Mr. Jax Marlboro Respiratory Care Pharmacology Fall 2015 Joni Sims Presenting History and Physical: Mr. Marlboro, a 65 year old African American male who is being seen in the emergency room with complaints of fatigue, shortness of breath, and wheezing while trying to accomplish simple daily task. He also complains of a cough that is becoming more frequent and persistent. Mr. Marlboro has a history of asthma as a young adult and was diagnosed with hypertension at the age of 40. Mr. Marlboro stated that he has been a smoker since the age of 18 and smoked 1 pack of cigarettes a day until he quit 3 years ago. He has not been treated for his asthma in several years and assumed that he grew out of it.…
Mr. Metzner is clearly showing an alteration of ADH (antidiuretic hormone). Having a deficient amount of ADH, means your urine cannot be concentrated and you would need to drink an incredibly large amount of water in order for your kidneys to filter out what they need to. Due to the fact that Mr. Metzner is deficient in ADH, he will have to urinate frequently. This could be a sign or symptom of many diseases or disorders; one being diabetes insipidus. Other possible causes of deficient ADH are drinking alcohol and the use of diuretics.…
Blood glucose was 86mg/dL Table 2 – Functional Health Patterns Data NUTRITION METABOLIC (diet, examples of daily food/fluid intake, food preferences, appetite): Patient on a Cardiac/heart healthy diet. States “the food here is very good” but does not eat an adequate amount. Patient was able to eat on his own. ELIMINATION (normal bowel/bladder function, aides): Patient has an indwelling Foley catheter.…
1. What are Greg’s new signs and symptoms? Do you have a diagnosis for Greg’s problem? Greg have new signs and symptoms which are a heart rate and or low pulse, low blood pressure, and an increased sodium level.…
During our second session, we reviewed his five-day food diary. I noticed that during the day Justin likes to drink several sodas throughout the day and overall he does not eat many different areas of the food groups as discussed in the first session. Since some days my patient works long hours at work, he says that he usually finds quick things to eat and grabs a soda to drink and calls it a night. He also stated that he knows that he doesn't eat properly, but most of the time he cannot because of his busy work schedule. During the second session, we also completed a Carbohydrate Intake-Caries Risk Short Form.…
Other organs affected are your liver, small and large intestines, bladder and kidney. It inflames your kidney, can erode your small intestine…
Case Study: Nursing Management of a patient with Stroke Introduction This essay will consider the case of John, a stroke patient. Biological as well as psycho-social aspects of his condition will be presented and the impact on his health condition; He is an active smoker and occasionally drinking over the weekend (2 bottles of wine), recently retired and used to work as a lorry driver for Ford. He lives alone, independently.…
Many patients have multiple diagnoses when they are admitted in the hospital care setting. My particular patient eight different diagnoses so I had multiple options to choose from to write this paper about. I decided to select hyponatremia because I know electrolyte imbalance is a very common issue. The Understanding Pathology textbook by Sue E. Heuther and Kathryn L. McCane state that hyponatremia is a sodium deficit or a serum sodium level that is less than 135 mEq/L.…
All available documentation submitted for this claim has been reviewed from the perspective of Internal Medicine. The claimant is a male (DOB 11/23/1953) who was diagnosed with frequent dizziness, leg weakness, frequent falls, severe alcohol use disorder, liver disease, tobacco abuse, and possible ongoing depression. A recommendation for short-term disability benefits from 01/02/2018 - 02/11/2018 is being evaluated based on documentation submitted by the treating physician.…
She noted that Mr Jones had dizzy spells , shortness of breath on exertion and palpitations years ago . His GP identified a heart murmur and referred him to a cardiologist in his local hospital, blood tests, electrocardiography (ECG) and echocardiography (ECHO) , followed by a hospital admission for an angiogram were done. Mr Jones was told that he had a leaking valve in his heart and would be referred for the surgery to replace the leaking valve. Mr. Jones was now increasingly breathless and had slept with the use of three pillows , he noted that it was not uncommon for him to wake up or lying down feeling breathless and that this was relieved by sitting up for a short time. Past medical history…
Abnormal assessments included respiratory, cardiovascular, peripheral vascular, neurological, urinary, gastrointestinal, musculoskeletal, hematologic, and endocrine. The patient also had an abnormal dietary and eating habits. Objective data was obtained through vital signs and intake and output measurements. Assessment of blood pressures and looking at previously documented blood pressure readings in his chart led to the assumption of hypertension. His primary care physician further confirmed this as a medical diagnosis.…
Question 1. A. AIRWAY– Maintaining a clear airway is always considered a high priority because the airway is essential for gas exchange. However, the patient has a patent airway (Ramkumar, 2011). The nursing strategy is to conduct an airway assessment “look, listen and feel” continuously to detect any changes.…
John vital signs were not in normal ranges. John’s temperature and tachycardia may be due to an infection (Noble et al., 2014). The condition of his oral mucosa is related to his fluid status (dehydration due to osmotic diuresis in DKA) (Umpierrez et al., 2002). John’s sweet-smelling breath could be related to ketone production in the liver Noble-Bell G, Cox A 2014).…
The Synergy Model provides the framework for nurses to manage complex clients experiencing acute exasperation of their illness and to work toward reducing the trajectory of the illness (Hardin & Hussey, 2003). The purpose of this synergy paper is to utilize the AACN Synergy model for patient care to a patient with diabetes mellitus type 2 and high blood pressure in addition to being postoperative. Synergy results when the needs and characteristics of a patient, clinical unit or system are matched with a nurse’s competencies (AACN, n.d.). The characteristics of the patient have described below in detail as well as the characteristics of the nurse. As an overview, the characteristics are as follows: patients have a form of resiliency, vulnerability,…
Psychosocial Both of these dialysis options have similar and different psychosocial issues associated with them. Psychosocially, dialysis requires constant thinking and planning ahead (Griva et al., 2014; Hardy et al., 2014; Lai, Loh, Mooppil, Krishnan & Griva, 2012; Lew & Piraino, 2005). Most people on dialysis are able to maintain jobs however for this to occur it requires considerable help from health care professionals, family and their workplace (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012; Lew & Piraino, 2005; Sinnakirouchenan & Holley, 2011). Often patients feel lethargic, powerlessness over treatment, constantly not feeling well leading to high rates of depression (Griva et al., 2014; Hardy et al., 2014; Lai et al., 2012;…