The document describes a case study of a 26-year-old male patient admitted with acute gastroenteritis presenting with abdominal pain, nausea, vomiting and watery stools. It provides background on acute gastroenteritis including common causes, signs and symptoms, and diagnostic tests. It also outlines the patient's history, physical exam findings, laboratory results, treatment including loperamide and hyoscine butylbromide, and nursing care plans to address his pain, fluid deficits, and gastrointestinal symptoms.
GEMC - Abdominal Emergencies- For NursesOpen.Michigan
This is a lecture by Elizabeth Tamm from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
A case study of a woman in a hispanic community who sought healthcare for a Urinary Tract Infection, but it was discovered that she was being seriously sexually abused. How it was handled and difficulties encountered.
Image result for ulcerative colitis
Ulcerative colitis (UL-sur-uh-tiv koe-LIE-tis) is an inflammatory bowel disease (IBD) that causes inflammation and ulcers (sores) in your digestive tract. Ulcerative colitis affects the innermost lining of your large intestine (colon) and rectum. Symptoms usually develop over time, rather than suddenly.
Medical surgical nursing-1 2nd year B.sc nursing blueprint question solution...Pranab Mandal
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
2. INTRODUCTION
Acute Gastroenteritis
Acute Gastroenteritis is inflammation of the
gastrointestinal tract , involving both the
stomach and the small intestine and resulting
in acute diarrhea . The inflammation is caused
most often by infection with certain viruses ,
less often by bacrteria or their toxins , parasites
or adverse reaction to something in the diet or
medication.
3. Different species of bacteria can cause
gastroenteritis, including
Salmonella , Shigella, Staphylococcus,
Campylobacter jejuni, Clostridium, Escherichia
coli, Yersinia , and others.
Each organism causes slightly different sympto
ms but all result in diarrhea. Colitis,
inflammation of the large intestine, may also be
present. Some types of acute gastroenteritis will
not resolve without antibiotic treatment,
especially when bacteria or exposure to
parasites are the cause. Physicians may want to
diagnose the cause by analyzing a stool
sample, when stomach symptoms remain
4. PATIENT’S PROFILE:
Name : A. P.
Age : 26 years old
Sex : Male
Nationality : Indian
Status : Single
Religion : Hindu
Weight : 71Kg.
Date Admitted : 2012/11/18
Chief Complaint: abdominal pains, nausea
and vomiting, watery stools
Admitting Diagnosis: Acute Gastroenteritis
5. PAST HEALTH HISTORY
The patient use to have typical cough, colds
and fever and never had experienced major
illness that required hospitalization. He does
not have any known allergies to food or drugs.
PRESENT HEALTH HISTORY
Two days prior to admission, the patient
experienced persistent loose watery bowel
movement accompanied by vomiting,
abdominal pains and fever.
6. ANATOMY AND PHYSIOLOGY
The human digestive system is a complex
series of organs and glands that processes
food. In order to use the food we eat, our body
has to break the food down into smaller
molecules that it can process; it also has to
excrete waste. Most of the digestive organs
(like the stomach and intestines) are tube-like
and contain the food as it makes its way
through the body. The digestive system is
essentially a long, twisting tube that runs from
the mouth to the anus, plus a few other organs
(like the liver and pancreas) that produce or
store digestive chemicals.
7. The Digestive Process: The start of
the process - the mouth:
The digestive process begins in
the mouth. Food is partly broken
down by the process of chewing
and by the chemical action of
salivary enzymes (these
enzymes are produced by the
salivary glands and break down
starches into smaller molecules).
8. On the way to the stomach: the esophagus
After being chewed and swallowed, the food
enters the esophagus. The esophagus is a
long tube that runs from the mouth to
the stomach. It uses rhythmic, wave-like
muscle movements (called peristalsis) to force
food from the throat into the stomach. This
muscle movement gives us the ability to eat
or drink even when we're upside-down.
9. In the stomach
The stomach is a large, sack-like organ that churns
the food and bathes it in a very strong acid (gastric
acid). Food in the stomach that is partly digested and
mixed with stomach acids is called chyme.
In the small intestine
After being in the stomach, food enters
the duodenum, the first part of the small intestine. It
then enters the jejunum and then the ileum (the final
part of the small intestine). In the small intestine, bile
(produced in the liver and stored in the gall
bladder),pancreatic enzymes, and other digestive
enzymes produced by the inner wall of the small
intestine help in the breakdown of food.
10. In the large intestine
After passing through the small intestine, food
passes into the large intestine. In the large intestine,
some of the water and electrolytes (chemicals like
sodium) are removed from the food. Many microbes
in the large intestine help in the digestion process.
The first part of the large intestine is called the
cecum (the appendix is connected to the cecum).
Food then travels upward in the ascending colon.
The food travels across the abdomen in the
transverse colon, goes back down the other side of
the body in the descending colon, and then through
the sigmoid colon.
11. The end of the process
Solid waste is then stored in the rectum until it
is excreted via the anus.
12. Pathophysiology:
The mechanisms potentially responsible for
viral diarrhea include lysis of enterocytes,
interference with the brush border function that
leads to malabsorption of electrolytes,
stimulation of cyclic adenosine monophosphate
(CAMP), and carbohydrate malabsorption. For
bacterial gastroenteritis, the pathophysiology
involves the elaboration of toxin by
enterotoxigenic pathogens and the invasion
and inflammation of mucosa by invasive
pathogens. Parasitic organisms invade
epithelial cells and cause villus atrophy and
eventual malabsorption.
13. Signs and Symptoms
Low grade fever to 100°F (37.8°C)
Nausea with or without vomiting
Mild to moderate diarrhea
Crampy and painful abdominal bloating
More serious symptoms include:
Blood in vomit or stool
Vomiting more than 48 hours
Fever higher than 40°C
Swollen abdomen or abdominal pain
Dehydration that is manifested by weakness,
light-headedness, decreased and concentrated
urination, dry skin and poor turgor, and dry lips
and mouth
14. Diagnostic Tests:
Blood test
Physical examination to rule other existing
conditions such as appendicitis
20. Nursing implications:
Monitor therapeutic effectiveness.
Discontinue if there is no improvement after 48
hours of therapy for acute diarrhea.
Monitor fluid and electrolyte balance.
Notify physician promptly if the patient
with ulcerativecolitis develops abdominal
distention or other GI symptoms
21. 2. Generic Name: Hyoscine ButylBromide
Brand Name: Buscopan
Classification: Antispasmodic
Uses:
Spastic states and to prevent nausea and
vomiting
22. Adverse Effects:
Overdose may produce temporary paralysis of
ciliary muscle; papillary dilation; tachycardia;
palpitations; hot, dry, or flushed skin; absence
of bowel sounds; hyperthermia; increased
respiratory rate; EKG abnormalities; nausea;
vomiting; rash over face or upper trunk; CNS
stimulations; and psychosis (marked by
agitation, restlessness, rambling speech, visual
hallucinations, paranoid behavior, and
delusions, followed by depression).
23. Nursing implications:
Use cautiously in patients with autonomic
neuropathy, hyperthyroidism, coronary artery
disease, arrhythmias, heart failure,
hypertension, hiatal hernia with reflux
esophagitis, hepatic or renal disease, known
as suspected GI infection, or ulcerative colitis.
Use cautiously in children.
Use cautiously in patients in hot or humid
environments; drug can cause heat
24. Assessment Nursing Planning Interventions Evaluation
Diagnosis
Subjective: Acute After 4 hours of 1. Place patient on After 4 hours of
“My abdomen is pain related nursing a comfortable nursing
very painful!” as to abdominal interventions, position interventions,
the patient will the patient
patient claimed. distension. 2. Monitor and
report a relief reported relief
-with pain scale of from pain as record VS from abdominal
6/10 manifested by a 3.Assess patient’s pains
calm facial level of pain - no facial
Objective: expression. 4. Provide warm grimace
abdominal compress over the - calm facial
cramping abdominal area expression
irritability 5. Administer -Pain scale of
holds medications as 0/10
abdomen ordered
facial grimace
25. Assessment Nursing Planning Interventions Evaluation
Diagnosis
Objective: Deficient fluid After 8 hours of 1. Establish rapport After 8 hours of
passage of loose volume RT excessive nursing 2. Monitor and nursing
watery stool losses through interventions, record VS interventions,
the patient will the patient
nausea normal routes AMB 3.Assess patient’s
report reported
Vomiting frequent passage of understanding of condition understanding of
abdominal loose watery stool causative factors 4. Monitor Input causative factors
cramping for fluid volume & Output balance for fluid volume
Poor skin turgor deficit 5. Maintain deficit
adequate - good skin turgor
weakness hydration,
- no vomiting noted
increase fluid
intake.
6. Provide
frequent oral
care
7. Administer
Intravenous
fluids as
prescribed
8 Restrict solid
food intake, as
indicated