Glomerulonephritis is the inflammation of the tiny small blood vessels within the kidneys that acts as filter called glomeruli. The disease damages the kidneys' ability to remove waste and excess fluids from the body. Glomerulonephritis can be acute - sudden attack of inflammation, or chronic- long-term and coming on gradually. In the past, chronic glomerulonephritis was the common cause of chronic renal failure but as of today, diabetes mellitus and hypertension are the main causes of ESRD, which account for almost 60% of dialysis patients. The cost of treating a kidney disease is uneconomical1.…
O: Patient is not in respiratory distress. Vital signs: RR 14 bpm, HR: 62, Increased AP diameter, mild productive cough, moderate amount of frothy sputum, no accessory muscle use, so excessive diaphragmatic breathing, skin temperature is warm and dry to the touch (afebrile), skin color is pale in color as well as his eyes. breathing pattern is eupneic, no pursed lip breathing, no nasal flaring, unable to access for JVD, no edema, no digital clubbing, AUS: diminished breath sounds in bases with rhonchi in upper lobes of lungs. A: Moderate airway secretions (COPD Hx, rhonchi, moderate amounts of frothy sputum), severe anemia (pale skin and eye color, Hb value of 6.3, pt. is weary), Air trapping (increased AP…
She had not repeated the 2D echocardiogram as recommended previously. She reported getting fatigued easily and feel dyspneic with low amounts of exertional efforts. The physical examination was unremarkable. It was noted that the claimant had no signs of heart failure at this time of visit. She has had palpitations in the past and event monitors had shown sinus tachycardia which was likely related to her anxiety, chronic pain syndrome, and fibromyalgia.…
The patient is a 57 year old female who went to the Urgent Care due to a complaint of shortness of breath, weakness and leg edema. She was seen by the Urgent Care Physician who advised her that she has fluid overload with severe hypertension and a holosystolic murmur. She was then sent to the ER for further observation. Her religious preference is Catholicism. N.E. has no known allergies.…
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.…
His lung sounds are diminished bilaterally. Pulse oximetry reading is 90%. He is receiving oxygen at 2 liters per nasal cannula. He complains of shortness of breath with exertion.…
He is a smoker and has a history of high-blood pressure for which he takes medication. He also takes a daily aspirin. His blood pressure is high upon arrival, 200/40, and O2 saturation is low, 92%, before administration of oxygen. Initial EKG results, though showing some abnormalities, do not show evidence of an active MI. EKG was repeated at 1 hour and showed similar results.…
Henry Williams is a 74 year old African American male. Mr. Williams was admitted to the hospital with an acute exacerbation of chronic obstructive pulmonary disease (COPD). Mr. Williams has a past medical history of COPD, cardiovascular disease (CVD), asthma, hearing loss with use of hearing aids, hypertension (HTN), and hyperlipidemia. He smoked one pack per day for 50 years. He quit smoking about 6 years ago.…
Client History A.O. is an 89 year old Catholic female of Japanese background. Past marital status is unknown, currently unmarried. Currently on medication for hypertension which initially caused bradycardia until the dosage was lowered. A.O. was immunized as a child, did protract chicken pox. Measles, and mumps.…
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.…
HEADLINE: ITS Holds Event Showing How Employees Can ‘Help People Fly’ Through the United Way SUB-HEAD: Representatives from Meals on Wheels, Alzheimer’s Association and the Prisoner Entrepreneur Program gave brief company descriptions and talked about the impact United Way donations have on their organizations Nearly 30 Information Technology Services (ITS) Senior Staff and employees gathered at the Rental Car Center on Sept. 29 to learn more about some of the various agencies who benefit from United Way donations. ITS Day of Caring Who: All DFW Board employees What: Stuffing Halloween trick-or-treat bags When: Thursday, Oct. 22 from 2:30 p.m. to 4:30 p.m.…
A review of his medical record indicates a medical history of peripheral edema, chronic pain Seizures, Hypotension, Prostate cancer, bladder removal, sleep apnea, NIDDM, gout, kidney stones, neuropathy, pulmonary embolus-has filter, DVTin right leg, chronic edema in right leg and chronic pain syndrome. At today’s visit he is accompanied by his wife. He is homebound due to his immobility. His wife reports that his immobility started 8 years ago.…
Cushing’s Syndrome Case Study, Manifestations, and Nursing Implications Introduction A 44-year-old male presents with complaints of body malaise and anorexia. He has noticed his attitude going from happy to depressed. He complains of weight gain, bruising easily, and frequent backaches. His arms and legs are thin.…
At today’s visit the patient is accompanied by his wife. He is awake, alert and oriented. The patient report upper back pain, severity 2/10, dull, chronic, he takes Tramadol 50 mg p.o every 6 hours prn. He states that sometimes the tramadol is ineffective but he refused to take any stronger pain medication. The wife reports that the patient has a poor appetite and had a weight loss of over 30 lb since last year.…
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.…