Sepsis

Lung transplantation is a complex surgical procedure that a diseased lung is removed and replaced with a donor lung through anastomosis. In context of transplantation, a patient will receive either a single or bilateral lung transplant from a deceased donor. The current concern for lung transplantation is the shortage of lungs donor. Fortunately, some cases could be relieved by receiving donation from living donors. This procedure involved the removal of one lower lobes of lungs each from two…

with DNA strand by forming crosslinks and thus inhibiting DNA and RNA synthesis and function, leading to cellular apoptosis(22). However, studies have shown that cyclophosphamide usage will lead to some serious side effects: haemorrhagic cystitis, sepsis, leukopenia and increased risk of bladder cancer(20). As a result, Methotrexate has been used to substitute the more toxic Cyclophosphamide, yet studies show that it has a higher relapse rate. Also, excretion of this drug is mostly by the…

The objective of this essay is to reflect on the experience I came across during my clinical placement in one of the NHS trust in London. I will be reflecting on safeguarding vulnerable adult with mental health problem. According to Driscoll (2007) reflection enables health care worker to analyse their practice and seek possible reasoning and different approach to performing their skills. Nursing and Midwifery (2015) states that nurses must maintain confidentiality and privacy. Therefore, to…

Fluid Management in CRRT The volume of hourly ultrafiltrate removed depends on an hourly fluid balance calculation and assessment of patient’s hemodynamic and fluid status. Hourly fluid goal calculation is the non-CRRT intake, plus fluid loss ordered by the physician, minus non-CRRT output. The system infuses and removes fluid after the fluid balance is calculated, and the desired volumes are input into the system. The system monitors the volume of replacement fluid, dialysate, and the volume of…

Genitourinary Case Study and Plan of Care Infections like acute prostatitis in the male genitourinary system are rare while disorders like benign prostatic hyperplasia are more common with aging (Yoon et al., 2012). Mr. H.S. is a 60-year-old male with history of urinary issues for two years. Reports today symptoms have increased in severity. He reports today nocturia consisting of 4-5 episodes a night and interference of daily activities related to frequent urination with a decreased urinary…

World War II World War II was arguably one of the deadliest wars in the history of the world. It started in 1939 and ended in 1945 and yielded approximately 80 million deaths, including casualties of war and those who died of disease and exposure to chemicals used during the war. One major cause of the war was the invasion of Poland by the Germans, however; the Treaty of Versailles was also a catalyst to the start of the war. The Treaty of Versailles required an already poor Germany to pay for…

March of Dimes is an organization that fights to prevent birth defects and premature births among babies all over the world. This organization was originally founded and named the National Foundation of Infantile Paralysis by Franklin D Roosevelt (“About Us”). Roosevelt founded this organization when he had a personal encounter with polio. The foundation soon became known as the March of Dimes when they turned their focus to birth defects and prematurity in children. March of Dimes has been…

Case 2 45 y.o. African American male with an intussusception Brandi Weaver, PA-S Bethel University History of Present Illness On 8/3/2015 a 45 year old African American male presented to the ER with a chief compliant of diffuse abdominal pain and trouble having a bowel movement. The patient stated that he was experiencing rectal pain with bloody stools. He also complained of feeling his bowels pulling. The patient stated that he has lost roughly 40 pounds in the past month without trying to…

However the relevant regulations are interpreted, a court would likely find that “[a] nursing home has a general duty to protect its patients from injuring themselves,” and “[e]vidence of a known risk is often the basis of a finding of negligence.” Smith, supra, at § 20.03[5], [6]. For example, in the illustrative and persuasive, but non-binding case of Long v. HCA Health Servs. of Tenn., Inc., 2002 Tenn. App. Lexis 211, a patient at a nursing home was identified as being a high risk for…

Tetanus, also known as lockjaw, is an acute and potentially life-threatening infection caused by toxins released from the bacteria Clostridium tetani. It is commonly found in soil, fecal matter and dust in areas that tend to by hot and humid. The bacteria enter the body through open wounds or cuts, causing bacterial infection in those that have not been vaccinated or have not received the proper vaccination. Tdap should be administered in three doses during normal childhood vaccinations and it…