Auscultation

Database and Assessment Table 1 – Physical Nursing Assessment Data GENERAL: Patient is an 88 year-old Caucasian male. Vital signs stable at 97.3°F, 82BPM, 22 breaths/min, 84/54mmHg, 100% on 1.5lL O2, 0/10 pain, patient weight 58kg. SKIN/HAIR/NAILS: Skin was thin and fragile, warm and moist, skin color slightly pale, skin tear on left upper arm measuring 3 inches, no bleeding or pain. Mucous membranes are moist. Fingernails trimmed and clean. Toenails were thick and had a yellowish color to…

Peter has returned three months since the last appointment. Unfortunately Peter has been noticing a gradual increase in dyspnoea and on reflection believes this has been the case since having pneumonia back in June. He has recently been trying to build a deck for his daughter and has struggled to do this, whereas twelve months ago he thinks he could have managed this without too much difficulty. There has been a recent productive cough and Peter is just completing a course of Augmentin Duo…

Subjective and objective data are significant to support the diagnosis of CD and rule out other likely gastrointestinal conditions. Detailed information should be collected from the patient regarding their symptoms. This information should include: the patient’s ability to tolerate well-balanced meals, significant weight loss, family members with similar symptoms or gastrointestinal diseases, remedies that have been tried to alleviate symptoms and its response, the presence of abscesses,…

but in the doctors case he stopped taking his medication. Arteriosclerosis is caused by HBP which can also lead to CAD (Coronary Artery Disease). The blurred vision and dizziness go hand in hand and are also signs of a cardiovascular disease. The auscultation observed rales and crackles. Crackles are caused when small air passages open during inspiration increase during expiration. A coarse crackle is due to fluid in the lungs which would suggest right-sided heart failure. The rales are an…

system in Japan Introduction At present, Nursing practice focuses on several specialized areas and thus, the Japanese nurses are also in need to possess more general competencies other than the specialized skills. In this regard, the American Association of Colleges of Nursing (1998) and the Japanese Ministry of Education, Culture, Sports, Science and Technology (2002) commended that the assessment must be kept as an essential component in the professional nursing education. Also, currently,…

My practice placement this semester is in KBRH on the medical floor. Every Monday and Tuesday we either work the morning or evening shift, alternating each week. During the second half of our clinical experience we have had the choice each day to take one or two clients. We are now able to administer oral medications, documentation, subcutaneous and intramuscular injections, prime and administer NS IV’s, and clean wounds. Student Comments: The second half of this semester has been a lot…

case study, pulmonary congestion is evident by shortness of breath and X-ray result. Pulmonary congestion is responsible for ineffective oxygenation of blood and hypoxia. That is why patient is suffering from tachypnoea (RR 24/minute). Creps on auscultation is evidence of pulmonary oedema. Patient is diaphoretic because of activation of sympathetic nervous system to compensate demand of oxygen of body. Heart failure can increase risk of atrial fibrillation by rising ventricular filling pressure,…

Thank you for involving me in the care of Silvana Libratore, a 67-year-old lady who is a lifelong non-smoker and has previously worked in an office environment. Silvana keeps no pets. As you are aware, Silvana was initially admitted to The Northern Hospital between the 23rd and 28th of July following a two-week history of cough and breathlessness. A chest x-ray followed by a CTPA study were unremarkable and inflammatory markers were normal. A provisional diagnosis of viral bronchitis…

Patient: David Bonilla Patient age: 3 year-old-boy. Significant information about the patient’s condition: His mother brings David into the pediatrician office. He has had coughing and a runny nose for about 5 days that has been treated with saline nose sprays and a humidifier. He has a low-grade fever of about 101 degrees F for the past two days. He has been taking acetaminophen to keep down the fever. He attends daycare. The patient has no recurrent episodes of ear infections in the past,…

In medical school, Dr. Ostrea said, they were taught that when examining a patient, there are three techniques: palpation, percussion and auscultation. This means touching a patient to feel for bumps, bruises, textures growths or abnormalities in organs or body parts and listening to unusual sounds inside and outside a patient’s body. These can be performed either with just the fingers or hands…