Respiratory rate 20 non-labored, producing a white material on the buccal mucosa; which does not wipe off with tongue blade. Other vital signs: temperature: 101.F, pulse: 100 BMP (regular), blood Pressure: 130/72mmHg, pulse oximeter: SAO 98% RA. Auscultation reveals decreased breath sounds, dull to percussion right lower lobe. End expiratory wheeze in right lower lobe, as well as an increased anterior-posterior diameter to chest wall, no rales or rhonchi. Chest X-ray results shows hyperinflation of both lungs with an increased AP diameter. There is evidence of emphysema. Initial laboratory work reveals increased white blood cells of 15,000.
Admitting orders include arterial blood gas, sputum specimen for culture, pulmonary function tests, complete blood count –CBC and comprehensive metabolic panel- CMP; methylprednisolone, intravenous antibiotic medications, but avoiding sulfa drugs which include: Co-Trimozole, Sulfadiazine, Sulfamethoxazole, Trimethoprim-Sulfa-methoxazole ( Bactrim, Bactrin DS, and Septra), and Timethoprim (Trimpex, Proloprim, and Primsol). Patient should be on bed rest with bathroom privileges; oxygen per nasal cannula at 2litters continuously to keep saturation above 92%; and regular…
Internal injuries most often happen during a separate medical procedure by the veterinarian (iatrogenic). These causes include:
Accidental puncture while drawing blood
Accidental puncture during neck surgery
Traumatic intubation during use of a tracheostomy tube
Administration of anesthesia
During a transacheal wash
External trauma to the trachea normally occurs as the result of an accident. These accidents include:
Penetrating trauma from an arrow, gunshot
Blunt trauma from a thrown rock…
Last Pap smear was obtained one year ago with negative results. Last complete blood work was assessed with a physical done one years ago with normal results. Tuberculin test was last done in December 2009, with negative results.
Patient is a single female engineering student, currently residing in New York with her parents. She is a non-smoker, and non-alcoholic. She denies use of illicit drugs. Ms. A does not follow any…
When it came to interventions for the patient there were many which were divided into independent, dependent, and interdependent. Some of the independent interventions that pertain to this patient which is discussed in research was the importance of position changes. In the previous article which discussed the prevention of pressure ulcers they mention that the new pressure ulcer reducing bundle included interventions to move the patient every 3 hours and if indicated every 2 hours (Coyer…
Assignment 1- Professional integration
I chose chapters 4, containing material on the musculoskeletal system and chapter 6, and containing material on the cardiovascular and lymphatic system. I chose these two chapters because there was material in each that I was unclear about and needed some extra time put in to learn these topics. In the musculoskeletal system, I have had troubles with keeping the anatomical planes separate and which motion is in what plane, need to review the energy systems,…
Outline of Case and Objectives
43 year old male
Previous laparotomy about 10 years ago due to gunshot abdomen
Presenting now with a single stab wound to the right epigastric region, pericardial effusion confirmed by ultrasound. Explorative laparotomy done- patient has right ventricular injury and right sided diaphragmatic injury
The patient was intubated and ventilated
The patient had the following devices in place:
o Right Intercostal Chest Drain (ICD) for a haemothorax which drained…
Micro- The patient’s microbiology test result shows that the blood culture has no growth. Whereas, the respiratory culture was obtained from tracheal aspiration and has positive test results with many WBC’s less than 25 squamous epithelial cells, moderate Gram-negative Rods, many Pseudomonas aeruginosa and moderate Klebsiella pneumonia which was resistant to Ampicillin.
CBG- Capillary blood gas results conclude that the patient has moderate hypoxemia and the acid-base status of this blood…
Etse Lossou 10424363
Topic: Impact of Traffic Congestion on Commuters; a case study of Accra-Kasoa Road
Road Traffic congestion has always been a major problem all over the world. Both the developed and developing countries are battling with the problem but with different degree of commitment. On the 14 of October 2014, a study from INRIX and the Centre for Economics and Business Research (Cebr) revealed that the total cumulative cost of congestion in the UK’s economy is…
Hypovolemic shock is the result of severe blood/fluid loss causing the heart to inadequately circulate oxygen to the rest of the body (Workman, 2013, pp. 812). In this condition, there is sudden decrease in blood volume within the vascular space causing a drop in mean arterial pressure. This decrease in mean arterial pressure causes a sudden loss in the oxygen carrying capacity of the blood related to the sudden decline in available red blood cells. As the heart is unable to properly pump oxygen…
the adequate circulation of oxygen and nutrients over the procedure.
1.1.1 Coronary artery bypass graft (CABG)
CABG is a common procedure that used CPB to treat the blockage of the coronary arteries. It diverts blood…