The Patient J. V.: A Case Study

Improved Essays
The patient J.V., had the diagnoses of shortness of breath, diabetes, obesity hypoventilation, and respiratory failure. His readings kept being high for blood glucose during my shift; ABG showed pH of 7.38, PCO2 of 79, PO2 64, CO2 42 mmol/L, and oxygen saturation of 97%. The morning of my clinical shift, his blood glucose was at 215mg/dL, the patient had cough, weakness, fatigue, and shortness of breath. He was on insulin Levemir, bronchodilators, antihypertensives, blood thinners, bronchodilators, and BiPAP therapy. After insulin was administered, he reported he felt “mareado (dizzy)” and didn’t know

Related Documents

  • Improved Essays

    Cj Hospital Case Study

    • 615 Words
    • 3 Pages

    Re: The taxability of meal vouchers furnished by CJ Hospital to its medical staff Facts The facts are stipulated as follows; CJ hospital has a cafeteria that closes at 8:00 pm and a privately owned sandwich shop, Subway operating 24 hours on its premises. The hospital provides meal vouchers to all its 240 medical employees to be redeemed at the cafeteria or Subway. This voucher is meant to be used when the employees are on call in case of an emergency.…

    • 615 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Jewson then proceeds along to describe key details of different cosmologies such as Hospital Medicine and Laboratory Medicine. Jewson depicts these as sort of a turning point from Bedside Medicine as this is where new innovation in the society creates conflict in how the process was in the past. In the Hospital Medicine, Jewson starts arguing about how the focus became more on "the medical theorising becoming the innumerable morbid events, occurring within the gross anatomical structures" and how "Medical investigators concentrated upon the accurate diagnosis and the classification of the cases." Jewson, in this case, is showing how the focus is shifting from a person oriented to sort of an objected oriented side where the organs are the main…

    • 222 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    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.…

    • 1432 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Whose Hospital Case Study

    • 1133 Words
    • 5 Pages

    Case Q: Whose Hospital? Background of the situation: In June of 1979, the medical staff at Brendan Hospital held a mass meeting at the hospital to discuss various allegations against CEO, Don Wherry. A petition was signed by half the medical staff and by half the employees of the hospital at the mass meeting.…

    • 1133 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    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.…

    • 753 Words
    • 4 Pages
    Great Essays
  • Improved Essays

    Nursing Case Study Ms. V.

    • 767 Words
    • 4 Pages

    This client, Ms. V, is a twenty nine year old, African-American female, single mother. Client is also the head of her household. Client was referred to a drug treatment program by a health assessor from Social Services for an assessment. The reason for the assessment is to determine if she needs to attend a substance abuse outpatient treatment program. Based on the DSM IV, Ms. V suffers from Cannibal Abuse Disorder 305.20.…

    • 767 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Patient Case Study Essay

    • 485 Words
    • 2 Pages

    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.…

    • 485 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Dm Type 2 Case Studies

    • 1239 Words
    • 5 Pages

    A CBC, CMP, and a blood glucose were also performed. Her CBC showed an anion gap of 27 and a blood sugar of 349. She had a fever of 101 and elevated white count and a low blood pressure. She was subsequently admitted to the ICU with a diagnosis of diabetic ketoacidosis (DKA) and septic shock. She was started on IV normal saline to treat DKA an d…

    • 1239 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Diabetes Mellitus Diabetes mellitus (DM) is one of the leading chronic, lifelong condition worldwide. DM can cause high rates of morbidity and mortality due to complications associated with the disorder. DM is characterized by hyperglycemia due to a lack of insulin, insulin resistance, or can be consisted of both. The four main types of diabetes mellitus include type 1 diabetes mellitus, type 2 diabetes mellitus, gestational diabetes mellitus, and other specific types (Darby, 2015, 824). A high rate of periodontal disease has been reported with type 1 and type 2 diabetes mellitus (Al-Maskari, et al. 2011).…

    • 1493 Words
    • 6 Pages
    Improved Essays
  • Decent Essays

    Sob Case Study

    • 54 Words
    • 1 Pages

    This is 49 year old male who is here for medication refill and increasing SOB. Patient reports that he is experiencing SOB with increased activity, after large meals, and when he is exposed to an irritants. Patient is a smoker with 30 pack year history. Patient denies depressive moods, chest pain, N/V/D, or fever.…

    • 54 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    The scenario that has been chosen here is scenario 1, Anne Baptiste with type 2 diabetes. For type 2 diabetes the pancreas produces insulin, but the body’s insulin receptors cannot respond accordingly, therefore blood glucose levels remain high after food as glucose in unable to enter most tissue cells. The signs and symptoms that people with type 2 diabetes could experience could include yeast infections, lower extremity paresthesias, polyuria, polydipsia, polyphagia, blurred vision, fatigue, dizziness and nausea. The conditions I will be concentrating on here will be polyuria, polydipsia and polyphagia. Polyuria, Polydipsia and Polyphagia When there is too much glucose in the blood, it then leads to excessive glucose in the kidneys, this then exceeds the kidneys ability to absorb it, called diabetic ketoacidosis (Brooker).…

    • 595 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Physical Health Assessment Summary

    • 1499 Words
    • 6 Pages
    • 5 Works Cited

    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.…

    • 1499 Words
    • 6 Pages
    • 5 Works Cited
    Great Essays
  • Improved Essays

    Airway Case Study Nursing

    • 1310 Words
    • 6 Pages

    The base excess is higher than the normal range, which suggests a metabolic cause. An elevated lactate indicates lactic acidosis as a result of tissue hypoxia as evidence by decreased in systemic blood flows (Ringdal & Gullick, 2015). Therefore, the patient has metabolic acidosis due to an injury to the myocardium that caused a decreased in cardiac output, tissue hypoxia, and low bicarbonate due to rise in lactic acid Also, it is uncompensated as per the PaCO2 is normal (Gandhi & Akholkar,…

    • 1310 Words
    • 6 Pages
    Improved Essays
  • Decent Essays

    NURSING PROCESS RECORD (STEP 2) NURSING DIAGNOSIS EXPECTED OUTCOME INTERVENTIONS RATIONALES EVALUATION 1. Risk for infection related to decrease number of neutrophils. Patient will remain free from infection. Observe and report signs of infection such as redness, warmth or discharge.…

    • 485 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Diabetic Reflective Essay

    • 771 Words
    • 4 Pages

    Stage (3): Analyzing the Experience: (250 words) I was trying to improve my patient condition by regulating her blood sugar level to reduce the risk of developing complications. After the assist of my tutor to give good health education, Ms.S.K.’s start asking me questions about the complications. I felt happy because she interacts with me.…

    • 771 Words
    • 4 Pages
    Improved Essays