Admitting diagnosis: Transient Ischemic Attack Course of current hospitalization to date: Patient was given 100% supplemental oxygen via nasal cannula. 12-lead electrocardiogram indicating…
The 2-D echocardiogram [portable] ordered to rule out any cardiac etiology for respiratory distress. The echo on 3/22/17 showed mild diastolic dysfunction with EF of 58%, small left ventricle chamber and had limited images only. He had repeat labs on 3/30/17, showed normal electrolytes, normal liver enzymes with mildly low albumin [3.1], normal CBC with normal white cell count [9.4] and normal thyroid functions…
The patient is a 56 year old Bangladesh male came by ambulance due to sudden onset of shortness of breath at 3 o’clock in the morning when he woke up to go to the washroom. The patient also has chest pain, nausea and vomiting, fever and worsening orthopnea The patient is having dementia, hypertension and ESRF stage 4. However, patient reused HD and was under nephro clinic, but planned for palliative management. The patient had been admitted to the hospital due to the same presenting complaint for several times.…
Venous thromboembolism (VTE) is a development of blood clots (thrombus) within the vein, which frequently originates from the lower limb. Deep vein thrombosis (DVT) and pulmonary embolism (PE) are two-manifested conditions in association with VTE. The development of DVT occurs within the deep vein, which results in restricted blood flow, thus is a common complication during hospitalisation, surgery and immobility. Furthermore, the dislodgement of the thrombus may travel to the lungs causing PE, which is fatal. VTE is becoming a more common complication during surgical and medical intervention, which contributes to morbidity and mortality.…
COLUMN 2: Behind Column 1 What causes this disorder? A chromosomal mutation called translocation. Translocation is when the chromosome breaks and a portion of that chromosome reattaches to another chromosome. This chromosome that is affected by this is the 8 and 14 chromosome pair.…
1 Mr. Martinez a forty-two years old Hispanic male with a diagnosis of lower back pain and unable to move bilateral lower extremities. He had a CAT scan of his spinal cord in the emergency room, which showed lumber 4 and lumber 5 abscess. The patient refused to do an MRI of his spine because he is claustrophobic. Education topic: Me Martinez to have the MRI of the spine, because without having the MRI done, the doctor cannot proceed any other treatment, whether any surgical or medication management treatment. As a nurse, I explained him the option of having a tranquilizer medication (which was prescribed by a doctor) prior to the MRI procedure which would help him to relax and they would be able to do the procedure.…
Getting an x-ray is serious business and should only be done when it is completely necessary. There are a few different situations within a chiropractic setting where getting an x-ray is necessary. #1 Elderly Patients When patients are elderly, most chiropractors will insist on x-rays as part of their initial evaluation of a patient. When treating elderly patients, there is an increased risk that the patient has suffered trauma to their back over the course of their life.…
PE is a clot within the lungs which usually derives from the DVT. There are multiple risk factors for VTE including venous stasis, hypercoagulable states, immobilization, surgery and trauma, pregnancy, oral contraceptives and estrogen replacement, and malignancy. It is believed that approximately 1 million cases of VTE occur in the U.S. each year, resulting in 300,000 deaths annually, but the exact incidence of VTE is unknown. DVT and PE, are among the most common preventable causes of in-hospital mortality, according to…
CC: Recurrent pneumonia. History of Present Illness: Mr. Cauley is a very pleasant 56-year-old gentleman who has multiple pneumonias over the last year and one prior pneumonia in 2013. He has been hospitalization recently at Portsmouth Regional Hospital for a right-sided pneumonia was treated with antibiotics and he had rapid resolution of his symptoms associated with radiographic resolution. In February of this year, he suffered a similar episode of cough, fevers, and chills, which was again, at the time, treated with antibiotic therapy alone.…
Bronchiolitis is a common viral illness seen in children under the age of 12 months. It is a seen primarily in the winter months from October till mid to late March. The most commonly seen type of bronchiolitis is respiratory syncytial virus or RSV. It is reported that nearly all children will have had RSV by the age of two. Approximately 2-3% of child under the age of 12 months will be admitted to the hospital.…
In modern American society the populous is experiencing both a longevity of life and in turn are faced with more chronic illnesses. In the Ohio-valley region of the United States there is a marked increase of chronic lung and heart issues exacerbated by coal mines, obesity, and tobacco use. Chronic obstructive Pulmonary disease is the third leading cause of death in the United States ("American Lung Association," 2013). B.H. was a 71-year-old male admitted to Hardin Memorial Hospital for shortness of air related to COPD and pulmonary edema. It was my assignment to gather his relevant medical history, assess his signs/symptoms for seeking healthcare, and provide a thorough physical and psychosocial assessment.…
After assessing the patient, a second nurse confirmed agonal breathing and oxygen saturations at 57% on room air. I noted that…
Coronary CT angiography is also non-invasive. A major advantage of CT is that it is able to view bone, soft tissue and blood vessels all at the same time.4 It is therefore suited to identify other reasons for your discomfort such as an injury to the aorta or a blood clot in the lungs.4 A potential added benefit of CTA in these patients is the detection of non-cardiac findings, which may provide an alternate explanation for their…
INTRODUCTION This assignment is a continuity of my Assignment 1 in Module Clinical Practice 1. I have chosen 3 topics on my teaching session for my reflection; Arterial Blood Gases Interpretation, Electro Cardio Gram Interpretation and Ventilator Care Bundle. REFLECTION 1: Arterial Blood Gases Interpretation (496 words) Description: I have done on my teaching session with the topic Arterial Blood Gases Interpretation on 15th June 2016, I have been assessed by my senior colleague to evaluate on my overall presentation according to the evaluation of teaching checklist.…