Ventilator-associated pneumonia

Cystic Fibrosis According to WebMD “More than 30,000 people in the U.S live with cystic fibrosis (CF) and doctors diagnose about 1,000 new cases each year.” CF affects some cells in your body that can make mucus and digestive fluids in your body. These fluids are normally thin and slippery, but CF can make them thick and sticky causing it to block the tubes and ducts throughout the body. After some time mucus builds up and makes breathing harder and since the mucus traps germs, it can lead to…

Introduction and Clinical Question: Viral croup remains a common cause of upper respiratory obstruction in the pediatric population and its barking cough can often be heard in the pediatric clinic and local emergency departments. Multiple studies have shown the use of glucocorticoids results in a faster recovery with fewer return visits and hospital admissions, as well as a decrease in the use of epinephrine (2). However, in cases were the patient or caregiver refuses an injection or where…

Interview of Debbie Jungmeyer Ms. Jungmeyer was interviewed at her home on August 31, 2017. Also present was her husband, Kevin Jungmeyer, and participating by phone was her brother Scott Fuhrman. Ms. Jungmeyer said she and her brother Scott are very upset by what they felt was a lack of coordinated care for their mother Darlene Fuhrman while being treated at St Mary’s Hospital. Darlene was admitted to the hospital December 27, 2016 by ambulance after she had called her daughter Debbie to…

This process requires close monitoring of oxygen and constant assessing. Weaning a patient from a ventilator can be a reward. A considerable number of factors take place in the weaning of the patient from the vent. The factors include, but are not limited to; can the patient tolerate breathing on his or her own without tracheostomy in place, do they…

Tetanus is a very serious bacterial disease that causes many muscle spasms and breathing problems. The bacterium that causes tetanus is called Clostridium tetani. Clostridium tetani is the bacteria that produces toxins that affect the nervous system. Around one in 10 people infected with the bacterium that causes tetanus will die from it. A tetanus bacterium enters the body through a puncture wound, which can be caused, by nails, insect bites, burns, splinters or injection drug sites. These…

Assessment The fact that he is experiencing more symptoms at night suggests that he is experiencing orthopnea. We can rule out emphysema since he has no history of smoking or wheezing and his chest x-ray shows clear lung fields. We can rule out pneumonia and other infections since he has clear nasal discharge and breath sounds so infection is unlikely. Beta blockers that block B2 receptors may cause shortness of breath in asthmatics. Serious side effects of beta blockers include bronchospasms.…

Case Presentation This section of the paper focuses on a 24 years old Caucasian male who was transferred to Advocate Christ Medical Center from an outside hospital after being hit by a vehicle. According to the EMS who arrived at the scene, the patient was unresponsive with a GCS of 3. Per protocol, the patient was then intubated to sustain their airway. The patient received a CT of the head that revealed bifrontal and bitemporal hemorrhagic contusions along with multiple facial fractures. The…

Asthma is a chronic inflammatory disease of the airways which makes the respiratory tract hyper-responsive. Exact mechanisms of asthma are complicated to pinpoint due to its heterogeneity of eosinophilic and non-eosinophilic asthma. However, abnormal accumulation of mast cells, eosinophils, dendritic cells, and basophils are thought to be the major cause of asthma, resultant in IgE mediated sensitization with Th-2 CD4+ lymphocytes secreting cytokines IL-2, IL-4, IL-5, IL-13, IL-17, and IFN-γ…

which then progresses to intense bouts of coughing. These bouts can be followed by vomiting, choking or a sharp intake of breath which causes a distinctive “whooping” sound. If not correctly managed Pertussis can lead to complications including: pneumonia, seizures, coma, brain damage and death. Kyle is presenting with symptoms of rhinorrhea (runny nose), red-bloodshot…

The person whom I chose to interview was my uncle Daniel. He has being living in United States for more than10 years and has been diagnosed with asthma since he was a little child. He was not sure exactly the age at which the disease began, but his mother said that was probably when he was 2 years old. Being an asthmatic child has impacted his family in many ways. The first impact was to realize that asthma is a chronic disease that is treatable, but it has no cure. In fact, asthma symptoms…