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- General Appearance: Patient presents with abdominal pain, or [1], and irregular stools. Stomach may be bloated but is not otherwise distended. When asked if she has also been experiencing N&V, which means [2], the patient responded that she has not. Visual and manual inspection of abdomen do not reveal any clear physical damage. Pain that is general and chronic rules out more emergent medical conditions, such as [3], or acute inflammation of the appendix. Normal temperature and lack of other symptoms help to rule out an infection. Heart: Rate at 80 bpm, with no abnormal sounds. Lungs: CTA AbD: Bowel sounds normal all four quadrants. MS: Joints and muscle symmetric. No swelling, masses, or deformity. UA: No blood present in urine, otherwise known as [4], or of blood in the stool. This rules out some more serious disorders. Glycosuria, or presence of [5] in the blood, was observed as well as the presence of ketone bodies, known as [6]. These symptoms indicate that diabetes…DOB: 28 Jun 1961 | GENDER: FEMALE SITUATION Mrs Donna Hovey is a 60-year-old female who was admitted to the ward two (2) days ago for pneumonia. She is now complaining of mild pressure in her chest (rated 4/10) that started 10 minutes ago while she was lying on the bed. Mrs Hovey states she also has a slight ache in the underside of her upper left arm.She is diaphoretic and feeling a little nauseated. Mrs Hovey has developed slight shortness of breath. Her peripheries are a little cool to touch BACKGROUND Mrs Hovey has a history of Ischaemic Heart Disease (IHD), hypertension and beginning Peripheral Vascular Disease (PVD). She had Coronary Artery Bypass Graft (CABG) surgery six (6) years ago with Saphenous Vein grafts to her Left Anterior Descending (LAD) coronary artery and diagonal branch. Mrs Hovey also had a Percutaneous Transluminal Coronary Angioplasty (PTCA) with stenting to her Right Coronary Artery (RCA) and Posterior Descending Artery (PDA). ASSESSMENT Her observations at…Awakened in the early morning by screams and pounding on your front door, you rush to answer the door. You find Mrs. Winters, your older neighbor from across the street. She knows you are trained in first aid and CPR and asks you to please help her husband. As you hurry across the street, she tells you her husband had been feeling ill for several hours and then vomited. She says that he emerged from the bathroom clutching his chest and in apparent pain. He suddenly collapsed to the floor. As you enter the house, you find Mr. Winters lying motionless on the floor just outside of the bathroom. You want to help. How do you respond?
- Location: Emergency DepartmentTime: 04:00Situation:Stan Checketts, a 52-year-old widower, arrived in the Emergency Department 30 minutes ago with severe abdominal pain. A small bowel obstruction is suspected.Background:He has experienced worsening abdominal pain, nausea, and vomiting for 1-2 days with inability to eat or drink much over the last few days. His past surgical history includes a cholecystectomy, appendectomy, and right inguinal hernia repair, all more than 5 years ago.Assessment:Mr. Checketts is awake and states he has felt 'dizzy' and 'weak' all evening. His vital signs upon arrival were: BP: 108/73; temperature: 100.9 °F (38.3 °C); pulse: 110; respiratory rate: 22, and SpO2: 95% on room air. He has poor skin turgor, dry mucous membranes, and has not urinated since yesterday. His abdomen is distended. He signed an informed consent for treatment. A right forearm saline lock was placed, and labs, a CBC, and BMP were drawn.Recommendation:You will need to check the provider's…What is the brief explanation of Purpose, Indication, and Mangement of NSD (Normal Spontaneous Delivery)Nick Vastolla is a senior on his lacrosse team. He is running down the field, with the ball in the net of his lacrosse stick, when he passes the ball to another player and is struck by the opponent’s lacrosse stick on the right forearm. Mr. Vastolla hears a pop and feels immediate pain. He is assisted off the field and is evaluated on the sidelines. He has edema, localized point tenderness, and ecchymosis where the stick struck his right forearm. The localized point tenderness is along the upper third of the ulna. Mr. Vastolla has no deformity, but percussion and compression/squeeze test results are positive. He is immobilized and referred for radiography, the results of which indicate an ulna fracture. A cast that extends over the wrist and forearm is made for his arm. Based on this scenario, what do you know about Mr. Vastolla injury? ► _________________________________________ ► _________________________________________ ► _________________________________________ ►…
- Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing early this morning. The incision is closed with staples; the edges are well…a. What is hemodialysis? Describe the treatment. Which clients need the treatment? How does the patient's lifestyle change? b. What is peritoneal dialysis? Describe the treatment. Which clients need the treatment? How does the patient's lifestyle change? very important Please cite the sources from which you obtained the answers.What is the particular danger created by operating in the area of the endotracheal tube? How is it minimized?
- A 54-year-old man presents with a 12-hour history of headache, confusion and declining consciousness. His wife says that he has recently completed oral chemotherapy for an ‘indolent form of leukemia’. Examination reveals him to be responding to painful stimuli but not to verbal commands. He has bilateral axillary and inguinal lymphadenopathy. He is clinically jaundiced and anemic. His spleen is palpably enlarged. He has neck stiffness, generalized hyper-reflexia and bilateral up going plantar reflexes. Fundal examination is normal, and there are no focal neurological signs. Full blood count shows: Hemoglobin (Hb) 7.5 g/dL White blood cells (WBC) 37 × 109/L (lymphocytes 86%) Platelets 26 × 109/L What blood component is best to harvest to find out the patient’s disease? Why lymphocytes are prevalently seen in the peripheral blood film?NURSING How can one protect oneself from quackery?This is just an reviewer ^_^
