Peds Week 2 case study
.docx
keyboard_arrow_up
School
Northern Kentucky University *
*We aren’t endorsed by this school
Course
629
Subject
Nursing
Date
May 24, 2024
Type
docx
Pages
6
Uploaded by pbs17
NUR 629
Case Study One
Student’s Name: ____Priyanshi_Shah___
It is early December. Mark, a 7-year-old boy, is in your office this morning with his father
after a very restless night; mom is out of town. Dad states that his son was sent home from school 3 days ago after vomiting. Mark awoke the next morning with a fever of 102°F, body aches, a cough, a sore throat, and a runny nose. After 2 days of taking over-the-counter children’s cold medicine, he still had a fever. In your office this morning, you note he is febrile, pale, and shaky; his skin is clammy and sweaty. There are no sick contacts in his home. Dad is not sure if the children have received flu vaccinations this season and your EMR has no flu vaccine documentation (but the immunization could have been received elsewhere).
Allergies: sulfa drugs
PMH: No ongoing conditions, normal growth and development, no regular medications. No past surgeries or hospitalizations.
Last ill visit was in March for strep throat. Vital signs:
Temp: 103.4 temporal
HR: 92
RR: 24
B/P: 126/86
Wt.: 25 kg
General:
Pale, limited engagement
Ears:
TM’s with sharp cone of light, translucent, slightly injected
Eyes:
Conjunctiva and sclera clear, no eyelid puffiness
Nose:
Moderate opaque discharge, thin
Pharynx:
2+ rosy pink tonsils and soft palate erythema
Neck: 2+ anterior cervical and submandibular lymph nodes, bilateral
Lungs:
Slightly diminished sounds throughout, no rales, rhonchi or wheezing. No increased work of breathing.
Abdomen:
Soft and flat, non-tender. No organomegaly
Skin:
Damp and clammy. Good skin turgor
NUR 629
Case Study One
List five differential diagnoses that you feel are likely to explain this patient’s presentation List your most likely diagnosis first (“working diagnosis”), followed by 4 other reasonable alternatives. Using the grid below each diagnosis, enter the
inclusion or exclusion rationale from the history and the physical examination that support each one.
Differential Diagnosis (20 points)
Inclusion Rationale
Exclusion Rational
Working Diagnosis (
)
1. Influenza
Fever, Runny nose, cough, Fatigue, Sore throat, swollen
lymph nodes
Headache, conjunctivitis, non-
sure history of influenza vaccination (Dynamed, 2023). Yes
2.Streptococcal Pharyngitis Temperature greater than 100.4-
degree F, swollen tonsils, cough, sore
throat, and swollen lymph nodes, nausea, and vomiting. (Dynamed, 2024) Headache, chills, petechiae on soft palate, swollen uvula (Dynamed, 2024). Yes
3. Epstein-Barr Virus-associated Infectious Mononucleosis Fever, Pharyngitis, and Cervical Lymphadenopathy, cough, rihnorrhea
Headache, abdominal pain, palatal petechiae (Dynamed, 2024). Yes 4. Tonsillitis
With swollen tonsils on inspection, fever, erythema. Dysphagia, palatal petechiae, which may be related to group A beta-
hemolytic Streptococcus (Dynamed, 2024)
Yes
5. Pneumonia Cough, fatigue, fever. Tachypnea, dyspnea, chest pain, wheezing, elevate respiratory rate (Dynamed, 2024).
Less Likely
List the components of your evaluation plan, and provide a rationale for each
(why are you prescribing this medication or test? How will it help you make
the diagnosis?).
NUR 629
Case Study One
Pharmacological Plan (6) (if indicated)
Medication and Rationale
Recommended
mg/kg/day
Dose Concentratio
n (if pertinent)
Route/
Frequency
1. Oseltamivir (Tamiflu) considered with confirmed or suspected influenza. (Dynamed, 2024). 60 mg twice a day for patient weighing >23 kg (Dynamed, 2024). 60 mg
(2x30 mg capsules) or 10 mL of 6 mg/ml
suspensio
n orally twice daily
(Dynamed
, 2024). n/a
Capsule or suspension, twice daily.
2. Penicillin V Children less than 27 kgs: 250 mg PO dose is recommended 2-3 times daily for 10 days (Dynamed, 2024). 250 mg 2-
3 times daily for 10 days in
children
(Dynamed
, 2024). n/a
Orally
3.Amoxicillin 50 mg/kg/day 50 mg/kg once daily
for 10 days, maximum 1 g daily (Dynamed
, 2024).
n/a
Orally Testing: Lab or Radiology (2) (If indicated)
Test
Rationale
1.
Rapid Antigen Detection Test and/or throat swab This will help confirm the diagnosis of group A streptococcal pharyngitis
which is most likely diagnosis given the patient information. (American Family Physician, 2013). 2. Rapid Influenza Diagnostic tests (RIDTs)
This test will help detect flu viruses in respiratory specimens. (Centers of Disease Control and Prevention, 2023).
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
Related Questions
Title: Foodborne Parasites and Diseases ( Listeria monocytogenes – Listeriosis )
All parasites are temperature sensitive and killed by through cooking or by freezing. Perhaps the best known of these foodborne parasites are Listeria monocytogenes, causing Listeriosis. Listeriosis is a foodborne disease that may cause severe disease in elderly people, pregnant women, immune compromised patient and neonates. This disease is commonly linked to dairy product such as milk, cheese, raw seafood, raw meet, raw chicken or as well as cooked.
SOME TİPS :
How is capable of growth..
How is Minimize the ris.
How can we control monocytogenes…
The future for the control of listerıa in food…
Biochemical tests...
etc..
create a detailed article essay on the information given above please
arrow_forward
urse_id%3D_22348_1&content_id=_674386_1&step=null
adar
A Classes
Classes
6 My Institution - Bla.
Student Home - Bla.
Search Movies and.
O Libby - What's New?
O My Account- Hold.
Welcome Home .
M HBO Max
Question Completion Status
QUESTION 3
A patient has been receiving outpatient chemotherapy treatment for leukemia They come to the appointment feeling ill with a temperature of 100 2 oF Blood
results show the neutrophil count is 1,000/uL Which of the following best explains the patient's signs and symptoms?
O chemotherapy treatment has damaged the red bone marrow resulting in decreased leukocyte production and increased susceptibility to infection
chemotherapy is making the patient sick and the marrow has increased leukocyte production to fight off the toxicity of cancer-fighting chemicals that are
being received
the chemotherapy is not working, the cancer cells are dividing out of control, and the immune system has been activated with increased leukocyte
production in an effort to…
arrow_forward
CASE ANALYSIS
Case:
An 81 year old female brought in by her son for a medication evaluation. Her medical history includes the following:
HTP
DM 2
HEADACHE
URINARY INCONTINENCE
GERD
OA (OSTEOARTHRITIS)
OP (OSTEOPOROSIS)
DEMENTIA, NEUROPATHIC PAIN
Recently diagnosed with Dementia. She has been taking Ditropan (oxybutynin) for 6 months. She is supposed to take ASA for prohylaxis, but she decided to take it for pain. She has been taking Alendronate for the pas 6 years. No fractures
Today her main complaints include increased agitation, urination, loose stools, nausea and muscle pain especially in the legs which she attributes to old age.
ALLERGIES: Metformin
her medication list:
Docusate 100mg bid
Amitryptyline 10mg qhs
Losartan 25mg qday
Oxybutin 5mg tid
Gabapentin 300mg qhs
Donepezil 10mg qday
Pravastin 40mg qhs
Tramadol 50mg TID prn pain
Pantoprazole 40mg qhs
Alendronate 70mg week
Lantus 25 Units qhs
Vitamin D 2000IU qday
Novolog per sliding scale
ASA 325mg 2-4tabs qday for pain
B…
arrow_forward
Discuss, using the text, how you believe this case should be decided. Remember to
reference specific ethical principles from the text: "A 13 year old girl, suffering from
toxic shock syndrome, is sent directly from school to a local emergency room.
Treatment is ordered, including fever-reducing medication and a strong course of
intravenous antibiotics. The parents arrive just as the medication and equipment
arrive in the emergency room. They announce they are Christian Scientists and wish
to take their daughter home." The clinical approach to this case requires the
application of the procedure by which medical indications, patient preferences,
projected quality of life and contextual features be applied. How would you decide it
given our readings so far?
arrow_forward
X
vSim Standalone
X
Time: 1000
oint.lww.com/titles/9781975 198183/classes/687f62f6-68e7-4b65-aba0-460a00fb0baf/assignments
Location: Medical area (infirmary) in a jail
+
Report from intake coordinator:
Situation: The patient, Sandra Littlefield, is a 36-year-old female who has been in jail for the past week on prostitution
charges. She has a history of back pain and being given acetaminophen and ibuprofen. She is complaining of unrelieved
pain and has put in a request to see the nurse.
Background: Sandra Littlefield has a diagnosis of borderline personality disorder. She has been compliant during this
incarceration but has a history of aggressive behavior during past incarcerations. She was sexually abused as a child and
has been hospitalized for suicide attempts in the past, as well as for complications from her struggles with at-risk
substance use. Her history of back pain has resulted in frequent emergency room visits. During her prior two visits to the
nurse at the jail, she was…
arrow_forward
A lethargic 22-month old black female was presented by her mother to the emergency
room at 2:15am on a Sunday. The child had a history of a runny nose, hoarse cough and
low-grade fever (-99F) for the past 48 hours. The mother was concerned about the forced
and noisy breathing of the child. The pediatrician examined the child and found cloudy
eyes and mild inflammation of the ears, but no overt signs of bacterial infection (no
significant changes in the eardrums). The throat of the child was red and coated with
mucus. The larynx was swollen and raw.
The physician performed a rapid Strep test and found it was negative. Throat swabs were
taken for culture. The physician placed the child in a room with a warm vaporizer for about
30 minutes. This dramatically improved the breathing of the child.
1. What is the infectious agent that caused this case?
2. Do you believe that this is a bacterial or viral disease? Why?
3. What further treatment is indicated for this case?
arrow_forward
matland.orbundsis.com/einstein-freshair/Videos/72D06CBDFA3B50645EB62270BBDACF2A/Case+Studi
(6) The Reason Why... ▸ Isaiah Blames Zora...
zon.com: Onlin...
Beyond The Lights...
Open with
Case Study, Chapter 32, Diet Therapy and Special Diets
Nathan Levi, 88, is admitted to the hospital with severe pneumonia. During his hospitalization he
requires intubation and is in a critical care unit. Due to the intubation/breathing assistance
Nathan is unable to take food by mouth so he is provided with peripheral parenteral nutrition
(PPN).
After a week of intensive care, Nathan recovers enough to have the breathing tube removed and
begins to eat again. His healthcare provider orders a soft diet for him. The nurse notices that
Nathan's dentures are missing and requests an order for a mechanical soft diet from the
healthcare provider instead. (Learning Objectives7, 13)
1. While in the ICU why was Nathan given PPN and what is the difference between that and
TPN (total parenteral nutrition)?
2. What…
arrow_forward
This discussion will be for both chapter 7 and 8. Reply to it for participation for
Tuesday and Thursday's class.
You are eating at a restaurant with your family when a middle-aged man at another
table clutches at his chest and collapses on the floor. You hear the commotion and
run to his table. You ask, "Is he choking?" No one can tell you. People are crowded
around the body, the man's wife is shaking him and screaming, but no one is in
charge. What signs and symptoms would tell you that the man is suffering a heart
attack? What first aid step would you perform first? Identify the details of each of
the following steps you would perform under each category:
Determine Unresponsiveness
Activate the EMS
Provide External Compression
Use the AED
Integrate with EMS upon àrrival
arrow_forward
Match the disease/organism to the description.
E Reading it
Infectious Mononucleosis
[ Choose
[Choose]
Ebola
This disease is caused by Yersinla pestis and is mostly spread by interaction with wild or urban rodents and their fleas.
This disease is caused by Plasmodium spp., spread by mosquitoes, and results in cells in the liver and bloodstream being infected.
Plague
This disease is caused by HHV-4 and results in the infection of B cells and secretion of non-specific antibodies.
The disease is caused by the organism Trypanosoma cruzi and is spread by the Reduviid bug.
Lyme Disease
This virus causes bleeding from multiple orifices and can have a 90% mortality rate.
This disease is caused by a Salmonella species that is spread via the fecal-oral routs.
Typhoid Fever
Humans can contract this disease by coming into contact with cantaminated fecal oocytes in cat litter.
This disease is caused by the organism Borrelia burgdorferi and the vector is a tick.
This disease is caused by nematodes,…
arrow_forward
This is the similar case given to you during discussion. The case of Mrs. Carmen.
CASE SCENARIO:
Mrs. Carmen is a 70 year old female, widow with 3 children (oldest 38; youngest 30). She was diagnosed to have Gastric Ulcer, Upper gastrointestinal bleeding (UGIB) . She is newly admitted at the medical ward (Rm 2, Bed #1).
Conscious, coherent, lying sideways on bed while holding her abdomen. Pale-looking. Usually frowns when she tries to speak, When asked about her abdominal pain scale, she says “Now, its 9, yesterday it was just around 7.”
Vital signs are as follows: BP-130/90; PR-93; RR- 22; Temp 38.0
Present medical history reveals that she has been taking NSAIDs as she was complaining of knee pains. The client stated, “My doctor used to give me NSAIDs to relieve pain. Since it is an OTC drug, I kept on buying it and take it whenever I feel pain. I did not know I should have taken it with meals.” She was brought to the hospital after vomiting blood and passing out.
Past medical…
arrow_forward
write a sick note on pneumococcal pneumonia. write a note addressed to your child’s teacher about why your child will not be at school. The child’s illness must include symptoms, prognosis, and treatment. sick note will be 1 page in length double-spaced and include any necessary information for a child’s absence from school.
arrow_forward
MEDICAL TERM MAIN ENTRY (pronunciation) MEANING (definition)
|1. glycemia
2. hypothalamus
3. pancreatectomy
|4. exophthalmos
5. adenoma
|6. electrolyte
7. hyponatremia
8. hypernatremia
9. diabetes
|10. polyphagia
arrow_forward
Hello! I just want to ask why you're rejecting my questions? :( I asked questions like these for the past few weeks here in Bartleby but they have been answered by experts.
TRAUMATIC BRAIN INJURY CASE SCENARIO
QUESTIONS. (please see attached photos for the case scenario)
1. Discuss the disease or the condition on the case presented, that includes the:
definition,
epidemiology,
signs and symptoms,
treatment and management.
2. Create 2 NCP based on the given case scenario that needs to be prioritized. Thank you!
arrow_forward
OC
PandaDoc
google- Bing
A https://app.pandadoc.com/document/f16b0aa2d65b2082587f3
cess, place your favorites here on the favorites bar. Manage favorites now
daDoc Harrisburg Caregiver Application All changes have been saved
Universal Precautions
1. Which one of the following would NOT spread communicable diseases?
ANSWER: Dropdown
a. Droplets from the nose and mouth
b. The use of universal precautions
c. Direct contact with feces (bowel movement)
d. Open wounds that are draining blood
2. The major recommendation of universal precautions is to minimize contact with w
of the following?
ANSWER: Popdown
a. Consumer's linen
b. Consumer's personal beľongings
c. Blood and body fluids
d. Consumer's skin
Handling of Emergencies
1.
A direct care worker discovers a small fire in the wastebasket in a room where the cor
is sitting. The direct care worker should FIRST:
ANSWER:
Click N
fields th
a. Call 911
You have 83 item(s) to fill in
CENR
crying, in pain, and holding their arm which is bent in…
arrow_forward
Choose some waterborne diseases.
Check all that apply.
cancer
typhoid fever
caries
Ocholera
dysentery
haemophilia
Submit
Request Answer
Part B
ny
are these diseases no longer common in developed countries?
Essay answers are limited to about 500 words (3800 characters maximum, including spaces).
3800 Character(s) remaining
arrow_forward
The patient is male, 50 years old. Chronic liver disease for 15 years. Sudden vomiting 400ml blood. Physical examination: chronic disease appearance, mild yellow discoloration of the sclera. The abdomen was soft without tenderness, the liver and ribs cannot be palpable, and the shifting dullness was positive. The most likely diagnosis is ( )
Biliary bleeding
Duodenal ulcer bleeding
Bleeding from gastric cancer
Esophageal variceal bleeding
Hemorrhagic gastritis
A 62-year-old male, his back has been red and swelling for 1 week. At first it was a small piece of skin induration of about 3×2cm, with multiple pus spots, then the skin swelling area expanded, infiltrating edema appeared, local pain increased, the surface skin was purple-brown with area about 6×5cm, the body temperature was 39.2℃, and he had diabetes history for 10+ years. The following treatment measures are incorrect for this patient:
Remove pus and inactivated tissue
The incision line should exceed the edge of the…
arrow_forward
SEE MORE QUESTIONS
Recommended textbooks for you
Essentials Health Info Management Principles/Prac...
Health & Nutrition
ISBN:9780357191651
Author:Bowie
Publisher:Cengage
Comprehensive Medical Assisting: Administrative a...
Nursing
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Cengage Learning
Case Studies In Health Information Management
Biology
ISBN:9781337676908
Author:SCHNERING
Publisher:Cengage
Related Questions
- Title: Foodborne Parasites and Diseases ( Listeria monocytogenes – Listeriosis ) All parasites are temperature sensitive and killed by through cooking or by freezing. Perhaps the best known of these foodborne parasites are Listeria monocytogenes, causing Listeriosis. Listeriosis is a foodborne disease that may cause severe disease in elderly people, pregnant women, immune compromised patient and neonates. This disease is commonly linked to dairy product such as milk, cheese, raw seafood, raw meet, raw chicken or as well as cooked. SOME TİPS : How is capable of growth.. How is Minimize the ris. How can we control monocytogenes… The future for the control of listerıa in food… Biochemical tests... etc.. create a detailed article essay on the information given above pleasearrow_forwardurse_id%3D_22348_1&content_id=_674386_1&step=null adar A Classes Classes 6 My Institution - Bla. Student Home - Bla. Search Movies and. O Libby - What's New? O My Account- Hold. Welcome Home . M HBO Max Question Completion Status QUESTION 3 A patient has been receiving outpatient chemotherapy treatment for leukemia They come to the appointment feeling ill with a temperature of 100 2 oF Blood results show the neutrophil count is 1,000/uL Which of the following best explains the patient's signs and symptoms? O chemotherapy treatment has damaged the red bone marrow resulting in decreased leukocyte production and increased susceptibility to infection chemotherapy is making the patient sick and the marrow has increased leukocyte production to fight off the toxicity of cancer-fighting chemicals that are being received the chemotherapy is not working, the cancer cells are dividing out of control, and the immune system has been activated with increased leukocyte production in an effort to…arrow_forwardCASE ANALYSIS Case: An 81 year old female brought in by her son for a medication evaluation. Her medical history includes the following: HTP DM 2 HEADACHE URINARY INCONTINENCE GERD OA (OSTEOARTHRITIS) OP (OSTEOPOROSIS) DEMENTIA, NEUROPATHIC PAIN Recently diagnosed with Dementia. She has been taking Ditropan (oxybutynin) for 6 months. She is supposed to take ASA for prohylaxis, but she decided to take it for pain. She has been taking Alendronate for the pas 6 years. No fractures Today her main complaints include increased agitation, urination, loose stools, nausea and muscle pain especially in the legs which she attributes to old age. ALLERGIES: Metformin her medication list: Docusate 100mg bid Amitryptyline 10mg qhs Losartan 25mg qday Oxybutin 5mg tid Gabapentin 300mg qhs Donepezil 10mg qday Pravastin 40mg qhs Tramadol 50mg TID prn pain Pantoprazole 40mg qhs Alendronate 70mg week Lantus 25 Units qhs Vitamin D 2000IU qday Novolog per sliding scale ASA 325mg 2-4tabs qday for pain B…arrow_forward
- Discuss, using the text, how you believe this case should be decided. Remember to reference specific ethical principles from the text: "A 13 year old girl, suffering from toxic shock syndrome, is sent directly from school to a local emergency room. Treatment is ordered, including fever-reducing medication and a strong course of intravenous antibiotics. The parents arrive just as the medication and equipment arrive in the emergency room. They announce they are Christian Scientists and wish to take their daughter home." The clinical approach to this case requires the application of the procedure by which medical indications, patient preferences, projected quality of life and contextual features be applied. How would you decide it given our readings so far?arrow_forwardX vSim Standalone X Time: 1000 oint.lww.com/titles/9781975 198183/classes/687f62f6-68e7-4b65-aba0-460a00fb0baf/assignments Location: Medical area (infirmary) in a jail + Report from intake coordinator: Situation: The patient, Sandra Littlefield, is a 36-year-old female who has been in jail for the past week on prostitution charges. She has a history of back pain and being given acetaminophen and ibuprofen. She is complaining of unrelieved pain and has put in a request to see the nurse. Background: Sandra Littlefield has a diagnosis of borderline personality disorder. She has been compliant during this incarceration but has a history of aggressive behavior during past incarcerations. She was sexually abused as a child and has been hospitalized for suicide attempts in the past, as well as for complications from her struggles with at-risk substance use. Her history of back pain has resulted in frequent emergency room visits. During her prior two visits to the nurse at the jail, she was…arrow_forwardA lethargic 22-month old black female was presented by her mother to the emergency room at 2:15am on a Sunday. The child had a history of a runny nose, hoarse cough and low-grade fever (-99F) for the past 48 hours. The mother was concerned about the forced and noisy breathing of the child. The pediatrician examined the child and found cloudy eyes and mild inflammation of the ears, but no overt signs of bacterial infection (no significant changes in the eardrums). The throat of the child was red and coated with mucus. The larynx was swollen and raw. The physician performed a rapid Strep test and found it was negative. Throat swabs were taken for culture. The physician placed the child in a room with a warm vaporizer for about 30 minutes. This dramatically improved the breathing of the child. 1. What is the infectious agent that caused this case? 2. Do you believe that this is a bacterial or viral disease? Why? 3. What further treatment is indicated for this case?arrow_forward
- matland.orbundsis.com/einstein-freshair/Videos/72D06CBDFA3B50645EB62270BBDACF2A/Case+Studi (6) The Reason Why... ▸ Isaiah Blames Zora... zon.com: Onlin... Beyond The Lights... Open with Case Study, Chapter 32, Diet Therapy and Special Diets Nathan Levi, 88, is admitted to the hospital with severe pneumonia. During his hospitalization he requires intubation and is in a critical care unit. Due to the intubation/breathing assistance Nathan is unable to take food by mouth so he is provided with peripheral parenteral nutrition (PPN). After a week of intensive care, Nathan recovers enough to have the breathing tube removed and begins to eat again. His healthcare provider orders a soft diet for him. The nurse notices that Nathan's dentures are missing and requests an order for a mechanical soft diet from the healthcare provider instead. (Learning Objectives7, 13) 1. While in the ICU why was Nathan given PPN and what is the difference between that and TPN (total parenteral nutrition)? 2. What…arrow_forwardThis discussion will be for both chapter 7 and 8. Reply to it for participation for Tuesday and Thursday's class. You are eating at a restaurant with your family when a middle-aged man at another table clutches at his chest and collapses on the floor. You hear the commotion and run to his table. You ask, "Is he choking?" No one can tell you. People are crowded around the body, the man's wife is shaking him and screaming, but no one is in charge. What signs and symptoms would tell you that the man is suffering a heart attack? What first aid step would you perform first? Identify the details of each of the following steps you would perform under each category: Determine Unresponsiveness Activate the EMS Provide External Compression Use the AED Integrate with EMS upon àrrivalarrow_forwardMatch the disease/organism to the description. E Reading it Infectious Mononucleosis [ Choose [Choose] Ebola This disease is caused by Yersinla pestis and is mostly spread by interaction with wild or urban rodents and their fleas. This disease is caused by Plasmodium spp., spread by mosquitoes, and results in cells in the liver and bloodstream being infected. Plague This disease is caused by HHV-4 and results in the infection of B cells and secretion of non-specific antibodies. The disease is caused by the organism Trypanosoma cruzi and is spread by the Reduviid bug. Lyme Disease This virus causes bleeding from multiple orifices and can have a 90% mortality rate. This disease is caused by a Salmonella species that is spread via the fecal-oral routs. Typhoid Fever Humans can contract this disease by coming into contact with cantaminated fecal oocytes in cat litter. This disease is caused by the organism Borrelia burgdorferi and the vector is a tick. This disease is caused by nematodes,…arrow_forward
- This is the similar case given to you during discussion. The case of Mrs. Carmen. CASE SCENARIO: Mrs. Carmen is a 70 year old female, widow with 3 children (oldest 38; youngest 30). She was diagnosed to have Gastric Ulcer, Upper gastrointestinal bleeding (UGIB) . She is newly admitted at the medical ward (Rm 2, Bed #1). Conscious, coherent, lying sideways on bed while holding her abdomen. Pale-looking. Usually frowns when she tries to speak, When asked about her abdominal pain scale, she says “Now, its 9, yesterday it was just around 7.” Vital signs are as follows: BP-130/90; PR-93; RR- 22; Temp 38.0 Present medical history reveals that she has been taking NSAIDs as she was complaining of knee pains. The client stated, “My doctor used to give me NSAIDs to relieve pain. Since it is an OTC drug, I kept on buying it and take it whenever I feel pain. I did not know I should have taken it with meals.” She was brought to the hospital after vomiting blood and passing out. Past medical…arrow_forwardwrite a sick note on pneumococcal pneumonia. write a note addressed to your child’s teacher about why your child will not be at school. The child’s illness must include symptoms, prognosis, and treatment. sick note will be 1 page in length double-spaced and include any necessary information for a child’s absence from school.arrow_forwardMEDICAL TERM MAIN ENTRY (pronunciation) MEANING (definition) |1. glycemia 2. hypothalamus 3. pancreatectomy |4. exophthalmos 5. adenoma |6. electrolyte 7. hyponatremia 8. hypernatremia 9. diabetes |10. polyphagiaarrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios
Recommended textbooks for you
- Essentials Health Info Management Principles/Prac...Health & NutritionISBN:9780357191651Author:BowiePublisher:CengageComprehensive Medical Assisting: Administrative a...NursingISBN:9781305964792Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy CorreaPublisher:Cengage Learning
- Case Studies In Health Information ManagementBiologyISBN:9781337676908Author:SCHNERINGPublisher:Cengage
Essentials Health Info Management Principles/Prac...
Health & Nutrition
ISBN:9780357191651
Author:Bowie
Publisher:Cengage
Comprehensive Medical Assisting: Administrative a...
Nursing
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Cengage Learning
Case Studies In Health Information Management
Biology
ISBN:9781337676908
Author:SCHNERING
Publisher:Cengage