of her right lower extremity primarily in the medial thigh region, with several ecchymoses. She was given one 4 mg dose of morphine and one 4 mg dose of ondansetron intravenously. Her complete blood count showed severe anemia (hemoglobin 5.6, hematocrit 17.4) and an elevated white blood cell count (13.7). Her BUN (59), creatinine (3.27), glucose (218) and total CK (834) levels were elevated while her estimated GFR (18) and albumin (3.1) levels were low. The occult blood test was positive.…
Health History: Patient is a 36 year old female of Caucasian decent. Past medical history, of depression, Bi-polar affective disorder, spinal epidural abscess, paraplegia, anemia associated with acute blood loss, Hepatitis C, poly substance abuse, kidney infection, panic attacks, ectopic pregnancy, staphylococcus infection, protein malnutrition, neurogenic bowel, and neurogenic bladder. Current medical history, patient is a 36 year old female was admitted to Memorial Regional Hospital,…
it is noted that the patient is taking cimetidine and warfarin. There is an interaction with his cimetidine and warfarin. This is a contraindication as cimetidine increases the level of the warfarin which causes bleeding. It is noted that his hematocrit is 42% which is outside the accepted range of 45% to 52 %. Second, the patient complains about easy bruising. The objective data reveal ecchymosis on the arms and legs. When a patient is on warfarin, there is a need to ensure the best possible…
The patient revealed that she is married with two children. Her husband and both children are very supportive and want what is best for her. Her mother and father are both alive and well and have been visiting her at the hospital; they are also very supportive. She currently works at Green Valley Elementary School and states they have been very accommodating with the health issues she has been dealing with. She stated she used to be a smoker, but quit a long time ago. She also stated that when…
In 1943 the kidney dialysis machine was made to help with people who have Non Working kidneys, overdose, and can help prevent kidney failure. Depending on why the person is on the machine will determine how long they will be on it, the most you could be on the machine is five to ten years. The training for the machine can take up to six weeks by itself and you have to do treatment four to seven per week. Therefore machine itself is the size of a microwave and has to be plugged In at all…
which are two immovable joints between the fibula and tibia at the ankle. I explained to him that her body oxygen is below than normal which is called hypoxia; so we inserted nasal cannulae which are tubes to support her respiration. We performed hematocrit to count the red blood cells in her blood, the result is normal. In next few weeks, there will appear shiny scar on her thigh that is keloid, it is normal because her wound is healing. The doctor will prescribe an analgesic drug for her pain…
Nursing school is a door that opens many great opportunities and experiences in life. Some of those experiences make you fall in love with nursing all over again and others test your limits. No matter the circumstances, one will always get something out of each experience. The Operating Room (OR) observational day provided to us during third semester is a good example of a great learning experience. Purpose As my day started on Thursday, I couldn’t help, but feel nervous. I remembered the time…
rate. She is having typical sign and symptoms of iron-deficiency anemia, which is general fatigue, weakness, shortness of breath, fast or irregular heart beat and headache (Health line, 2015). Also according to her blood work, the hemoglobin level, hematocrit and erythrocyte count are below normal and also RBC smears shows microcytic means smaller size of RBCs and hypochromic means less hemoglobin in every RBCs. The laboratory work also proves that she is having iron-deficiency anemia. The low…
Her anemia is so severe she is experiencing life threating symptoms of increase heat rate and respirations, hypotension, shortness of breath. After arriving at the hospital, her subjective data and laboratory values of decrease hemoglobin and hematocrit, normal reticulocytes, and low mean corpuscular hemoglobin concentration (MCHC) and mean corpuscular volume (MCV) indicated that she has a type of Microcytic hypochromic anemia caused by iron…
Iron Deficiency Anemia Anemia is caused by a low level of red blood cell in the body. Some of the different types of anemia include: iron deficiency, vitamin, sickle cells anemia and thalassemia. The purpose of this paper is to evaluate the data presented to determine what type of anemia Ms. A. has. Subjective Data Ms. A is a 26-year old Caucasian woman. Who was taken to the emergency clinic by her golf partner after she started complaining of light headedness, difficulty breathing and lack…