Acute

SPO2 was around 84% on room air. He was sent to Vista East ER on 3/13/2017 by 911 due to respiratory distress and low oxygen saturations [84% spo2]. James Petrovsky was hospitalized from 3/13/17 to 3/18/2017 at vista East hospital for pneumonia and acute respiratory failure with hypercapnia. He received I. V antibiotics, I. V fluids, steroids, BIPAP and…

The Hospital Value-Based Purchasing (VBP) program is an initiative by the Centers for Medicare and Medicaid Services (CMS) that rewards acute-care hospitals with incentive payments for the quality of care they give to people with Medicare (Centers for Medicare and Medicaid Services, 2015). CMS rewards acute care hospitals based on the quality of care they provide, on how closely best clinical practices are followed, and on how well they enhance the patients’ experience of care. The hospital VBP…

side of the game. In P1 it is all about how the musculoskeletal and energy system responses to acute exercise. P2 is about the cardiovascular and repertory system and how that responds to acute exercise. M1 wants me to explain the response for the musculoskeletal, cardiovascular and repertory system to acute exercise. P1 In P1 it is all about how the musculoskeletal and energy system responses to acute exercise. When you start to exercise your muscles start to increase their demand for…

blood cells and the patient becomes sick. There are two different types of leukaemia: acute leukaemia and chronic leukaemia. Acute leukaemia normally affects younger age groups and the disease works at a rapid pace in the blood and bone marrow. If it is left untreated the blast cells become fatal within weeks or months. Chronic leukaemia generally affects the older age group and works at a less rapid pace than acute leukaemia, is usually less aggressive and if left untreated it can be fatal…

detox. This case study is about a patient from the Medical Surgical floor, whose medical diagnosis is acute pancreatitis, but the patient had an underlying diagnosis of chronic alcohol abuse. Patient Demographic Data During a rotation on the Medical Surgical (Med Surg) unit, the author was assigned a patient, KG, the day after the patient had been admitted and help to care through a lot of acute pain and care. Patient KG is a 52-year-old male, who had no known medication allergies, that…

Preeclampsia and AFLP both represent a substantially critical maternal ailments occurring in the third trimester of pregnancy, emerging for prompt interventions even up to pregnancy termination (11). The fairly favorable maternal outcome of preeclampsia is reversed in case of liver involvement (12). HELLP syndrome is signified as the risky evolution of preeclampsia, titled with (H) for hemolysis, (EL) for elevated liver functions tests, and (LP) for low platelet counts (13). However the…

focused on the critically ill in these setting (Chopra V, Krein SL, Olmsted RN, et al., 2013), and the use of prevention bundles and checklist has been extensively reviewed, but few studies have addressed CLABSI’s in long-term care hospitals. Long-term acute care hospitals (LTACH) treat patients that have chronic critical illnesses and usually arrive with a central-line already in place. Since placement decisions are typically not made at these locations, CLABSI prevention practices are more…

normally caused by the damage to the nephron. This damage can be caused by genetics, injury, drugs, cancer, cysts, stones, and/or infection (National Library of Medicine, 2015). Glomerulonephritis is when the glomeruli are inflamed. The disease can be acute or chronic and it can be a primary or secondary form of glomerulonephritis, depending on how the glomerulonephritis is caused (Mayo Clinic, 2014a). Nephrotic syndrome is when the urine has too much protein in it, causing the feet and ankles…

stopped because the patient became hypotensive. The surgery was then completed without any further transfusions. The patient was then transferred to the ICU for recovery and then it was observed that the patient exhibits characteristics that indicate acute transfusion hemolytic reaction. The expression…

people with asthma because it can increase ones breathing rate and sometimes even cause hyperventilation. During stress the heart will pump blood faster and due to long term stress ones heart can develop long term problems from wear and tear. Constant acute stress can also be problematic as it can cause inflammation in the circulatory system. The liver will produce extra glucose for energy during times of stress and normally this wouldn’t be an issue unless someone is type one diabetic or…