Patient’s Initials: M.N.M Age: 41 years old Sex: Male Civil Status: Married Medical Diagnosis: CKD Secondary to Uremic Encephalopathy‚ Hypertensive Nephrosclerosis vs. Gouty Neuropathy Attending Physician: Dr. Valdez‚ Dr. Manzon‚ Dr. Ocampo‚ Dr. Concepcion I. CHIEF COMPLAINT - General body weakness - Drowsiness - Pain on knees II. NURSING HISTORY The patient‚ MNM‚ has hypertension for 21 years‚ he’s not taking any medications until year 2008 when he was prescribed Nifedipine
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ibs‚ blood pressure of 150/88 mm Hg and bilateral ankle edema. The possible cause of the the patient’s symptoms include underlying causes like kidney diseases‚ renal ischemia or heart failure‚ obesity or being overweight‚ old age‚ varicosities and tight clothing. b. These are the nursing priorities in the management of the patient’s bilateral ankle edema : • Administer diuretics • Limit fluid intake • Restrict foods rich in sodium • Elevate the patient’s legs without causing pressure • Use compression
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of the antibacterial agents‚ used to treat ulcers in the stomach and the upper part of the small intestine. Purpose The Anti Ulcer Drugs are used as part of the treatment for ulcers. Ulcers are sores or raw areas that form in the lining of the stomach or the duodenum (the upper part of the intestine). Those that form in the stomach are called Gastric Ulcers; in the duodenum‚ they are called Duodenal Ulcers. Both types are referred to as Peptic Ulcers. For a long time‚ physicians thought that
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PDHonline Course C155 (2 PDH) Earth Pressure and Retaining Wall Basics for Non-Geotechnical Engineers Instructor: Richard P. Weber‚ P.E. 2012 PDH Online | PDH Center 5272 Meadow Estates Drive Fairfax‚ VA 22030-6658 Phone & Fax: 703-988-0088 www.PDHonline.org www.PDHcenter.com An Approved Continuing Education Provider www.PDHcenter.com PDH Course C155 www.PDHonline.org Earth Pressure and Retaining Wall Basics for Non-Geotechnical Engineers Richard P. Weber Course Content
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epidermis and the dermis. When pressure is applied to the skin the blood supply is cut off and the tissue becomes damaged. 2. There are three main types of force that cause damage to the skin through pressure. These are: 1. Direct Pressure 2. Shear or shearing force 3. Friction or friction force 3. How long does it take for pressure ulcers to start forming? It is different for each person‚ some are more susceptible than others. Previously people thought that pressure ulcers started forming after two
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increased gastrin Contributes to erosion of mucosa Ulcer formation Gastric ulcer Gastrointestinal bleeding Causes chronic active gastritis Defect in gastrin regulation Increased acid H. pylori responses to increased gastrin Contributes to erosion of mucosa Ulcer formation Gastric ulcer Gastrointestinal bleeding Increased production of lipoproteins Increased production of lipoproteins Increased pressure on the abdomen Increased pressure on the abdomen Necrosis of hepatocyte
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64 year old lady with a history of venous leg ulcers. The identified patient‚ who will be known as Jane to maintain confidentiality (NMC‚ 2008) was chosen due to the high number of patients who have venous leg ulcers that are nursed by community teams. Approximately 1-2% of adults will have a leg ulcer at some point in their lives‚ this figure increases with age to around 3.6% of people over 65 years being affected (Christian‚ 2013). Venous leg ulcers are costly to treat‚ and respond best to early
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2005‚ the Karolinska Institute in Stockholm awarded the Nobel Prize in Physiology or Medicine to Marshall and Robin Warren‚ his long-time collaborator‚ "for their discovery of the bacterium Helicobacter pylori and its role in gastritis and peptic ulcer disease". Marshall also received the Warren Alpert Prize in 1994; the Australian Medical Association Award and the Albert Lasker Award for Clinical Medical Research in 1995; the Gairdner Foundation International Award in 1996; the Paul Ehrlich and
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| 1 | Haile T. Debas‚ Sean J. Mulvihill “Complications of peptic ulcer”. Michael J. Zinner‚ et al. Maingot’s abdominal operations. USA: Prentice Hall International Inc; 1997. 981pp. | 2 | Timothy J. B.‚ Jeffrey B. M. “Ulcer Complications”. Michael J. Zinner‚ et al. Maingot’s Abdominal Operations‚ 11th Edition 2007; McGraw-Hill Companies Inc; 357pp. | 3 | Alan G. Johnson “peptic ulcer – stomach and duodenum”. Peter J. Morris‚ Willim C. Wood. Chapter-23.1 in Oxford text book of surgery
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90% among adult(3) .there is strong relation between H.pylori and a lot of gastro duodenal disorder. It has a rule in developing Acute and chronic gastritis‚ dyspepsia‚ peptic ulcers ‚Atrophic gastritis‚ intestinal metaplasia &and gastric cancer(7) it is an important pathogen in the developing of gastro-duodenal ulcers(8’9) H.pylori triggers lymphoid infiltration and help in formation of Gastric MALT lymphoma(10) ‚ although there is still controversy(11) but some studies shows a strong relation
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