Auscultation

What is ARDS? Acute respiratory distress syndrome, commonly referred to as ARDS, is a lung condition that does not allow sufficient oxygen to reach the lungs and then the blood. There are approximately 200,000 cases each year within the United States. Also seen in children, ARDS can be a mortal condition with substitute names such as non-cardiogenic pulmonary edema, increased-permeability pulmonary edema, and acute lung injury. According to the American Lung Association, ARDS occurs when there…

George Hall is a 49-year-old male who is a practicing Hindu. After being diagnosed with metastatic colon cancer, he had a surgical colon resection. Currently Mr. Hall is 36 hours post-operation, on a clear liquid diet, and continuing intravenous fluid replacement. Upon the return of bowel sounds, his diet will progress to continuous tube feedings through a nasogastric tube. The constant pace of continuous feedings will prevent risks of intolerance and aspiration of the formula. Progression of Mr…

CC: “I feel awful and ache all over” HPI: M.M. is a 19 year old female presenting to the clinic today with complaints of malaise, increased somnolence/fatigue, non-productive cough, fever/chills, headache, and generalized myalgia (7/10). Symptoms began yesterday morning, prior to school, and continued to get worse. Patient drank an energy drink around 7pm yesterday and again this morning to increase her energy but was unsuccessful. She took OTC Tylenol last night for other symptoms with no…

Formal Care Plan: Pneumonia Biographical Data The patient is a 78 year old Hispanic female. She was born in Houston, Texas. She is married and has 2 children and is a retired school teacher. Present Health-Illness Status She was admitted into the hospital from the emergency room with pneumonia. The patient states she drove herself to the emergency room because she was feeling very sick and short of breath. She states she had been feeling like this for the past 3 days. She finally decided to…

The Cause and Effect of Mutations on the Cystic Fibrosis Transmembrane Conductance Regulator Gene and How it Affects Lung Functions in an Individual Sterling Wood Biology 2458 Section 005, Pankaj B.C., October 11, 2015 Introduction Many people do not realize all the different factors that are a necessity when it comes to just breathing. The air we breathe is filled with many different particles and bacteria that could cause major problems if they were to reach the alveoli. With that being said,…

CONCEPT 3: THE USE OF NURSING PROCESS IN NURSING CARE OF PATIENTS This concept is taken from Block 4, Module 3 which is entitled as ‘Health assessment in nursing process’. The nursing process is the framework for providing professional and quality nursing care. It directs nursing activities for health promotion, health protection, and disease prevention. It is used my nurses in every practice settings and specialties. “The nursing process provides the basis for critical thinking in nursing”…

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.…

Historical and Physical Assessment Physical History S.V. is a 63-year-old Caucasian female 162.56 centimeters tall weighing 63.5 kilograms. She was admitted to the hospital on February 9, 2015, due to uncontrolled vomiting related to intestinal blockage from paralytic ileus. On admission the client’s oxygen saturation on room air was 92%. S.V. was previously released from the hospital just three days prior to this admission for Hyponatremia. She was diagnosed with neurogastroenterology and…

The ABCDE framework (Resuscitation Council 2005) is an acronym that is used for assessment and treatment for critically ill patients. It is a framework that is widely recognised and when used correctly can form the basis for a rapid, yet systematic and therefore thorough initial assessment (Jevon 2010; Page and McKinney 2012). It also assists in determining the seriousness of the condition and helps to prioritise the interventions needed (Page and McKinney 2012; Thim et al. 2012). It is…

That being said, the diagnosis consists of physical examinations, such as auscultation, pulse readings, edema usually found in the abdomen and legs, and testing the heart rhythms with an EKG (Congestive Heart Failure, 2016). Another way health providers diagnose a patient with congestive heart failure is by utilizing an echocardiogram…