Pulmonary edema

listened to his chest I heard crackles and he was coughing a lot. When I asked him to sit forward to hear the back of his lungs, he could not sit forward because he could breath. He could not talk without an effort to breath and took a lot of effort to have a conversation with him since he had to stop periodically to take a breath. His pulse was high around 120 and his blood pressure was 140/100 which is high. I looked at his skin and there were lesions all over his skin which is Kaposi sarcoma. “Kaposi sarcoma lesions evolve from early (patch stage) macules into plaques (plaque stage) that grow into larger nodules (tumor stage)” (Radu, Pantanowitz, 2013, p. 289). His legs were VERY swollen and so were his arms. His legs had stage 5 pitting edema and his arms were about a 3. His genitals were very swollen as well and he could not urinate a lot. His genitals were about a size or a cantaloupe. He had an open sore on his gentiles which was told to me by the nurse that it was syphilis. Mr. X had a lot of lesions all over his legs and feet. He had a couple open areas on his inner thighs that were swabbed and sent down to be tested. Tests that have been performed have been a biopsy of the lesions on his skin that came back positive for Kaposi sarcoma linked his HIV and AIDS. He has been swabbed in…

of dyspnea, and a reduction of breathing frequency throughout the intervention period. The study also demonstrated a downward trend of hospitalization with the use of HFNC. In conclusion to the study, HFNC may be a benefit to patients in the emergency department who require oxygen therapy (Rittayami et al., 2015). Reader’s Critique Acute dyspnea and hypoxemia are the most common clinical features seen in patients with respiratory distress or disorders who present to the emergency room.…

Phlegmasia Cerulea Dolens, literally translated as painful blue edema, is a rare complication of Deep Vein Thrombosis. Deep Vein Thrombosis itself is defined as a blood clot in a deep vein in your body, commonly in the lower extremities. If left untreated, it may progress along a continuum from deep vein thrombosis, to Phlegmasia Alba Dolens (PAD), into Phlegmasia Cerulean Dolens, finally ending in gangrene. Phelgmasia Alba Dolens is extensive thrombosis occluding major deep venous channels.…

TERMINOLOGY CLINICAL CLARIFICATION • Acute respiratory distress syndrome {ARDS) is a condition of dysfunctional gas exchange {i.e., pulmonary interstitial and alveolar edema progressing to advanced fibrosis) that is characterized by acute onset, bilateral pulmonary infiltrates, severe hypoxia, the absence of evidence of left atrial hypertension, and a significant risk of mortality.25 DIAGNOSIS CLINICAL PRESENTATION • History o The patient may be in present with complaints of acute dyspnea and…

Preventing VTE in the Hospital Setting VTE stands for vein thrombosis embolism. Thrombosis is a blood clot that forms in the vein and an embolism is anything that travels through the veins until it gets to a spot where is cannot pass through. Embolism then lodges its self into the vein and occludes blood flow to the rest of that area. “An embolism usually is a piece of blood clot that breaks off but it also can be fat, air, amniotic fluid, a tumor, or a foreign substance such as talc, iodine,…

The cardiovascular system is the system in which it helps to circulate blood throughout your entire body. However, that's not its only function. It also helps to transport both oxygen and carbon dioxide, hormones, numerous cells, and also nutrients to the body's tissues and organs. This system consists of the heart, blood, and also blood vessels. The heart is a muscular structure that helps push the blood to flow throughout the body. It is composed of three layers the pericardium (around or…

organs is severe. Direct lung injuries, such as pulmonary contusions, pneumothorax and/or hemothorax are mostly associated with major chest trauma which will disrupt ventilation and perfusion. The patient will have pain on movement and splints the chest defensively, this reduces breathing depth and clearance of secretions causing complications such as pulmonary edema, pneumonia and atelectasis. Management of uncomplicated rib fractures are usually not splinted by tape or other materials, they…

described in further detail later on. Although this system is very important, problems can occur that disrupt the normal routine. One of these we will be focusing on today is known as Reyes Syndrome. (Next Slide) The Cardiovascular, or Circulatory system consists of three main components; the heart, blood vessels and blood itself. The heart is a fist sized organ which weighs between 250-350 grams and can be found to the left of the middle of your chest as shown in the following picture. The…

such as V leiden mutation, deficiency of protein S, deficiency of protein C, homocysteine deficiency, deficiency of antithrombin, and prothrombin mutations have been linked to development of DVT. The primary etiology of DVT is accumulation of platelets and clotting factors leading to the formation of thrombus in the veins primarily in the lower extremities. Thrombus in the veins causes inflammation that elicit more platelets to the site. The cycle of more thrombus formation and platelets…

Priority 1. Impaired gas exchange r/t altered blood flow to alveoli secondary to pulmonary embolus -Patient’s c/c -Patient has difficulty answering questions because of dyspnea and pain. -Patient is pale which demonstrates lack of oxygenation. - She is restless, agitated, slightly disoriented; decrease LOC. -Sputum is blood streaked; damage to lung tissue. -Respiratory rates in order; 28,30,36 showing that his body is not receiving enough oxygen. - ABG: Uncompensated respiratory alkalosis with…