Lisa Hernandez-Case Note- 30.pdf
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Are you a healthcare professional looking to improve your #EnglishWritingSkills? Look no further than #EnglishFaculties' free #OETSampleLetter available online! This valuable resource provides an excellent opportunity to assess your language skills and achieve your #LanguageGoals. Our sample letter has been designed to help healthcare professionals prepare for the #OETExam and is written in accordance with official guidelines. It includes tips and guidance on how to structure your letter, what to include, and how to showcase your language proficiency. Using our #SampleLetter is an excellent way to enhance your #LanguageAssessment and improve your chances of success in your #ProfessionalDevelopment. At #EnglishFaculties, we're dedicated to helping healthcare professionals achieve their language proficiency goals. Our free #OETSampleLetter is just one example of our commitment to providing quality resources to support our learners. Download our #SampleLetter today and start your journey towards improving your #EnglishLanguageSkills! As a healthcare professional, improving your language skills can greatly enhance your #CareerDevelopment opportunities. With English being the most widely spoken language in the healthcare industry, it's essential to have a strong command of the language. Our #OETPreparation course is designed to help you achieve the language proficiency required for success in your career. Join us and become a part of our #LanguageCommunity, where we provide a supportive and inclusive environment for learners to take risks and learn from their mistakes. Our #LanguageSchool offers a range of courses to suit your needs, including group classes and one-on-one lessons. Our #EnglishTeachers are experienced and dedicated to helping you improve your #CommunicationSkills for work, school, or everyday life. With our tailored curriculum, you can be sure you're getting the most out of your #LanguageLearning experience. At #EnglishFaculties, we understand the importance of improving your #EnglishProficiency for #CareerSuccess. Our courses not only enhance your language skills but also provide valuable insights into the healthcare industry. Join us and become a #GlobalCitizen by broadening your horizons and becoming more #Multilingual. In summary, EnglishFaculties provides a range of resources for healthcare professionals to improve their language skills and achieve their language goals. Our #OETSampleLetter is a free and valuable resource that can assist in enhancing your language assessment and chances of success in professional development. Join our #LanguageCommunity today and start your journey towards improving your #EnglishLanguageSkills and becoming a #GlobalCitizen.
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This is a Unfolding Case StudyPatient DetailsPrint Phase In.docx
This is a Unfolding Case Study
Patient Details:
Print Phase Info
|
Case Study History
Name:
James, Karen
Age:
57 Years
Gender:
Female
Karen James is a 57-year-old female who was admitted to the medical-surgical unit from her primary care physician’s office for treatment and evaluation of persistent and worsening influenza. She has a past medical history of asthma as well as depression and anxiety.
You are currently working on Phase 1. You have completed Phase 0 of this scenario.
Patient Details:
Print Phase Info
|
Case Study History
Name:
James, Karen
Age:
57 Years
Gender:
Female
Phase
1,
Wednesday
16:00
You have assumed care for Ms. James who is admitted to the medical-surgical unit for rehydration and management of respiratory distress.
Orient yourself to the patient and health record by locating the following pieces of information within the System Assessment Report and Patient Teaching, and type your answers in a Miscellaneous Nursing Note:
1). Run a report on all the System Assessments documented for the patient in the last 24 hours. You will need to go to Patient Charting > System Assessments > Show Saved Charting. What was documented for the respiratory effort? What was auscultated in the Lower Right Posterior lobe of the lungs? What was documented related to tissue perfusion?
2). What was the last documented temperature for Karen?
3). Does Ms. James use any sensory aides?
4) What does she rate her pain?
5) What is her MORSE Fall Risk Score?
Review the client's History and Physical, what indications can you see place this patient at risk for mobility issues or falls?
[LEARNER ACTION: In a misc nursing note identify risks for mobility and falls. Explain her score on the MORSE scale.]
When you are finished with this task, you may click Complete this Phase.
Patient Information
Chief Informant:
Patient
Chief Complaint:
Shortness of breath, productive cough
History of Current Problem:
Patient states she has had 3-week history of influenza. Has now developed a severe cough approximately 3 days ago with shortness of breath. Unable to sleep due to cough, which often causes bronchospasms. Patient also complains of fever, fatigue, and right-sided chest pain. Seen in urgent care 3 days ago and given Z-pack. No improvement in symptoms.
Allergies:
None known
Family History:
Mother died at age of 72 with breast cancer. Father is alive at the age of 79 and has congestive heart failure.
Past Medical History
Previous Illnesses:
Patient has asthma. Also states she gets bronchitis every 1-2 years.
Contagious Diseases:
None
Injuries or Trauma:
None
Surgical History:
Tonsillectomy and adenoidectomy as a child.
Dietary History:
Regular diet. Patient is 5'1" and 140 pounds. Has recently lost 20 pounds on Weight Watchers diet.
Other:
--
Social History:
No smoking, no drugs. Uses alcohol in social situations.
Current Medications:
Tylenol 650 mg PO every 4 hours PRN pain .
Scenario woman presents with chief complaint of.docx
A 45-year-old woman presented with shortness of breath, cough producing thick green sputum, and fever for 3 days. Her history of COPD resulted in a chronic cough that had worsened, interfering with sleep. A chest X-ray showed a flattened diaphragm and increased diameter, while auscultation found hyper resonance and coarse rales and rhonchi throughout both lungs, indicating an exacerbation of her COPD.
Sarah Wilson Case Note- 28.pdf
Are you a healthcare professional looking to improve your #EnglishWritingSkills? Look no further than #EnglishFaculties' free #OETSampleLetter available online! This valuable resource provides an excellent opportunity to assess your language skills and achieve your #LanguageGoals.
Our sample letter has been designed to help healthcare professionals prepare for the #OETExam and is written in accordance with official guidelines. It includes tips and guidance on how to structure your letter, what to include, and how to showcase your language proficiency. Using our #SampleLetter is an excellent way to enhance your #LanguageAssessment and improve your chances of success in your #ProfessionalDevelopment.
At #EnglishFaculties, we're dedicated to helping healthcare professionals achieve their language proficiency goals. Our free #OETSampleLetter is just one example of our commitment to providing quality resources to support our learners. Download our #SampleLetter today and start your journey towards improving your #EnglishLanguageSkills!
As a healthcare professional, improving your language skills can greatly enhance your #CareerDevelopment opportunities. With English being the most widely spoken language in the healthcare industry, it's essential to have a strong command of the language. Our #OETPreparation course is designed to help you achieve the language proficiency required for success in your career. Join us and become a part of our #LanguageCommunity, where we provide a supportive and inclusive environment for learners to take risks and learn from their mistakes.
Our #LanguageSchool offers a range of courses to suit your needs, including group classes and one-on-one lessons. Our #EnglishTeachers are experienced and dedicated to helping you improve your #CommunicationSkills for work, school, or everyday life. With our tailored curriculum, you can be sure you're getting the most out of your #LanguageLearning experience.
At #EnglishFaculties, we understand the importance of improving your #EnglishProficiency for #CareerSuccess. Our courses not only enhance your language skills but also provide valuable insights into the healthcare industry. Join us and become a #GlobalCitizen by broadening your horizons and becoming more #Multilingual.
In summary, EnglishFaculties provides a range of resources for healthcare professionals to improve their language skills and achieve their language goals. Our #OETSampleLetter is a free and valuable resource that can assist in enhancing your language assessment and chances of success in professional development. Join our #LanguageCommunity today and start your journey towards improving your #EnglishLanguageSkills and becoming a #GlobalCitizen.
Running Head Homework 2 Homework 2 Homework 2.docx
Running Head: Homework 2
Homework 2
Homework 2
Care plan for MI
NUR3125
Fall 2017
This patient is presenting to the emergency with symptoms that indicate a Myocardial Infarction. The patient, who is a 48-year-old man, is stating a 3-day history of sub sternal chest pain that is radiating to his back. The symptoms started up while he was mowing his lawn. He stated the pain has eased up over time. He also reported mild trouble with breathing and some nausea but no vomiting. He exercises daily, but does report that he eats a lot of fast food. His last total cholesterol was 232 mg/dL. He also has a 15-year history of tobacco use and family history of myocardial infarction (MI), specifically his father had an MI at age 54 and his grandfather at age 58. His current blood pressure is elevated at 158/98 and heartrate of 102 bpm, his respiratory rate is currently high at 26 breaths/min and noted mild use of accessory muscles upon examination. Lungs are noted to have slight inspiratory crackles at both lung bases. Jugular venous distention is noted at less than 2cm bilaterally. His lab work reveals an elevated Troponin at 2.9 ng/ml, elevated Creatinine phosphokinase at 141 units/L, and an elevated CK-MB/CK isoenzyme at 2%. Elevated troponin indicates damage to the heart muscle, and the elevated Creatinine phosphokinase and CK-MB/CK isoenzyme along with all these other symptoms and labs indicate a heart attack. ECG is done and shows ST elevation and T wave inversion, also noted with premature ventricular contractions. The lab values and ST elevation point to a Myocardial Infarction and Transmural ischemia that will require immediate attention.
I have chosen three NANDA nursing diagnoses for this patient, with the first one being the priority. The three I choose are:
· Decreased Cardiac Output related to altered heart rate and ischemia as evidenced by ECG showing an ST elevation, elevated Troponin, and patient stating he has had chest pain for three days.
· Acute Pain related to tissue damage in the myocardium from inadequate blood supply as evidenced by elevated troponin labs and patient reporting chest pain that radiates to back for three days.
· Ineffective Health Maintenance related to deficient knowledge about self-care and treatment as evidenced by patient stating he eats fast food often and has had elevated blood pressure and cholesterol at past appointments, and patient admitting to smoking ½ pack of cigarettes daily despite family history of MI.
Care Plan Diagnosis #1 Myocardial Infarction
NANDA Diagnosis 1: Decreased Cardiac Output related to altered heart rate and ischemia as evidenced by ECG showing an ST elevation, elevated Troponin, and patient stating he has had chest pain for three days.
NOC (Nursing Outcome Classification) Label: Tissue Perfusion
Expected Client Outcomes:
1. Patient will demonstrate adequate cardiac output evidenced by blood pressure, heart rate, and heart rhythm within normal pa.
Running Head Comparison and contrast2Comparison and contras.docx
Running Head: Comparison and contrast 2
Comparison and contrast 2
Post Concussive Syndrome and Traumatic Brain Injury
Student’s Name
Instructor Affiliation
Date
Requirements:
Week 2: Case Discussion: Pulmonary Part One
Setting: A free medical clinic that provides health care for the under-insured.
Your next patient, Michelle G., age 40, is a regular of the clinic and the last patient of the day. The chart states she is here for recent episodes of shortness of breath.
You enter the room and Michelle G is dressed in work clothes, standing up looking at a health poster on the wall. You introduce yourself and ask her what brings her to the clinic today. "I think I may have a cold. I've been having a hard time breathing on and off lately."
HPI: "I notice I'm short of breath mostly at work but by the time I get home feel fine. No episodes of shortness of breath on the weekends that I can recall. But a few hours back at work and I start to feel like I cannot catch my breath again. A few months ago this happened and it was so bad I left work and went to urgent care where they gave me a breathing treatment of some kind and sent me home on an antibiotic. I would like you to give me another antibiotic. She denies sputum. No new allergy triggers noted. She denies heartburn.
PMHx: Michelle G. reports her overall health as good.
Childhood/previous illnesses: eczema as a child
Chronic illnesses: Has seasonal allergies, spring is her worst season. Was seen by an allergy specialist ten years ago, Took allergy shots for five years with great results, now only takes Zyrtec when needed.
Surgeries: Cholecystectomy
Hospitalizations: childbirth x 3.
Immunizations: up-to-date on all vaccinations.
Allergies: Strawberries-Rash; erythromycin- severe GI upset.
Blood transfusions: none
Drinks alcohol socially, smoked 1 pack per week for 3 years in her 20's. Denies illicit drug use.
Sleeps 6 to 7 hours a night. Exercises four to five days per week.
Current medications: Multivitamin, Zyrtec
Social History: Married, lives with husband and 3 children. Worked in advertising up until 18 months ago when she got laid off. In order to help with the household finances she took a job as a Baker's assistant at an Artisan Bread Bakery. She arrives at 4 a.m. every morning to begin baking breads/pastries for the day.
Family History: Children are healthy- daughter currently has a sinus infection. Parents are deceased. Mother at age 80 from congestive heart failure. Father died at age 82 from lung cancer, diagnosed when metastasized to brain. PGM: died from unknown causes, PGF: Stroke at age 82. MGM: died at 83, had HTN, atherosclerosis and many heart attacks. PGF: died at 71 from complications of COPD.
PE: Height 5'10", Weight 140 pounds
Vital signs : BP 130/70, T 98.0, P 75, R 18 Sao2 98% on RA
General: 40-year-old Caucasian female appears stated age in no apparent distress. Alert, oriented, and cooperative. Able to speak in full sentences and does ...
45-year-old woman presents with chief complaint of 3-day duration of.docx
45-year-old woman presents with chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields.
In your Case Study Analysis related to the scenario provided, explain the following
· The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
· Any racial/ethnic variables that may impact physiological functioning.
· How these processes interact to affect the patient.
Must have 3 or more scholarly reference APA
.
Approach to Cough And Hemoptysis (Medicine)
Cough Physiology, mechanism. Approach to cough. Acute vs chronic cough. Types of cough. Sputum Color, History and Examination. Hemoptysis Physiology, common causes. Hemoptysis vs Hematemesis. Case scenarios. Cardiac vs Respiratory cause of cough
Recommended
This is a Unfolding Case StudyPatient DetailsPrint Phase In.docx
This is a Unfolding Case Study
Patient Details:
Print Phase Info
|
Case Study History
Name:
James, Karen
Age:
57 Years
Gender:
Female
Karen James is a 57-year-old female who was admitted to the medical-surgical unit from her primary care physician’s office for treatment and evaluation of persistent and worsening influenza. She has a past medical history of asthma as well as depression and anxiety.
You are currently working on Phase 1. You have completed Phase 0 of this scenario.
Patient Details:
Print Phase Info
|
Case Study History
Name:
James, Karen
Age:
57 Years
Gender:
Female
Phase
1,
Wednesday
16:00
You have assumed care for Ms. James who is admitted to the medical-surgical unit for rehydration and management of respiratory distress.
Orient yourself to the patient and health record by locating the following pieces of information within the System Assessment Report and Patient Teaching, and type your answers in a Miscellaneous Nursing Note:
1). Run a report on all the System Assessments documented for the patient in the last 24 hours. You will need to go to Patient Charting > System Assessments > Show Saved Charting. What was documented for the respiratory effort? What was auscultated in the Lower Right Posterior lobe of the lungs? What was documented related to tissue perfusion?
2). What was the last documented temperature for Karen?
3). Does Ms. James use any sensory aides?
4) What does she rate her pain?
5) What is her MORSE Fall Risk Score?
Review the client's History and Physical, what indications can you see place this patient at risk for mobility issues or falls?
[LEARNER ACTION: In a misc nursing note identify risks for mobility and falls. Explain her score on the MORSE scale.]
When you are finished with this task, you may click Complete this Phase.
Patient Information
Chief Informant:
Patient
Chief Complaint:
Shortness of breath, productive cough
History of Current Problem:
Patient states she has had 3-week history of influenza. Has now developed a severe cough approximately 3 days ago with shortness of breath. Unable to sleep due to cough, which often causes bronchospasms. Patient also complains of fever, fatigue, and right-sided chest pain. Seen in urgent care 3 days ago and given Z-pack. No improvement in symptoms.
Allergies:
None known
Family History:
Mother died at age of 72 with breast cancer. Father is alive at the age of 79 and has congestive heart failure.
Past Medical History
Previous Illnesses:
Patient has asthma. Also states she gets bronchitis every 1-2 years.
Contagious Diseases:
None
Injuries or Trauma:
None
Surgical History:
Tonsillectomy and adenoidectomy as a child.
Dietary History:
Regular diet. Patient is 5'1" and 140 pounds. Has recently lost 20 pounds on Weight Watchers diet.
Other:
--
Social History:
No smoking, no drugs. Uses alcohol in social situations.
Current Medications:
Tylenol 650 mg PO every 4 hours PRN pain .
Scenario woman presents with chief complaint of.docx
A 45-year-old woman presented with shortness of breath, cough producing thick green sputum, and fever for 3 days. Her history of COPD resulted in a chronic cough that had worsened, interfering with sleep. A chest X-ray showed a flattened diaphragm and increased diameter, while auscultation found hyper resonance and coarse rales and rhonchi throughout both lungs, indicating an exacerbation of her COPD.
Sarah Wilson Case Note- 28.pdf
Are you a healthcare professional looking to improve your #EnglishWritingSkills? Look no further than #EnglishFaculties' free #OETSampleLetter available online! This valuable resource provides an excellent opportunity to assess your language skills and achieve your #LanguageGoals.
Our sample letter has been designed to help healthcare professionals prepare for the #OETExam and is written in accordance with official guidelines. It includes tips and guidance on how to structure your letter, what to include, and how to showcase your language proficiency. Using our #SampleLetter is an excellent way to enhance your #LanguageAssessment and improve your chances of success in your #ProfessionalDevelopment.
At #EnglishFaculties, we're dedicated to helping healthcare professionals achieve their language proficiency goals. Our free #OETSampleLetter is just one example of our commitment to providing quality resources to support our learners. Download our #SampleLetter today and start your journey towards improving your #EnglishLanguageSkills!
As a healthcare professional, improving your language skills can greatly enhance your #CareerDevelopment opportunities. With English being the most widely spoken language in the healthcare industry, it's essential to have a strong command of the language. Our #OETPreparation course is designed to help you achieve the language proficiency required for success in your career. Join us and become a part of our #LanguageCommunity, where we provide a supportive and inclusive environment for learners to take risks and learn from their mistakes.
Our #LanguageSchool offers a range of courses to suit your needs, including group classes and one-on-one lessons. Our #EnglishTeachers are experienced and dedicated to helping you improve your #CommunicationSkills for work, school, or everyday life. With our tailored curriculum, you can be sure you're getting the most out of your #LanguageLearning experience.
At #EnglishFaculties, we understand the importance of improving your #EnglishProficiency for #CareerSuccess. Our courses not only enhance your language skills but also provide valuable insights into the healthcare industry. Join us and become a #GlobalCitizen by broadening your horizons and becoming more #Multilingual.
In summary, EnglishFaculties provides a range of resources for healthcare professionals to improve their language skills and achieve their language goals. Our #OETSampleLetter is a free and valuable resource that can assist in enhancing your language assessment and chances of success in professional development. Join our #LanguageCommunity today and start your journey towards improving your #EnglishLanguageSkills and becoming a #GlobalCitizen.
Running Head Homework 2 Homework 2 Homework 2.docx
Running Head: Homework 2
Homework 2
Homework 2
Care plan for MI
NUR3125
Fall 2017
This patient is presenting to the emergency with symptoms that indicate a Myocardial Infarction. The patient, who is a 48-year-old man, is stating a 3-day history of sub sternal chest pain that is radiating to his back. The symptoms started up while he was mowing his lawn. He stated the pain has eased up over time. He also reported mild trouble with breathing and some nausea but no vomiting. He exercises daily, but does report that he eats a lot of fast food. His last total cholesterol was 232 mg/dL. He also has a 15-year history of tobacco use and family history of myocardial infarction (MI), specifically his father had an MI at age 54 and his grandfather at age 58. His current blood pressure is elevated at 158/98 and heartrate of 102 bpm, his respiratory rate is currently high at 26 breaths/min and noted mild use of accessory muscles upon examination. Lungs are noted to have slight inspiratory crackles at both lung bases. Jugular venous distention is noted at less than 2cm bilaterally. His lab work reveals an elevated Troponin at 2.9 ng/ml, elevated Creatinine phosphokinase at 141 units/L, and an elevated CK-MB/CK isoenzyme at 2%. Elevated troponin indicates damage to the heart muscle, and the elevated Creatinine phosphokinase and CK-MB/CK isoenzyme along with all these other symptoms and labs indicate a heart attack. ECG is done and shows ST elevation and T wave inversion, also noted with premature ventricular contractions. The lab values and ST elevation point to a Myocardial Infarction and Transmural ischemia that will require immediate attention.
I have chosen three NANDA nursing diagnoses for this patient, with the first one being the priority. The three I choose are:
· Decreased Cardiac Output related to altered heart rate and ischemia as evidenced by ECG showing an ST elevation, elevated Troponin, and patient stating he has had chest pain for three days.
· Acute Pain related to tissue damage in the myocardium from inadequate blood supply as evidenced by elevated troponin labs and patient reporting chest pain that radiates to back for three days.
· Ineffective Health Maintenance related to deficient knowledge about self-care and treatment as evidenced by patient stating he eats fast food often and has had elevated blood pressure and cholesterol at past appointments, and patient admitting to smoking ½ pack of cigarettes daily despite family history of MI.
Care Plan Diagnosis #1 Myocardial Infarction
NANDA Diagnosis 1: Decreased Cardiac Output related to altered heart rate and ischemia as evidenced by ECG showing an ST elevation, elevated Troponin, and patient stating he has had chest pain for three days.
NOC (Nursing Outcome Classification) Label: Tissue Perfusion
Expected Client Outcomes:
1. Patient will demonstrate adequate cardiac output evidenced by blood pressure, heart rate, and heart rhythm within normal pa.
Running Head Comparison and contrast2Comparison and contras.docx
Running Head: Comparison and contrast 2
Comparison and contrast 2
Post Concussive Syndrome and Traumatic Brain Injury
Student’s Name
Instructor Affiliation
Date
Requirements:
Week 2: Case Discussion: Pulmonary Part One
Setting: A free medical clinic that provides health care for the under-insured.
Your next patient, Michelle G., age 40, is a regular of the clinic and the last patient of the day. The chart states she is here for recent episodes of shortness of breath.
You enter the room and Michelle G is dressed in work clothes, standing up looking at a health poster on the wall. You introduce yourself and ask her what brings her to the clinic today. "I think I may have a cold. I've been having a hard time breathing on and off lately."
HPI: "I notice I'm short of breath mostly at work but by the time I get home feel fine. No episodes of shortness of breath on the weekends that I can recall. But a few hours back at work and I start to feel like I cannot catch my breath again. A few months ago this happened and it was so bad I left work and went to urgent care where they gave me a breathing treatment of some kind and sent me home on an antibiotic. I would like you to give me another antibiotic. She denies sputum. No new allergy triggers noted. She denies heartburn.
PMHx: Michelle G. reports her overall health as good.
Childhood/previous illnesses: eczema as a child
Chronic illnesses: Has seasonal allergies, spring is her worst season. Was seen by an allergy specialist ten years ago, Took allergy shots for five years with great results, now only takes Zyrtec when needed.
Surgeries: Cholecystectomy
Hospitalizations: childbirth x 3.
Immunizations: up-to-date on all vaccinations.
Allergies: Strawberries-Rash; erythromycin- severe GI upset.
Blood transfusions: none
Drinks alcohol socially, smoked 1 pack per week for 3 years in her 20's. Denies illicit drug use.
Sleeps 6 to 7 hours a night. Exercises four to five days per week.
Current medications: Multivitamin, Zyrtec
Social History: Married, lives with husband and 3 children. Worked in advertising up until 18 months ago when she got laid off. In order to help with the household finances she took a job as a Baker's assistant at an Artisan Bread Bakery. She arrives at 4 a.m. every morning to begin baking breads/pastries for the day.
Family History: Children are healthy- daughter currently has a sinus infection. Parents are deceased. Mother at age 80 from congestive heart failure. Father died at age 82 from lung cancer, diagnosed when metastasized to brain. PGM: died from unknown causes, PGF: Stroke at age 82. MGM: died at 83, had HTN, atherosclerosis and many heart attacks. PGF: died at 71 from complications of COPD.
PE: Height 5'10", Weight 140 pounds
Vital signs : BP 130/70, T 98.0, P 75, R 18 Sao2 98% on RA
General: 40-year-old Caucasian female appears stated age in no apparent distress. Alert, oriented, and cooperative. Able to speak in full sentences and does ...
45-year-old woman presents with chief complaint of 3-day duration of.docx
45-year-old woman presents with chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields.
In your Case Study Analysis related to the scenario provided, explain the following
· The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
· Any racial/ethnic variables that may impact physiological functioning.
· How these processes interact to affect the patient.
Must have 3 or more scholarly reference APA
.
Approach to Cough And Hemoptysis (Medicine)
Cough Physiology, mechanism. Approach to cough. Acute vs chronic cough. Types of cough. Sputum Color, History and Examination. Hemoptysis Physiology, common causes. Hemoptysis vs Hematemesis. Case scenarios. Cardiac vs Respiratory cause of cough
SGD Respiratory Case 1.pptx
Mr. AA, a 41-year-old male street vendor, presented with increasing difficulty breathing. His medical history included COPD and smoking. On examination, he was tachycardic, tachypneic, and hypoxic. Diagnostics showed bilateral pulmonary infiltrates and a positive COVID-19 test. He was diagnosed with acute respiratory distress syndrome secondary to COVID-19 infection, exacerbating his COPD. The case highlights the respiratory complications and management of COVID-19, especially in high-risk patients with underlying lung disease.
Case study45-year-old woman presents with chief complaint of 3-.docx
Case study:
45-year-old woman presents with chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields.
An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these two systems work so closely together. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other.
Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.
An understanding of the symptoms of alterations in cardiovascular and respiratory systems is a critical step in diagnosis and treatment of many diseases. For APRNs this understanding can also help educate patients and guide them through their treatment plans.
In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.
Assignment (1- to 2-page case study analysis)
In your Case Study Analysis related to the scenario provided, explain the following
The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
Any racial/ethnic variables that may impact physiological functioning.
How these processes interact to affect the patient.
.
Scenario 45-year-old woman presents with chief complaint of 3-day.docx
Scenario:
45-year-old woman presents with chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields.
In your Case Study Analysis related to the scenario provided, explain the following
The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
Any racial/ethnic variables that may impact physiological functioning.
How these processes interact to affect the patient.
- Must have 3 references
- APA format
- No plagiarism
.
Assessing the and Peripheral Vascular System.docx
This document discusses a patient presenting with shortness of breath, cough, and fever. On examination, the patient has diminished breath sounds and rales. A chest x-ray shows an infiltrate in the right middle lobe. Potential diagnoses discussed include pneumonia, myocardial infarction, pulmonary embolism, congestive heart failure, and asthma. Pneumonia is considered the most likely based on symptoms and exam findings. References from 2013-2018 are provided to support the different diagnoses.
Evaluate the Health History and Medical Information for Mrs. J.,.docx
Evaluate the Health History and Medical Information for Mrs. J., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.
Subjective Data
1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is "running away."
4. Reports that she is exhausted and cannot eat or drink by herself.
Objective Data
1. Height 175 cm; Weight 95.5kg.
2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
Intervention
The following medications administered through drug therapy control her symptoms:
1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)
5. Inhaled short-acting bronchodilator (ProAir HFA)
6. Inhaled corticosteroid (Flovent HFA)
7. Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mrs. J.'s situation. Include the following:
1. Describe the clinical manifestations present in Mrs. J.
2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the inte.
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: August Cases
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
- Pneumatocele
- Croup
- Pulmonary Contusion
- Blast Injury
- Bowel Obstruction
- Lobar Pneumonia
- Cavitary Lung Lesions
- Ileus
- Malposition of Central Line
Thyroid Swelling: A practical guide on writing and presenting a clinical case
Every book tells us how to examine and what to examine in a clinical case. But, no book tells us exactly how to write a sheet and how to word the case. Here is a practical example ! Hope it helps!
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery: February Cases
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including:
• Myocarditis
• Pulmonary Contusions
• Clavicle Fracture
• Pneumonia
• Acute Chest Syndrome
• Pleural Effusion
case study mrs j second.docx
Mrs. J is a 63-year-old woman admitted to the ICU for acute decompensated heart failure and acute exacerbation of COPD. She has a history of hypertension, chronic heart failure, and COPD, but continues to smoke two packs a day. Upon admission, she displayed symptoms of fever, productive cough, nausea, malaise, inability to perform ADLs, and difficulty breathing. Interventions included IV medications to control heart failure and COPD symptoms, oxygen, and inhaled bronchodilators and corticosteroids. The critical thinking essay assignment requires evaluating Mrs. J's situation and the appropriateness of interventions, discussing conditions that can lead to heart failure, recommending nursing interventions for multiple
case study mrs j second.docx
Mrs. J is a 63-year-old woman admitted to the ICU for acute decompensated heart failure and acute exacerbation of COPD. She has a history of hypertension, chronic heart failure, and COPD, but continues to smoke two packs a day. Upon admission, she displayed symptoms of fever, productive cough, nausea, malaise, inability to perform ADLs, and difficulty breathing. Interventions included IV medications to control heart failure and COPD symptoms, oxygen, and inhaled bronchodilators and corticosteroids. A critical thinking essay is required to evaluate Mrs. J's situation and the appropriateness of interventions, discuss conditions leading to heart failure, recommend nursing interventions for multiple drug interactions
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery December Cases
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including:
• Esophageal foreign body
• Mucus plugging
• Pneumonia
• Atelectasis
• Bronchiolitis
• E-cigarette vaping associated lung injury (EVALI)
1683395153169Final cme bronchiectasis.pptx
This patient presented with a history of progressive shortness of breath, cough with sputum production, and hemoptysis. Investigations revealed bronchiectasis involving the right lung with tram track appearance on HRCT. The patient was scheduled for a right pneumonectomy. Key preoperative evaluations included pulmonary function tests to assess lung function and reserve, echocardiography to rule out pulmonary hypertension, and optimization of any underlying infections or comorbidities prior to the major lung resection surgery.
Bilateral Pulmonary Hydatid Cysts with Ruptured & Infected Hydatid Cyst of Le...
A 42-year-old woman presented with a 22-day history of cough, fever, and chest pain. She had undergone surgery two years prior for bilateral pulmonary hydatid cysts. On examination, she had decreased breath sounds and crepitations in her left lung. Imaging showed opacities in her right lung from her prior surgery. She was diagnosed with a ruptured hydatid cyst in her left lung. She underwent VATS surgery to remove the cyst that was converted to open surgery due to adhesions. Histopathology confirmed the diagnosis of hydatid cyst. She recovered well after the operation.
Tanija & Muaz case presentation.pptx
1. The patient, Poli Ahmed, presented with irregular menstruation 2-3 times per month for 4 months with severe abdominal pain and excessive bleeding.
2. On examination, she appeared ill and anemic. Abdominal and systemic examinations were otherwise normal.
3. Based on her history and examination, she received a provisional diagnosis of dysfunctional uterine bleeding due to an unknown etiology.
4. She underwent a total abdominal hysterectomy and was diagnosed with dysfunctional uterine bleeding upon histopathology.
Assessment
This document outlines the key areas a nurse should assess when evaluating a patient with potential lung cancer. The nurse should obtain information on the patient's history of carcinogen exposure, pre-existing lung conditions, family cancer history, current medications, and symptoms. A thorough physical exam is also needed to check for signs of lung cancer and metastasis. The nurse must assess respiratory symptoms, as well as general symptoms like weight loss. It is important to evaluate the patient's heart and support system. The nurse should ensure the patient understands their diagnosis and upcoming tests/treatments.
CNA255 Scenario 1- Ms Nancy Huang Consider the patient situatio.docx
CNA255: Scenario 1- Ms Nancy Huang
Consider the patient situation
Ms Nancy Huang is a 29 year old university student undertaking her honours year in physics. Nancy was diagnosed as a type 1 diabetic three years ago. She normally manages her diabetes reasonably well since making a number of lifestyle changes combined with regular insulin. Nancy has been very stressed, as she has not been able to finish her thesis on time due to having to recently return to China unexpectedly to attend a family funeral. Since returning a few days ago, she has seen her GP, as she was unwell, and was diagnosed with a viral chest infection that was managed conservatively. She subsequently fell further behind in her studies. Nancy decided to pull a few ‘all-nighters’ to get her thesis finished and decided to consume excessive amounts of coffee and soft drinks in order to stay awake to finish her thesis. The next day her husband noticed Nancy was particularly irritable and becoming emotional as she could not concentrate on finishing her thesis. Nancy was insisting on being driven to the university to speak to her lecturer. On the drive in, they had to stop 4 times for Nancy to use the bathroom. She became even more irritable and her husband decided to call an ambulance once they arrived at the university, who then transported her to hospital. The time is now 1400 and Nancy has just been admitted into the emergency bay. You are the first RN to assess her. She is awaiting medical review.
Collect Cues
Review:
See available patient information via MyLO. Little documentation available at this point as newly admitted.
Gather new information (patient assessment):
Upon undertaking a further assessment of Ms Huang you obtain the following new information:
Log book
Her husband provides you with a logbook that was provided to Nancy by her endocrinologist. It shows that Nancy has been diligently recording her BGL levels and insulin regime for some months. You note there are no entries for the last few days.
Vital signs
BP: 90/50
HR: 120 beats per minute
Sp02: 94%
RR: 20, coarse air entry, moist productive cough.
Temp: 37.9 degrees.
Other information
Patient irritable and agitated. Speaking in a confused mixture of English and Mandarin. Husband in attendance.
GCS 13 (confused)
BGL 24
Poor skin turgor.
Frequent urination
Urinalysis positive for glycosuria, specific gravity 1.030. No ketones present.
Soft abdomen, no rebound tenderness. Bowel sounds present.
Recall:
Recall and apply your existing knowledge to the above situation to ensure you have a broad understanding of what is/may be occurring before proceeding with the rest of the cycle (self-directed)
Process Information
Interpret:
List the data that you consider to be normal/abnormal below (not included in word count)
Normal
Abnormal
Relate & Infer:
· Relate the two most significant abnormal findings to the underlying physiology/pathophysiology to justify why it is considered abnormal in this c.
DTP ward presentation ppt for students .pptx
This document summarizes the care of a 56-year-old female patient admitted with an acute exacerbation of bronchioectasis, known bronchial asthma, and cor pulmonale. The patient was given ceftazidime, vancomycin without an initial loading dose, salbutamol, and supplemental oxygen. The pharmacist identified the absence of a vancomycin loading dose as a drug therapy problem and recommended administering a loading dose to achieve therapeutic concentrations. The care plan involves monitoring the patient and assessing response to treatment.
Mitral Stenosis and Anaesthetic Management
Mitral Stenosis and its Anaesthetic management, in asymptomatic, symptomatic, severe patients. In pregnancy and post valve repair patient.
It is necessary for an RN-BSN-prepared nurse to demonstrate an e.docx
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mrs. J., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.
Subjective Data
Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is "running away."
Reports that she is exhausted and cannot eat or drink by herself.
Objective Data
Height 175 cm; Weight 95.5kg.
Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
Intervention
The following medications administered through drug therapy control her symptoms:
IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
Inhaled short-acting bronchodilator (ProAir HFA)
Inhaled corticosteroid (Flovent HFA)
Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mrs. J.'s situation. Include the following:
Describe the clinical manifestations present in Mrs. J.
Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
Taking into consideration the fact that most mature adults take at least six pre.
Central seminar of Mitral Stenosis
The document presents the case of a 20-year-old female admitted with shortness of breath and palpitations. On examination, she was found to have signs of mitral stenosis, pulmonary hypertension, and tricuspid regurgitation. Based on her history and examination findings, the clinical diagnosis was determined to be mitral stenosis and pulmonary hypertension with tricuspid regurgitation likely of rheumatic origin.
A Survey of Techniques for Maximizing LLM Performance.pptx
A Survey of Techniques for Maximizing LLM Performance
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
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SGD Respiratory Case 1.pptx
Mr. AA, a 41-year-old male street vendor, presented with increasing difficulty breathing. His medical history included COPD and smoking. On examination, he was tachycardic, tachypneic, and hypoxic. Diagnostics showed bilateral pulmonary infiltrates and a positive COVID-19 test. He was diagnosed with acute respiratory distress syndrome secondary to COVID-19 infection, exacerbating his COPD. The case highlights the respiratory complications and management of COVID-19, especially in high-risk patients with underlying lung disease.
Case study45-year-old woman presents with chief complaint of 3-.docx
Case study:
45-year-old woman presents with chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields.
An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these two systems work so closely together. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other.
Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.
An understanding of the symptoms of alterations in cardiovascular and respiratory systems is a critical step in diagnosis and treatment of many diseases. For APRNs this understanding can also help educate patients and guide them through their treatment plans.
In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.
Assignment (1- to 2-page case study analysis)
In your Case Study Analysis related to the scenario provided, explain the following
The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
Any racial/ethnic variables that may impact physiological functioning.
How these processes interact to affect the patient.
.
Scenario 45-year-old woman presents with chief complaint of 3-day.docx
Scenario:
45-year-old woman presents with chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields.
In your Case Study Analysis related to the scenario provided, explain the following
The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
Any racial/ethnic variables that may impact physiological functioning.
How these processes interact to affect the patient.
- Must have 3 references
- APA format
- No plagiarism
.
Assessing the and Peripheral Vascular System.docx
This document discusses a patient presenting with shortness of breath, cough, and fever. On examination, the patient has diminished breath sounds and rales. A chest x-ray shows an infiltrate in the right middle lobe. Potential diagnoses discussed include pneumonia, myocardial infarction, pulmonary embolism, congestive heart failure, and asthma. Pneumonia is considered the most likely based on symptoms and exam findings. References from 2013-2018 are provided to support the different diagnoses.
Evaluate the Health History and Medical Information for Mrs. J.,.docx
Evaluate the Health History and Medical Information for Mrs. J., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.
Subjective Data
1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is "running away."
4. Reports that she is exhausted and cannot eat or drink by herself.
Objective Data
1. Height 175 cm; Weight 95.5kg.
2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
Intervention
The following medications administered through drug therapy control her symptoms:
1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)
5. Inhaled short-acting bronchodilator (ProAir HFA)
6. Inhaled corticosteroid (Flovent HFA)
7. Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mrs. J.'s situation. Include the following:
1. Describe the clinical manifestations present in Mrs. J.
2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the inte.
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: August Cases
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
- Pneumatocele
- Croup
- Pulmonary Contusion
- Blast Injury
- Bowel Obstruction
- Lobar Pneumonia
- Cavitary Lung Lesions
- Ileus
- Malposition of Central Line
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Every book tells us how to examine and what to examine in a clinical case. But, no book tells us exactly how to write a sheet and how to word the case. Here is a practical example ! Hope it helps!
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Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including:
• Myocarditis
• Pulmonary Contusions
• Clavicle Fracture
• Pneumonia
• Acute Chest Syndrome
• Pleural Effusion
case study mrs j second.docx
Mrs. J is a 63-year-old woman admitted to the ICU for acute decompensated heart failure and acute exacerbation of COPD. She has a history of hypertension, chronic heart failure, and COPD, but continues to smoke two packs a day. Upon admission, she displayed symptoms of fever, productive cough, nausea, malaise, inability to perform ADLs, and difficulty breathing. Interventions included IV medications to control heart failure and COPD symptoms, oxygen, and inhaled bronchodilators and corticosteroids. The critical thinking essay assignment requires evaluating Mrs. J's situation and the appropriateness of interventions, discussing conditions that can lead to heart failure, recommending nursing interventions for multiple
case study mrs j second.docx
Mrs. J is a 63-year-old woman admitted to the ICU for acute decompensated heart failure and acute exacerbation of COPD. She has a history of hypertension, chronic heart failure, and COPD, but continues to smoke two packs a day. Upon admission, she displayed symptoms of fever, productive cough, nausea, malaise, inability to perform ADLs, and difficulty breathing. Interventions included IV medications to control heart failure and COPD symptoms, oxygen, and inhaled bronchodilators and corticosteroids. A critical thinking essay is required to evaluate Mrs. J's situation and the appropriateness of interventions, discuss conditions leading to heart failure, recommend nursing interventions for multiple drug interactions
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery December Cases
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including:
• Esophageal foreign body
• Mucus plugging
• Pneumonia
• Atelectasis
• Bronchiolitis
• E-cigarette vaping associated lung injury (EVALI)
1683395153169Final cme bronchiectasis.pptx
This patient presented with a history of progressive shortness of breath, cough with sputum production, and hemoptysis. Investigations revealed bronchiectasis involving the right lung with tram track appearance on HRCT. The patient was scheduled for a right pneumonectomy. Key preoperative evaluations included pulmonary function tests to assess lung function and reserve, echocardiography to rule out pulmonary hypertension, and optimization of any underlying infections or comorbidities prior to the major lung resection surgery.
Bilateral Pulmonary Hydatid Cysts with Ruptured & Infected Hydatid Cyst of Le...
A 42-year-old woman presented with a 22-day history of cough, fever, and chest pain. She had undergone surgery two years prior for bilateral pulmonary hydatid cysts. On examination, she had decreased breath sounds and crepitations in her left lung. Imaging showed opacities in her right lung from her prior surgery. She was diagnosed with a ruptured hydatid cyst in her left lung. She underwent VATS surgery to remove the cyst that was converted to open surgery due to adhesions. Histopathology confirmed the diagnosis of hydatid cyst. She recovered well after the operation.
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2. On examination, she appeared ill and anemic. Abdominal and systemic examinations were otherwise normal.
3. Based on her history and examination, she received a provisional diagnosis of dysfunctional uterine bleeding due to an unknown etiology.
4. She underwent a total abdominal hysterectomy and was diagnosed with dysfunctional uterine bleeding upon histopathology.
Assessment
This document outlines the key areas a nurse should assess when evaluating a patient with potential lung cancer. The nurse should obtain information on the patient's history of carcinogen exposure, pre-existing lung conditions, family cancer history, current medications, and symptoms. A thorough physical exam is also needed to check for signs of lung cancer and metastasis. The nurse must assess respiratory symptoms, as well as general symptoms like weight loss. It is important to evaluate the patient's heart and support system. The nurse should ensure the patient understands their diagnosis and upcoming tests/treatments.
CNA255 Scenario 1- Ms Nancy Huang Consider the patient situatio.docx
CNA255: Scenario 1- Ms Nancy Huang
Consider the patient situation
Ms Nancy Huang is a 29 year old university student undertaking her honours year in physics. Nancy was diagnosed as a type 1 diabetic three years ago. She normally manages her diabetes reasonably well since making a number of lifestyle changes combined with regular insulin. Nancy has been very stressed, as she has not been able to finish her thesis on time due to having to recently return to China unexpectedly to attend a family funeral. Since returning a few days ago, she has seen her GP, as she was unwell, and was diagnosed with a viral chest infection that was managed conservatively. She subsequently fell further behind in her studies. Nancy decided to pull a few ‘all-nighters’ to get her thesis finished and decided to consume excessive amounts of coffee and soft drinks in order to stay awake to finish her thesis. The next day her husband noticed Nancy was particularly irritable and becoming emotional as she could not concentrate on finishing her thesis. Nancy was insisting on being driven to the university to speak to her lecturer. On the drive in, they had to stop 4 times for Nancy to use the bathroom. She became even more irritable and her husband decided to call an ambulance once they arrived at the university, who then transported her to hospital. The time is now 1400 and Nancy has just been admitted into the emergency bay. You are the first RN to assess her. She is awaiting medical review.
Collect Cues
Review:
See available patient information via MyLO. Little documentation available at this point as newly admitted.
Gather new information (patient assessment):
Upon undertaking a further assessment of Ms Huang you obtain the following new information:
Log book
Her husband provides you with a logbook that was provided to Nancy by her endocrinologist. It shows that Nancy has been diligently recording her BGL levels and insulin regime for some months. You note there are no entries for the last few days.
Vital signs
BP: 90/50
HR: 120 beats per minute
Sp02: 94%
RR: 20, coarse air entry, moist productive cough.
Temp: 37.9 degrees.
Other information
Patient irritable and agitated. Speaking in a confused mixture of English and Mandarin. Husband in attendance.
GCS 13 (confused)
BGL 24
Poor skin turgor.
Frequent urination
Urinalysis positive for glycosuria, specific gravity 1.030. No ketones present.
Soft abdomen, no rebound tenderness. Bowel sounds present.
Recall:
Recall and apply your existing knowledge to the above situation to ensure you have a broad understanding of what is/may be occurring before proceeding with the rest of the cycle (self-directed)
Process Information
Interpret:
List the data that you consider to be normal/abnormal below (not included in word count)
Normal
Abnormal
Relate & Infer:
· Relate the two most significant abnormal findings to the underlying physiology/pathophysiology to justify why it is considered abnormal in this c.
DTP ward presentation ppt for students .pptx
This document summarizes the care of a 56-year-old female patient admitted with an acute exacerbation of bronchioectasis, known bronchial asthma, and cor pulmonale. The patient was given ceftazidime, vancomycin without an initial loading dose, salbutamol, and supplemental oxygen. The pharmacist identified the absence of a vancomycin loading dose as a drug therapy problem and recommended administering a loading dose to achieve therapeutic concentrations. The care plan involves monitoring the patient and assessing response to treatment.
Mitral Stenosis and Anaesthetic Management
Mitral Stenosis and its Anaesthetic management, in asymptomatic, symptomatic, severe patients. In pregnancy and post valve repair patient.
It is necessary for an RN-BSN-prepared nurse to demonstrate an e.docx
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mrs. J., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.
Subjective Data
Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is "running away."
Reports that she is exhausted and cannot eat or drink by herself.
Objective Data
Height 175 cm; Weight 95.5kg.
Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
Intervention
The following medications administered through drug therapy control her symptoms:
IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
Inhaled short-acting bronchodilator (ProAir HFA)
Inhaled corticosteroid (Flovent HFA)
Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mrs. J.'s situation. Include the following:
Describe the clinical manifestations present in Mrs. J.
Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
Taking into consideration the fact that most mature adults take at least six pre.
Central seminar of Mitral Stenosis
The document presents the case of a 20-year-old female admitted with shortness of breath and palpitations. On examination, she was found to have signs of mitral stenosis, pulmonary hypertension, and tricuspid regurgitation. Based on her history and examination findings, the clinical diagnosis was determined to be mitral stenosis and pulmonary hypertension with tricuspid regurgitation likely of rheumatic origin.
Similar to Lisa Hernandez-Case Note- 30.pdf (20)
Case study45-year-old woman presents with chief complaint of 3-.docx
Case study45-year-old woman presents with chief complaint of 3-.docx
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Scenario 45-year-old woman presents with chief complaint of 3-day.docx
Evaluate the Health History and Medical Information for Mrs. J.,.docx
Evaluate the Health History and Medical Information for Mrs. J.,.docx
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: August Cases
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Thyroid Swelling: A practical guide on writing and presenting a clinical case
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery: February Cases
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery: February Cases
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Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery December Cases
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Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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