Pleural effusion

This paper is going to talk about my client’s diagnosis and his secondary diagnosis, my assessment and nursing care that was done and could be done along with my evaluation. History and Priority Nursing Problem Mr. X is a 49-year-old male who came in with shortness of breath from a nursing home. His secondary diagnosis ae HIV, AIDS, syphilis, respiratory failure and Kaposi sarcoma. He has an allergy to ciproflaxin. Mr. X had been in the hospital previously and had been sent back to the…

According to Schouten et al (2008), sepsis involves the activation of the coagulation cascade coupled with down-regulation of anticoagulation and fibrinolysis. An intricate link between inflammation and coagulation exists within the body (Neligan, 2006). When a pathogen is present in the bloodstream or when tissue injury occurs, an inflammatory response occurs. The response causes a stimulation of the immune system to produce interleukin-1 (IL-1), interleukin-6 (IL-6) and tumor necrosis…

Eradication of HIV There are many ways that HIV is transmitted but if the risk factors were taken out would there be as many individuals affected by this disease? If there was an immunization to protect the CD4 cells would AIDS be a syndrome anymore? Acquired immunodeficiency syndrome is not possible without the human immunodeficiency virus which is the driving force behind scientists collaborating worldwide in ending and preventing this pandemic. Etiology “The primary etiologic agent of…

Mechanical Ventilation and the Effects on the Cardiopulmonary and Renal Systems Amanda K. Godshall West Chester University Abstract The important objective of this paper is to explore mechanical ventilation and the many effects it has on a patient’s organ systems. The cardiovascular system can be affected along with the pulmonary and renal systems. Cardiovascular side effects depend upon the previous underlying cardiopulmonary status of each patient. Conditions pertaining to…

Guatemala, which is formally named the Republic of Guatemala, is a country that lies in Central America and is bordered by Mexico, the Pacific Ocean, Belize, the Caribbean, Honduras, and El Salvador. The meaning of the name Guatemala being “land of trees,” fits perfectly seeing that the country is heavily forested and mountainous. The country of Guatemala assumes an area of 108,889 km² (42,042 sqmi) and has an estimated population of 12,701,000, which is the most populous in Central America. The…

Elevated PTH can lead to osteomalacia and osteititis fibrosa, and metastatic calcifications which may cause gangrenous fingers and toes (Lewis et al., 2010). Pulmonary wise, fluid overload leads to pleural effusion, rales, pulmonary edema, whereas metabolic acidosis leads to Kussmaul respirations (McCance & Huether, 2014). Uremic pleuritis and uremic pneumonitis are also typical with CKD (Lewis et al., 2010). Patient J.H. complained of shortness of breath…

Treatments There are no cures for lupus, but there are treatments that can help manage a life style with lupus. The treatment depends on your symptoms to see what medications you may be able to take. Current treatments focus on improving quality of life through controlling symptoms and minimizing flare ups. Early treatment and diagnosis can help manage symptoms to decrease severe damage to organs. Medications are based on individual needs because lupus is not the same for everyone. The…

In 1971 Dr. Fontan and Dr. Baudet [26] did the first total cavopulmonary connection ‘‘Fontan Procedure’’ which is the final palliative stage for single ventricle patients. Since then, multiple techniques and modifications were invented. However, the ultimate goal of all different procedures is to achieve near complete separation of pulmonary venous return from systemic venous return. As such, all systemic venous circulation will be directed to the Fontan circulation (except the coronary sinus…

 Micro- The patient’s microbiology test result shows that the blood culture has no growth. Whereas, the respiratory culture was obtained from tracheal aspiration and has positive test results with many WBC’s less than 25 squamous epithelial cells, moderate Gram-negative Rods, many Pseudomonas aeruginosa and moderate Klebsiella pneumonia which was resistant to Ampicillin.  CBG- Capillary blood gas results conclude that the patient has moderate hypoxemia and the acid-base status of this blood…

demonstrated an AV paced rhythm with a rate of 96 beats per minute (bpm). Laboratory examination revealed mild leucocytosis, anemia and thrombocytopenia, in addition to mild troponinemia. A chest radiograph revealed no focal consolidation or pleural effusions. A Computed Tomography (CT) scan of the chest demonstrated clear lungs with no main pulmonary artery thrombus. A CT scan of the head revealed no acute intra-cranial haemorrhage or…