Patient: Lebron James Lopez Block S Lot 3, Camp 101, Baguio City Ward-Rm: Surg-2 Date :11/08/2021 Rx: 2098576 Parenteral Admixture Order 234 Cefazolin sodium 400 mg in 100 mL normal saline solution Instructions: infuse over 20 minutes q6h ATC for 3 days . Alex U. Park, MD Lower Bonifacio St Baguio City (074) 442-5701 AREKS HOSPITAL How many mL of the Cefazolin sodium solution will be required for the whole therapy?
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- Patient M., 36 y/o, was found in the street unconscious. The patient has a medical history of diabetes. There is a smell of alcohol from the mouth. The skin is moist, warm, arterial pressure -145/90 mm column of mercury, convulsive twitching of muscles. Breathing is shallow, eye ball tone is retained, pupils are dilated, hyperflexion. How would you treat this patients?A. Intravenous introduction of 40-80-100 ml 40% glucose solution B. Injecting 20 units of insulin subcutaneouslyC. Injecting 20 units of insulin intravenouslyD. Injecting 500 ml 5% glucose solution intravenouslyE. Injecting 500 ml 0.9% sodium chloride intravenouslyName: George Davis; Gender: Male; Age: 65; Marital Status: Married Weight: 271 lbs (122.93 kg); Height: 70 inches; Race: Caucasian; Religion: : Agnostic Allergies: None known; Immunizations Up to date Occupation: Retired; Address: New York, USA Provider: Dr. Potter, MD, and RN and Nursing Assistant Major Support: Delilah Davis, Wife. Phone number: 605-475-6961 History George presents to the ER with recurrent headaches, fatigue, and a blood pressure of 185/102. The patient is a long-time smoker, leads a relatively sedentary lifestyle, and has a BMI of 39. He has a history of acid reflux. The plan is to keep George overnight for observation and to administer medications to help control his blood pressure. Medications *Hydrochlorothiazide 25 mg oral Daily 0900 5 mg oral Daily 2000 Dosage Route Frequency Hours/Date of Administration Pantoprazole 20 mg oral Daily 0900 *Simvastatin 40 mg oral Daily 0900 Notes: Patient’s blood pressure taken just before transferring to the Med/Surg floor:…◄ Mail 10:48 ✓ Details starlen.instructure.com Mr. R is an African-American man with a long history of poorly controlled hypertension and difficulties with adherence to recommended treatments. Despite serious complications such as hypertensive emergency requiring hospitalization and awareness of the seriousness of his illness, Mr. R says at times he has ignored his high blood pressure and his physicians' recommendations. His medications are amlodipine 10mg orally once daily, Hydrochlorothiazide 50mg orally once daily and lisinopril 10 mg orally once daily. 1. Outline risk factors for Hypertension 2. Discuss Mr. R. medication therapy including the: Class of drugs, action, common adverse effects, and nursing management 3. Outline Nursing Education for Mr. R Choose a submission type ↑ Upload Office 365 : More Submit Assignment
- Emergency Department Time: 1230 Carl Shapiro is a 54-year-old male who travels frequently on business. He is seeking care in the local Emergency Department, with complaints of dull aching chest pain and shortness of breath. He is out of state with no local physician He smokes less than a pack of cigarettes a day and drinks alcohol occasionally. He describes his work as "stressful. An IV of normal saline has been started and is infusing at 25 mL/hour. Basic metabolic panel, complete blood count troponin and CK-MB lab values are pending. what condition could he be experiencing.Paraphrase using simple words & please don’t use AI for paraphrasing 1. If you have normal blood pressure, your blood pressure is less than 120/80. The first, or “top” one, is your systolic blood pressure. The second, or “bottom,” one is diastolic blood pressure. 2. Elevated Blood Pressure. Elevated blood pressure is blood pressure that is slightly higher than normal. Diabetes,Unhealthy Diet,Physical Inactivity,Obesity,Too Much Alcohol,Tobacco Use ,Genetics and Family History. 3. 10 ways to control high blood pressure without medication:Lose extra pounds and watch your waistline. Blood pressure often increases as weight increases,Exercise regularly,Eat a healthy diet,Reduce salt (sodium) in your diet,Limit alcohol,Quit smoking,Get a good night's sleep,and reduce stress..◄ Mail AA 12:05 s-pdx-prod.inscloudgate.net Case Study Shock and Multiple Organ Dysfunction Syndrome 1. A S, is a 77-year-old male patient admitted from a nursing home to the intensive care unit with septic shock secondary to urosepsis. 2. Patient has Foley catheter in place with cloudy greenish, yellow-colored urine with sediments. The nurse removes the catheter after obtaining a urine culture and replaces it with a condom catheter attached to a drainage bag since the patient has a history of urinary and bowel incontinence. 3. The patient is confused, afebrile, and hypotensive. BP 82/44 mm Hg. RR 28 breaths/min and the pulse oximeter reading is at 88% room air. Physician ordered 2 to 4 L of oxygen per nasal cannula titrated to keep SaO2 greater than 90%. The patient responded to 2 L of oxygen per nasal cannula with a SaO2 of 92%. 4. The patient developed diarrhea. His blood glucose level is elevated at 160 mg/dL. The white blood count is 15,000 and the C-reactive protein, a marker for…
- 10:28 ull NCM 112 RLE Case Report A 32-year-old man was referred to the emergencies of our hospital because of a right lower limb critical limb ischemia. Past medical history included chronic alcoholism and a three- month history of bilateral intermittent claudication. He did not report any episode of superficial thrombophlebitis. He smoked about 10 cigarettes since the age of ten and 10 cannabis joints daily since the age of twelve. He had no other cardiovascular risk factors. At clinical examination, his right leg was extremely painful and pale. He had absent pedal pulses on both sides, and a mild sensory loss on the right side. Allen's test of upper extremities was negative. Echo Doppler was suggestive of a bilateral common iliac occlusion and of a three-vessel occlusion on the right leg. A computerized tomography (CT) angiography detected the presence of an intraluminal aortic and iliac clot and a bilateral ibial essels occlusion. The patient was fully anticoagulated with…Ordered; Nozinan 1'/2ounces subcut daily divided Into do ses for delirium lagitation• 3. Av ailable: NOzinan 2mg /ml Admiristered datly dose is Administered darly dose isWhat are the SIDE EFFECT/ADVERSE EFFECT of the erythromycin drug? based on the ff situation: DRUG: Erythromycin Age: 7 Sex: F Educational status: N/A Occupation: Pupil Weight and BMI: 23 KGS/NORMAL Blood pressure: 80/40 Heart rate: 90 Respiratory rate: 20 Temperature: 36.2 Diagnosis: Conjunctivitis, Left eye Chief complaint: Red eyes, discharges in eyes Prescription: Erythromycin 2% ointment in lower conjunctiva
- ICD10-CM CODE Cerebral infarction due to occlusion of right carotid artery admitted to the hospital as a transfer from hospital B where the patient had received TPA 8 hours before, stroke scale of 15 with hemiplegia current acute left side. (multiple codes needed 4)K EINTRAVENOUS X Your answer mm ABC - NCM 118 X 9:00 PM the next day. 10:00 PM the next day A 58-year-old male patient was diagnosed with pneumonia and was brought under your care. The patient complains of difficulty of breathing, chest pain of 5/10, and coughing with phlegm. Your initial assessment reveals a respiratory rate of 33 bpm, temperature of 38.1°C, heart rate of 90 bpm, and blood pressure of 110/80. His physician ordered an infusion of 1,000 mL of normal saline to be administered over the next eight (8) hours using a macroset with a drop factor of 10 drops per mL. You initiated the IV at 1:00 PM during your shift. With the current rate, at what time would you hang the next bag? 9:00 PM of the same day. 10:00 PM of the same day. Th Course: ABC - X Your answer docs.google.com in Course: ABC - X At the change of shift, you notice 200 ml left to count in your patient's IV bag. The * IV is infusing at 80 ml/hr. How much longer in hours will the IV run? Fill in the blank and…Case #2Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years, but quit 3 years ago. Mr. H suggests hypoxemia and respiratory alkalosis which might be an indication of serious illness such as pulmonary embolism. Part 1: His arterial-venous oxygen content (Ca-vO2) difference is 5.73 mL/dL Part 2: His extraction ratio (ER) 0.276 or 27.6% What is clinically happening to the patient? Please explain.