Priority 1. Impaired gas exchange r/t altered blood flow to alveoli secondary to pulmonary embolus -Patient’s c/c -Patient has difficulty answering questions because of dyspnea and pain. -Patient is pale which demonstrates lack of oxygenation. - She is restless, agitated, slightly disoriented; decrease LOC. -Sputum is blood streaked; damage to lung tissue. -Respiratory rates in order; 28,30,36 showing that his body is not receiving enough oxygen. - ABG: Uncompensated respiratory alkalosis with…
INTRODUCTION: Alcohol is a part of New Zealand culture and is considered as an inevitable factor for celebrations and for relieving stress (“Alcohol misuse”, 2016). Long-term high rate of alcohol consumption can lead to alcohol misuse and make people dependent on alcohol. It has now become a very common thing to see an alcoholic patient presenting to the hospital frequently to treat the withdrawal symptoms. Most of the patients admitted with Alcohol Withdrawal Syndrome (AWS) have multiple…
Community Health Assessment for Saline County, Kansas African-American Population and Diabetes Introduction Diabetes cost 245 billion in 2012 within the United States, with 176 billion towards direct medical cost and 69 billion towards reduced productivity (Centers for Disease Control and Prevention, 2014). The overall numbers of diabetes and prediabetes reported by the Centers for Disease Control and Prevention (CDC) reveals 29.1 million American or 9.3% of the population diagnosed. The…
during vomiting and diarrhoea Urea and creatinine may be raised in renal impairment. Urea alone may be raised in severe dehydration Raised in pancreatitis. May also be raised with a perforated ulcer Should be taken for patients with suspected or known hypovolaemia and any patients who may need urgent surgery. Also to confirm Rhesus status in all pregnant patients White blood cells Platelets 150-400 Sodium Potassium 135-145 3.5-5.0 Urea Creatinine 3.0-6.5 60-125…
UNIVERSITY OF SANTO TOMAS FACULTY OF MEDICINE AND SURGERY DEPARTMENT OF OTORHINOLARYNGOLOGY RESEARCH PROPOSAL: COMPARISON OF PHARMACOLOGIC AND REHABILITATION TREATMENT IN PATIENTS WITH BENIGN PAROXYSMAL POSITIONAL VERTIGO BASED ON RECOVERY RATE AND QUALITY OF LIFE SUBMITTED BY: SECTION D GROUP 8A Vergel de Dios, Charysse Victoria, Roxanne Villalobos, Leo Guillermo Villalon, Juan Gabriel Villamonte, Shane Villano, Jose Lorenzo Villanueva, Aristea Villanueva, Francis I. Introduction A.…
Background In 2014, the American Association for the Study of Liver Diseases (AASLD) and European Association for the Study of the Liver (EASL) published a new set of practice guidelines for Hepatic Encephalopathy (Vistrup et al., 2014). These guidelines define Hepatic Encephalopathy (HE) as “a brain dysfunction caused by liver insufficiency and/or portosystemic shunting, and manifests as a wide spectrum of neurological/psychiatric abnormalities ranging from subclinical alterations to coma”…
Diabetes Mellitus type 2 is a common chronic metabolic disorder and of the main causes of death in the United States. The total prevalence of diabetes in the United States is 25.8 million people, of these; 7.0 million have undiagnosed diabetes (Centers for Disease Control and Prevention, 2011). Among adults, diabetes is the leading cause of cardiovascular disease, renal failure, blindness, and non-traumatic amputations of lower extremities (Buttaro, Trybulski, Bailey, & Sandberg-Cook, 2013). The…
TERMINOLOGY CLINICAL CLARIFICATION • Systemic illness due to microbial infection that can lead to acute organ dysfunction or failure and associated with host immune response to infection CLASSIFICATION • There is a disease continuum with increasing severity if not treated or not responsive to treatment o Systemic inflammatory response syndrome (SIRS) - Documented or suspected infection with systemic manifestations of infection - Clinical response to a nonspecific insult of either infectious or…
Breast cancer in females TERMINOLOGY CLINICAL CLARIFICATION ? Malignancy that develops in the cells of the breast which proliferates uncontrollably; most commonly ductal and lobular carcinoma ? Diagnosis requires a tissue biopsy for microscopic examination to determine pathology CLASSIFICATION ? The TNM classification is used for clinical staging of breast tumors. The American Joint Committee on Cancer (AJCC) 7th edition stages breast cancer as follows:?26 ? TX: primary tumor cannot be…
Insulin is typically given in insulin pens with very fine needles. Long-term prospects The child needs to keep their blood glucose levels as close to normal as possible to delay the development of eye and kidney damage. This can occur after the onset of puberty, but is usually a concern only in later life. Regular check-ups at the children's outpatient ward at least every three months are recommended. Regular check-ups for the late-stage diabetic…