Ischemia

I1. You walk into Anna’s room and on initial assessment you found Anna is restless. The patient care tech just finished doing the vital signs on Anna and handed over it to you; BP: 170/84 mm Hg Pulse: 122 beats/minute Respirations: 40/minute Pulse Oximetry: 96% on the BiPAP Oral Temperature: 98.6F (Her last ABG done 30 minutes before shows pH of 7.38, Pco2 of 40, Po2 of 110, and HCo3 of 24) Anna is found restless, pulling on to the mask trying to remove it and the patient care tech is…

recent research, that troponins levels might be elevated in certain non-cardiac conditions such as pulmonary embolism, sepsis and renal insufficiency inter alias[42]. It has been noted in patients with ESRD that, without any symptoms or signs of ACS, troponin level is elevated. Such findings put clinicians in a dilemma in the realm of diagnostics and treatment. Renal and cardiovascular diseases are intricately linked showing a moderately high level of co-occurrence. It has been noted that…

List A: Microbiology of Inflammatory COPD Exacerbation Microbiology Results Indication Sodium Level 142 mmol/L Normal Potassium Level 5.1 mmol/L Normal Chloride Level 101 mmol/L Normal Bicarbonate Level 29 mmol/L Normal Urea Level 7.3 mmol/L High (2.9–7.1 mmol/L) Creatinine 91 umol/L Normal eGFR CKD-EPI 73 mL/min/1.73m^2 Normal Bilirubin Total 10 umol/L Normal Protein Total Level 68 g/L Normal Albumin Level 28 g/L Low (35–55 g/L) ALP 68 U/L Normal GGT 16 U/L Normal ALT 29 U/L Normal AST 22…

No matter how small a human is, every being deserves chance to be treated. Fetal surgery has been introduced and developed rapidly over the past decades. It has become an important way to save and provide a good quality of life for the unborn children. Over the years several approaches have been developed for conducting fetal surgery, depending on patient’s condition and the best ways to repair the abnormality in the uterus. As other medical interventions, fetal surgery has its risks and…

Introduction: Epidemiology: Sepsis is a significant public health burden with increasingly high incidence and mortality rates. In 2010, an estimated 5.1% of deaths were attributed to sepsis in the United Kingdom. Consequently, it is a leading cause of admission to intensive care units (ICU), delays in hospital discharge and a significant cost to the economy. Therefore, it is imperative to raise awareness and prepare clinicians with the knowledge and guidance to embark on the global movement…

Acute Renal Failure Acute Renal Failure is the sudden loss of kidney’s ability to eliminate excess salts, fluids, and waste material from the blood. When the kidney loses the ability to filter, the body fluids can rise in dangerous levels. Acute renal failure can be reversible as long as it is treated on time. Medication and other treatments can be essential to stop the progress of this disease. If this is not treated on time, it can progress to an end stage and eventually death.…

Based on Trevor’s symptomology, he is currently experiencing neuroleptic malignant syndrome that is an adverse reaction to anti-psychotic medications and anti-depressant medications (Benzer, 256). Trevor is currently unconscious thus; describing an adverse reaction to the medications he currently has taken copious amounts of (Benzer, 256). From a pathophysiological standpoint, there is a decreased amount of dopamine receptors, due to an initial blockade, and a decreased performance from the…

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…

I anticipate working in the same organization, as a family nurse practitioner (FNP), that I am working currently. I am a case manager nurse, and as a nurse practitioner I think to put in practice my knowledge at Simply Healthcare Plans (HMO health plan) located in Miami-Florida. Simply health care plans provide an adequate and easy to get to variety of preventive, primary care, and specialty service area to meet health needs of all Medicaid/Medicare members, and also preserve an enough number,…

even increases risk of wound infection (Silverstein, 1992). b. Immobility: Immobility is mostly followed by tissue hypoxia due to the collapse of vessels under external pressure (pressure injury). This result in cellular death, tissue necrosis and ischemia that can increases the risk of skin integrity (Moon,…