Disseminated intravascular coagulation

Patient Center Presentation Patient Background Information D.D is a 56 years old female she was admitted to the hospital with complain of flue-like symptoms. The patient symptoms started on Monday. On Friday she stated that “I felt weakness all over and I called my cousin to take me to the hospital. In the ER patient presented with productive cough, body aches, runny nose, feeling feverish, and weakness. The patient history is diabetes, gastric bypass in 4/2015, hypertension, asthma and…

Jones. Mr. Jones appeared to be in distressed. He is now using his accessory muscles to breathe, crackles are heard on auscultation and there is decreased air entry in the left and right bases. Chest X ray revealed consolidation on the left lower lobe and atelectasis in the right lower lobe. After a series of investigation in the emergency department, Mr. Jones was commenced on Normal Saline at 125 mls/hr and he was given oxygen via non rebreather mask at 10L/min. He was then transferred…

example; Kaolin , micronized silica, ellagic acid, celite  Phospholipid: example; cephalin- to replace platelet phospholipid  Calcium chloride: in order for coagulation to occur, calcium is needed in molar excess. Calcium is removed by chelation when blood is collected into sodium citrate and decalcification is necessary to allow coagulation to occur.…

The patient is of the Hispanic background. 1. This patient is at risk for infection or developing sepsis due to being 10 days postop for an amputation. Complete blood count measure how many white blood cells are circulating in the bloodstream. The normal lab values are 500-10000. Numbers larger than 10000 are indicative of infection. Lactate acid test should be run although the patient is at 96% room air. Organs produce lactic acid when the body is not receiving enough oxygen. The prevention of…

Epilepsy is a chronic neurological disorder affecting all ages. Epileptic seizures occur as a brain insult that results in one of three forms. Seizures can be systemic, toxic or metabolic. Epilepsy has been defined as brain disorder characterized by enduring predisposition to generate seizures, by the neurobiological, cognitive, psychological and social consequences of the condition. An epileptic seizure is defined as a transient event of signs and symptoms due to abnormal excessive neuronal…

In the last several years, much debate has been raised over the issues of child vaccinations here in the U.S. Various studies have yielded results that support both sides of the debate. At stake, is whether a parent can choose vaccines for their children, a decision that ultimately may protect the child, hurt the child, or possibly put others in the community at risk. Upon thorough factual research, a parent has a more informed to choose which vaccines should be administered to their child…

Preeclampsia, HELLP syndrome and eclampsia are part of a spectrum of hypertensive disorders specific to pregnancy. Hypertensive disorders in pregnancy are a leading cause of maternal and fetal morbidity worldwide. The root cause of hypertensive disorders specific to pregnancy is the placenta. As the cytotrophoblastic tissue of the placenta fails to widen the maternal spiral arteries – this is called decreased spiral remodeling. This causes decreased tissue perfusion (ischemia) in the…

Recommended Testing Lactate Level Blood Cultures X 2 (Different Sites) - Prior to initiating antibiotics Culture Surgical Site and Gram Stain Complete Blood Count with Differential (CBC) Complete Metabolic Profile (CMP) Blood Glucose Monitoring Prothrombin Time (PT) and International Nectrotizing Ratio (INR) Activated Partial Thromboplastin Time (aPTT) Urinalysis (UA) and Culture CT Abdomen/Pelvis Radiograph of Right Lower Extremity The given scenario leads this writer to pursue aggressive…

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…

The most intriguing patient during my time at Decatur General Hospital was a man who was admitted with rhabdomyolysis. The patient is a 68-year-old male with a significant past medical history of hip fractures, decubitus ulcers along with sepsis, alcohol abuse, acute blood loss anemia, gastroesophageal reflux disease (GERD), and nicotine abuse. The patient was transferred to Decatur General Hospital Emergency Room from his previous rehabilitation center due to progressively getting weaker and…