Sepsis

An independent 72-year old man , MR. Allan, presented to the emergency department with progressively increasing shortness of breath (SOB) over the past few months .Initially shortness of breath was exertional , but increased to shortness of breath at rest. He had an ongoing cough for one week. My essay will begin with a review of his presenting condition, patient history and symptoms on arrival to Intensive care unit. I will also look at the patient investigations and assessment findings. MR…

1.2.7 RABIES (Hydrophobia) IN MAN Clinical features Once the incubation period is competed and the virus begins to multiply in the central nervous system. Clinical signs appear. It should be noted that once clinical signs of rabies begin, there is no treatment available that will cure the poor victim. Only symptomatic therapy will be done. Death is virtually inevitable. Two major clinical patterns of rabies can be distinguished. One is the furious type and other is dump type. The majority of…

Step 1: Review the ED physician record. Note presenting signs and symptoms, lab values, medical history, and the ED physician’s impression, as well as the reason why the patient is being admitted. Note any diagnostics or procedures performed in the ED. Don’t forget this part of the admission, because you might be using the ED record as the basis for an attending query, such as acute respiratory failure for a dyspneic patient intubated in the ED. Step 2: Look for the physician’s document of the…

Childbirth: easily one of the happiest moments a human being could ever experience. However, for some parts of the world, such as India, people are not able to experience such a feeling as parents, nor are they able to keep their newborn alive for more than a few weeks. According to The World Bank, India’s infant mortality rate is estimated to be at 38/1000 deaths. Compared to the United States who are only sitting at 6/1000 deaths. Taking this into consideration, what would it be like if a…

Normal pH within the blood can range between 7.35 and 7.45 arterial and venous is 7.32 thru 7.42. Normal HCO3 for arterial is 22 thru 26 mEq/liter and venous is 19 to 25 mEq/liter with PCO2 normal for arterial 35 thru 45 mm Hg and venous 38 thru 52 mm Hg. Normal PO2 is 80 to 100mm Hg for arterial and venous is 28 thru 48 mm Hg. Acidosis can affect the central nervous system within the body and left untreated can lead to death. Alkalosis affects the central nervous system which can cause muscle…

In every workplace, a leader must rise to give direction, and highlight the importance and core values of the facility. Yukl (as cited in Kelly, 2012) define leadership as, “a process of influence in which the leader influences others toward goal of achievement”. Kelly (2012) summarize a leader as someone who creates change and empower others. Leaders in health care facilities must have a good foundational skill of an exceptional leader. Leader must understand the importance of integrity—doing…

Abortion, Pro choice Abortion. Now depending on your religious moral beliefs you have this word might make you uncomfortable. But my goal in this paper is to make you see why you shouldn’t view abortion as the ending of a life but the saving of another. Through the years this has been a controversial debate, that over time has been ruled in the Supreme court to be a constitutional right of the woman. And in order to preserve women’s constitutional rights we should continue to allow them to…

Introduction This literature review aimed is to illustrate on how lean six sigma management methodologies are being adopted and applied in part or total in health care industry to improve patient’s quality of care and eliminates errors (Dedhia, 2005). Six sigma is a management technique that employs statistical tools to identify and eliminates errors and variations in a production or service delivery (Chiarini & Bracci, 2013). In health an aim of six sigma is to achieve 3.4 parts per millions…

As the patient entered the surgery room the anesthesiologist explained that she would be receiving general anesthesia. General anesthesia is known to be the most controllable method. Few side effects are present with this anesthesia. This type of anesthesia is a reversible loss of consciousness. Depression of the central nervous system takes place which helps with pain relief as well. The patient is unconsciousness and unaware during the entire surgery. Based on this anesthesia it is important…

Being a nurse is one of the most rewarding jobs you can have, you wake up each day and know that you can make such a big impact in so many people’s lives. Neonatal Intensive Care Unit Nurses get to make a difference in not only the little patient’s life, but also their family that must leave the hospital without their little one; which can be one of the most difficult times for parents. NICU nurses are vital in the health care world. The nurses work hard to ensure that the sick/premature…