This document summarizes information about a 2-year-old male patient named Master Sahitya who was admitted to the hospital for pneumonia. It includes his medical history, physical exam findings, lab results, treatment including antibiotics, and nursing care plan. The patient had a fever, cough and breathing difficulties and was diagnosed with pneumonia likely caused by a previous viral infection. He received antibiotics and other treatments during his hospital stay.
Pneumonia is an inflammatory condition of the lung
affecting primarily the microscopic air sacs known as
alveoli.
Pneumonia is the most common infectious cause of death
in the United States.
It occurs in persons of all ages, although the clinical
manifestations are most severe in the very young, the
elderly, and the chronically ill.
Pneumonia is usually caused by infection with viruses or
bacteria and less commonly by other microorganisms,
certain medications and conditions such as autoimmune
Diseases
Pneumonia is an inflammatory condition of the lung
affecting primarily the microscopic air sacs known as
alveoli.
Pneumonia is the most common infectious cause of death
in the United States.
It occurs in persons of all ages, although the clinical
manifestations are most severe in the very young, the
elderly, and the chronically ill.
Pneumonia is usually caused by infection with viruses or
bacteria and less commonly by other microorganisms,
certain medications and conditions such as autoimmune
Diseases
Proper Case Presentation for Dengue Fever, Prevention, Treatment and everything else. Prepared by Dr Zain Khan, Doctor at Liaquat College of Medicine and Dentistry
Proper Case Presentation for Dengue Fever, Prevention, Treatment and everything else. Prepared by Dr Zain Khan, Doctor at Liaquat College of Medicine and Dentistry
Otitis media is inflammation or infection located in the middle ear. Otitis media can occur as a result of a cold, sore throat, or respiratory infection.
Youtube link :- https://www.youtube.com/results?search_query=medic+o+mania
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
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Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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.
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Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
2. NAME- Master SAHITYA
AGE- 2 Yrs
SEX- Male
DOB- 26/09/2013
DOA- 14/10/2015
DOCTOR INCHARGE- Dr. Mukesh Birla
WARD- General Ward
DIAGNOSIS-Pneumonia
3. On admission master Sahitya brought with a
complain of fever since 5 days, cough since 8
days, and breathlessness since 2 days.
H/O Present Illness:2 years old male child
was admitted in General ward with fever on
and off, cough and breathing difficulty.
H/O Past Illness: Had a history of viral
fever with cold and cough 2 months before.
4. ANTENATAL- Mother attended check up
regularly, no illness during pregnancy, taken
2 doses of TT.
INTRANATAL- Born through NVD, conducted
by skilled person at hospital, no
complications, no evidence of birth injury,
cried immediately after birth, baby weight
was 2.6 kgs.
POSTNATAL- No complication, baby was pink
and active, breast feeding started after1/2 an
hour, no evidence of congenital anomalies.
5. Taken all immunization according to the age
group (BCG, DPT, MEASLES,OPV)
ANTHROPROMETRY
Length-75 cms
Weight-11kgs
Head circum-45 cms
Chest circum-48 cms
Mid arm circum-14 cms
6. PHYSICAL DEVELOPMENT: Have weight 11kgs, have
temporary teeth, pulse rate-110/m, Resp. rate-30.
MOTOR DEVELOPMENT:
A. Gross motor-steady gait, walks on heel toe,
walks up and down upstairs holdings wall.
B. Fine motor- picks up objects from floor, can
build tower of 6-7 cubes, turn pages one at a time,
drink with glass.
7. Autonomy vs. Shame and Doubt
Occurs in the toddler age. (18 months-3
years).
Child learns to feed themselves and do things
on there own.
Or they could start feeling ashamed and
doubt their abilities.
Questions the child's willpower.
8. ANAL STAGE: According to Sigmund Freud it
is the second stage of oral development
that occurs between 1 ½ until 3 years of
age, in which the child’s greatest pleasure
involves the anus or the eliminative
functions associated with it.
Child is getting proper toilet training.
9. The Sensorimotor Period (0-2 yrs.)
According to Jean Piagent , Infants and
toddlers "think" with their eyes, ears, hands,
and other sensorimotor equipment.
They learn to generalize their activities to a
wider range of situations and coordinate
them into increasingly lengthy chains of
behavior.
10. Enjoys story
Knows at least 4 body parts
Has a vocabulary of 300 words
Refers to self by name
11. Stages of Faith-Stage 0 – "Primal or
Undifferentiated" faith (birth to 2 years).
It is characterized by an early learning of the safety
of their environment (i.e. warm, safe and secure vs.
hurt, neglect and abuse). If consistent nurture is
experienced, one will develop a sense of trust and
safety about the universe and the divine.
Conversely, negative experiences will cause one to
develop distrust with the universe and the divine.
Transition to the next stage begins with integration
of thought and languages which facilitates the use
of symbols in speech and play.
13. S.NO DRUG FORM DOSE ROUTE TIME ACTIONS
1. ANGUMENTIN 300
mg
IV TDS BACTERIOCIDAL
2. AMIKACIN 75 mg IV BD BACTERIOCIAL
3. SYP. NOBLE
PLUS
4 ml PO TDS NON-OPOID
ANALGESIC
4. IPRAVENT NEBS 1 ml PN QID BRONCHO
DILATOR
5. VANCOMYCIN 200
mg
IV BD ANTI-INFECTIVE
14. INVESTIGATION PATIENT’S VALUE NORMAL VALUE
• TLC 27.31 10^3/microL 5-15 10^3/microL
• HAEMOGLOBIN 10.9 gm/dl 11-14 gm/dl
• ABORH B +ve -
• PLATELETS 531 10^3/microL 150-450
10^3/microL
• URINE R/E NORMAL NORMAL
• SECIFIC GRAVITY 1.15 1.003-1.035
15. Head to toe examinations done.
Respiratory-dyspnea, nasal flaring.
Rest of the findings were normal.
VITAL SIGNS
1. Temperature-100F
2. Heart rate-122/m
3. Respiration-36/m
16. INTRODUCTION: Pneumonia is
inflammation of the lung that is most often
caused by infection with bacteria, viruses,
or other organisms. Occasionally, inhaled
chemicals that irritate the lungs can cause
pneumonia. Healthy people can usually
fight off pneumonia infections. However,
people who are sick, including those who
are recovering from the flu (influenza) or
an upper respiratory illness, have a
weakened immune system. This makes it
easier for bacteria to grow in their lungs.
17.
18. Pneumonia is a breathing (respiratory)
conditions in which there is an
infection and inflammations of the
lungs parenchyma cells.
Pathologically there is consolidation of
alveoli or infiltration of the interstitial
tissue with inflammatory cell or both.
19. The World Health Organization
(WHO) estimates there are 156
million cases of pneumonia
each year in children younger
than five years, with as many
as 20 million cases severe
enough to require hospital
admission.
20. Approximately one-half of children younger
than five years of age with community-
acquired pneumonia (CAP) require
hospitalization.
In the developed world, the annual incidence
of pneumonia is estimated to be 33 per
10,000 in children younger than five years
and 14.5 per 10,000 in children 0 to 16
years.
21. The mortality rate in developed countries is
low (<1 per 1000 per year). In developing
countries, respiratory tract infections are not
only more prevalent but more severe,
accounting for more than 2 million deaths
annually.
Pneumonia is the number one killer of
children in the WORLD.
22. BOOK DESCRIPTION PATIENT’S PICTURE
1. Bacterial infections
2. Viral or Fungal
infections
3. Aspiration pneumonia
4. Who had a recent viral
infections
5. People with low
immune system
6. Hospital acquired
pneumonia
7. Community acquired
pneumonia.
Master Sahitya had recent viral
infections 2 months before.
24. INCREASED CAPILLARY PERMEABILITY
FLUID/CELLULAR EXUDATION
EDEMA OF MUCUOUS MEMBRANE
HYPERSECREATION OF MUCUS
PERSISTENT COUGH, STAGES OF CONGESTION
IN THE ALVEOLAR SPACES WITH FLUID AND
HEMORRHAGIC EXUDATES
25.
26. Pneumonia can affect anyone. But the two age
groups at highest risk are:
1. Children who are 2 years old or younger
developing
2. People who are age 65 or older
Other risk factors include:
Chronic disease
Weakened or suppressed immune system
Smoking
Being hospitalized
29. 1. PHARMACOLOGICAL: The choice of an
initial, empiric agent is selected according to the
susceptibility and resistance patterns of the likely
pathogens and experience at the institution and the
selection is tempered by knowledge of the delivery of
the drugs to the suspected infected sites with the
lungs.
1. Antibiotics agents
2. Anti inflammatory therapy
3. Anti viral
4. Bronchodilators
30. 2. Chest physiotherapy and breathing exercise
3. Postural drainage
4. Surgical Management
Drainage of plural effusion by continuous
suction
Reduction of pneumothorax
31. Most people with pneumonia improve after
3-5 days of antibiotics of treatments but a
mild cough and fatigue can last longer up to
a month.
Patients who required treatment in a hospital
may take longer to see improvement.
pneumonia is more likely to be fatal in the
elderly or those with chronic medical
conditions or a weakened immune system.
33. NURSING DIAGNOSIS
1. Ineffective airway clearance related to
inflammation and accumulations of secretions as
evidenced by cough with sputum productions.
2. Impaired gas exchange related to alveolar
capillary membrane changes as evidenced by
tachycardia and restlessness.
3. Hyperthermia related to inflammatory process as
evidenced by increased body temperature.
4. Risk for fluid volume deficit related to inadequate
oral intake, fever, as evidenced by poor skin
turgour.
5. Imbalanced nutrition less than body requirement
related to disease condition as evidenced by
refusal of food by child.
34. 6. Sleeping pattern disturbed related to
hyperthermia and cough as verbalized by mother’s
concern for rest and sleep.
7. Interrupted family process related to
hospitalization as evidenced by inability to fullfill
daily works.
8. Knowledge deficient about the conditions,
prognosis, and treatment of pneumonia as
evidenced by less knowledge about pneumonia
management.
35. Teach parents about signs and symptoms of
pneumonia.
To teach about fluid intake.
To Give proper rest and sleep.
To make child to sleep in head elevated at 30
degree to ease the breathing.
CONTACT HEALTH CARE:
IF symptoms do not get better or get worse, child
have fever.
Child is lethargic and weak
Not taking feeds properly
36. IMMIDIATE CARE:
Blood in cough
Tachycardia
Looks very lethargic and weak
Not able to breath properly
Childs lips or finger nails turn black and blue