Auscultation

The role of a Animal Health Technician in a shelter The animal health team and that of the adoption/foster home services are often called upon to work together. To better understand the role of an AHT in a shelter, here is a brief description of the job and duties. Animal Vaccination Every animal that arrives at the shelter must be examined by an AHT, if the animal’s behaviour allows it. The examination takes place preferably on the day of arrival, but on busy days it can be delayed.…

Identifying Data Initials: J.R. Age: 21 Race: Black (Non-Hispanic) Gender: Male Height: 5’10” Weight: 158lbs Subjective Data Chief Complaint: Nausea, vomiting and dry heaves related to alcohol withdrawal. Increased depression, suicidal ideations, auditory and visual hallucinations. History of Present Illness The patient is a 21-year-old single African American male with a past…

Emphysema is a chronic lung disease, which damages the air sacs called alveoli by causing shortness of breath (dyspnea) due to the enlargement of lung sacs. Emphysema is also known as Chronic Obstructive Pulmonary Disease (Ontario Lung Association,2015). Emphysema is a disease, which not only destroys the lung air sacs but it also reduces the amount of oxygen that can reach the bloodstream. Smoking is one of the main reasons for the cause of emphysema. Therefore, it occurs mostly to the people…

either is very different. Symptoms on presentation for both can be exactly the same. If you read carefully on this vignette, the scenario falls more likely toward being CHF-related than COPD-related, because of the physical findings of rales on auscultation, bilateral pitting edema, and jugulovenous jugular venous distention. Also in the history, she complains of orthopnea and leg swelling. Regardless, the two best tests to initiate with to decipher between the two is a chest X-Ray x-ray (CXR),…

According’s to NIH (2017a), the typical signs and symptoms of Pneumonia include coughing of green or blood-stained sputum, shortness of breath, fever, chest pain, shaking chills and fatigue. Others signs and symptoms are sore throat, muscle pain and loss of appetite (Mackenzie, 2016). Signs and symptoms are varying in individuals. Sometime mental awareness in elderly may have drastic change due to Pneumonia (Mackenzie, 2016). Most of the typical signs and symptoms above were appear in Dudley’s…

Nursing interventions are appropriate for Mrs. J. at the time of her admission I recommend placing the patient in Fowler 's position, assess vital signs and mental status. Auscultation for abnormal heart and breath sounds, and give her supplemental oxygen to help her breathe more easily. Daily weighing of the patient, and check for peripheral edema. Monitor the patient for signs and symptoms of fluid overload, and impaired gas exchange. Explain the disease process to Mrs. J. to help her…

membranes and conjunctiva pink and moist. No thyroid enlargement or nodules. •Cardiac: Regular rate and rhythm, S1 S2 noted, no murmurs. •Respiratory: Respiration rate and depth appropriate, chest expansion symmetrical, bilateral lungs clear to auscultation anteriorly and posteriorly. No use of accessory muscles. •Abdomen: Soft, non-tender. No rebound tenderness, guarding or masses. Bowel sounds active x4 quadrants. No bladder distention appreciated. •GU: External skin and labia are…

Extraocular muscles intact. Sclera anicteric without injection. Oropharynx without any lesions. Mucous membranes moist. Neck: Supple. No JVP. Trachea midline. Lymph Node: No cervical or supraclavicular lymphadenopathy. Lungs: Clear to auscultation bilaterally. No wheezes, rales, or rhonchi. Symmetric chest expansion. Breathing nonlabored. Heart: Regular rate and rhythm with normal S1, S2. Abdomen: Soft, nontender and nondistended. Normoactive bowel sounds. Extremities:…

A very knowledgeable individual once said, “When you light a cigarette, your life burns with it” and in my opinion, no truer words were ever uttered. Smoking cigarettes disturb, destroy, crush and cripple every organ and system in the body. Furthermore, it negatively alters an individual’s physical appearance, reduces his or her lifespan, and causes and leaves the body susceptible to, a plethora of diseases. When conducting a physical or head to toe assessment on Mr. T the nurse can expect his…

questionnaire. After this was completed I took his vital signs, he had a blood pressure 98/60, temperature 98.4, pulse 88, respirations 18 and oxygen saturation of 98%. He is 5 foot 8 inches tall and weighs 150lbs. His lungs were clear upon auscultation, respirations…