vital signs, pregnancy weight, heart and breath sounds, check the size of the uterus and determine if the patient pelvis can deliver the baby. I would draw labs on the patient to get a baseline. Blood laboratory test would include hemoglobin and hematocrit, complete blood count, blood type, RH factor, rubella titer, and renal function. A pap smear and urinalysis will be…
A virus is a very small pathogenic antigen that requires a host cell to replicate to cause harm. The virus can attach itself to several kinds of living host such as plants, animals, bacteria and archaea. Although there is some exception, virus is very specific when it comes to appending a host. Animal virus only affects animals, same goes with archaea, bacteria and plant viruses. One specific virus that is endemic to countries near the equator is the dengue virus. DENV or dengue virus, is…
Medical Surgical Nursing II: Sickle Cell Anemia-Case Study The following case study is about sickle cell anemia. This disease process is more common in those of African-American decent and simplified means that a patient’s blood cells are abnormally shaped which causes different manifestations as well as complications. There is no cure for sickle cell anemia/disease, but it is treatable. A potential complication is acute kidney injury (AKI), as mentioned in this case study as well. AKI is a…
At this moment, this young boy fits the diagnosis of Normocytic anemia with increased red cell production along with leukopenia. The patient presents with symptoms consistent with severe anemia including of pallor, fatigue, tachycardia, tachypnea, and hypotension. The patient’s new systolic ejection murmur is most likely related to increased semilunar flow due to the anemia. The recent throat infection and subsequent antibiotic treatment are the most probable cause of these symptoms. The…
diagnosis. The first step in diagnosis is to test the blood. The tests performed on the blood is a complete blood count with differential and a reticulocyte count. This test provides a lot of information on the condition of the blood such as hemoglobin, hematocrit, and the number of red and white blood cells as well as the number of platelets. The last thing this test shows is the mean corpuscular volume of the red blood cells, which is the average size of the red blood cells in the blood. The…
The physician has written discharge orders for Anna. Anna’s spouse Steve Starke is also at the bedside, waiting for the nurse to bring the discharge paperwork. Anna’s morning labs are as follows: hemoglobin 10.4 g/dl, hematocrit of 28%, BNP level of 200pg/ml, and white blood count of 9,000 cells/mm3. Her morning chest x-ray results are normal. Her assigned RN checked vital signs before discharge. The vitals are as follows: Temperature: 97.20F, Heart rate: 80 beats per…
The objective of this study was to determine if communication between nurses and physicians in the hospital setting was negatively impacted by disorderly physician behavior. This study acknowledged behaviors displayed by physicians that inhibit effective communication. To begin with, this study opened by sharing an incident that occurred in a medical unit at a community hospital during shift change. A patient had to be transferred to a higher level of care as a result of a change in vital signs…
Room 337, an 85- year old widowed white female, presented six days ago to Lynchburg General Hospital with complaints of dizziness and falling. She has a past medical history of hypertension, chronic CHF, asthma and hypothyroidism. After the conduction of lab testing, Room 337 was diagnosed with syncope. Her syncope was most likely a result of insufficient O2 delivery to the brain caused by a decreased CO produced by the weakening of her heart muscle. Despite hypertension medications, Room N337’s…
deficiency - Disseminated intravascular coagulation - Antagonist drugs (c) Acquired deficiencies Case study two 1. (a) There is leukocytosis characterized by lymphocytosis. Red blood cells are decreased together with hemoglobin and hematocrit. (b) The elevation in lymphocytes is relative since it is greater than…
Electronic Health Record Systems offer many features that are designed to increase both the quality and the utility of clinical documentation and enhance communication between all healthcare providers. Choosing the correct electronic healthcare system is a very important task. Healthcare facilities should select an EHR system based on the selected goals chosen by the facility. Poor Electronic Health Record (EHR) system design and improper use can cause EHR-related errors that jeopardize the…