚ oral tablet Hematologic Hematologic side effects have included myelosuppression which is one of the primary toxic effects of methotrexate. Methotrexate suppressed hematopoiesis has been reported to have caused anemia‚ aplastic anemia‚ pancytopenia‚ leukopenia‚ neutropenia‚ thrombocytopenia‚ lymphadenopathy‚ and lymphoproliferative disorders including reversible hypogammaglobulinemia
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MegaCode Case Study Chamberlain College of Nursing Professor Amber Essman Critical Care (NR 340) July 11‚ 2013 MegaCode Case Study 1. Describe the preoperative and postoperative care of a client having PTCA/cardiac cath. What complications can occur post cardiac cath? The goal of PCI (percutaneous Transluminal intervention) is to open the blockage in the coronary artery. By opening the area that is blocked‚ it will help to reperfuse the myocardium. The faster this is done will help
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Nonspecific Defenses (passive immunity) TRUE OR FALSE? _____ 1. The skin is the single most important defense the body has. _____ 2. Sneezing removes pathogens from your nose. _____ 3. Sweat‚ mucus‚ tears‚ and saliva are all types of mechanical barriers used to protect you. _____ 4. The inflammatory response is part of the body’s first line of defense. _____ 5. Leukocytes are white blood cells that fight infections and get rid of debris. _____ 6. Barriers that keep out pathogens are the
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The nurse is performing her admission assessment of a patient. When grading arterial pulses‚ a 1+ pulse indicates: Above normal perfusion. Absent perfusion. Normal perfusion. Diminished perfusion. Murmurs that indicate heart disease are often accompanied by other symptoms such as: Dyspnea on exertion. Subcutaneous emphysema. Thoracic petechiae. Periorbital edema. Which pregnancy-related physiologic change would place the patient with a history of cardiac disease at the greatest risk of
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Management of Patients with Lower Respiratory Problems Chapter 28 Acute Bronchitis An inflammation of the bronchi in the lower respiratory tract Clinical Manifestations Cough‚ Headache‚ Malaise‚ SOB‚ Fever‚ Dyspnea‚ Normal Breath Sounds or Wheezes‚ Chest Pain Nursing Care Supportive i.e. fluids‚ rest‚ cough suppressants‚ bronchodilators‚ inhaled corticosteroids Pneumonia • Acute inflammation of the lung parenchyma Types of Pneumonia • Community Acquired (CAP) – Before hospitalization • Medical
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Case Study Number 2 McKenzie Chavez What is the significance of each of D.W.’s laboratory findings? The tests that were run for the patient D.W. were performed to determine a diagnosis and treatment. Even though the disease systemic lupus erthematosus (SLE) doesn’t have a test that specifically diagnosis this diseases‚ there are test that are run to help with understand contributing factors. The significance of a positive antinuclear antibody (ANA) titer is that 98% of people with systemic
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Leptospirosis: It’s Causes‚ Symptoms‚ Complications‚ Diagnosis‚ Prevention and Treatment. I. Introduction Leptospirosis is a bacterial infection affecting both humans and animals. It is acquired through direct contact with the urine of infected animals or by contact with a urine-contaminated environment such as floodwater‚ soil‚ and plants. The bacteria enter the body through broken skins‚ eyes‚ nose or mouth. As of October 26‚ the Department of Health (DOH) has recorded a total of 2‚158 cases
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Morganella morganii‚ with two subspecies‚ morganii and sibonii. (6) In the late 1930s‚ Morganella morganii was identified as a cause of urinary tract infections and also sepsis‚ pneumonia‚ wound infections‚ musculoskeletal infections‚ CNS infections‚ pericarditis‚ chorioamnionitis‚ endophthalmitis‚ empyema‚ and spontaneous bacterial peritonitis. (7‚ 8) Anecdotal reports of nosocomial infections Le 2 began to appear in the literature in the 1950s and 1960s. (3) Tucci and Isenberg reported a cluster epidemic
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