CASE STUDY Cocaine Toxicity Patient Profile N.C. is a 34-year-old man who was admitted to the emergency department with chest pain, tachycardia, dizziness, nausea, and severe migraine-like headache. Subjective Data • He thinks he is having a heart attack. • Admits he was at a party earlier in the evening drinking alcohol, smoking pot, and snorting cocaine. • States he became irritable and restless. • States he has experienced an increased need for cocaine in the past few months. Objective Data • Appears extremely nervous and irritable • Appears pale and diaphoretic • Has tremors • BP 210/110, HR 100 bpm, RR 30 1. What other information is needed to assess N.C.'s condition?
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- B. RELATED QUESTIONS:1. Discuss what is COPD and its pathophysiology 2. Discuss the pharmacologic and nonpharmacologic interventions for COPDExplain what assessment and monitoring needs to be attended for someone that has BiPAP and CPAP therapy insitu. Include a minimum of 4 points.Patient C., 32 y/o, complains of excessive weight, shortness of breath, defective memory, performance decrement, feeling cold, emotional retardation. It is known from the case history that the patient is suffering from primary hypothyroidism. Objectively: the skin is dry, waxlike, swollen, periosteal reflexes are lowered, body mass index: 33.5 kg/cubic meter, TSH (thyroid-stimulating hormone) – 25 µU/dL (norm 0.5 -5.0). Obesity is homogenous. Arterial pressure: 150/100 mm column ob mercury. What type of obesity can be suspected?A. Endocrine hypothyroidB. Endocrine accompanying dysfunctions of hypothalamopituitary systemC. Alimentary constitutionalD. HypothalamicE. Androidal with the developed symptoms of metabolic syndrome
- MAKE AN ANALYSIS OF THE SAID DX. dx: Imbalanced nutrition related to lack of knowledge about diet SCENARIO: Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as she can remember. Her mother ensures that she takes daily supplemental vitamins such as vitamin C and B complex, and every year she gets flu vaccine from their family doctor. During the interview with the nurse, Aubrey mentioned that she has no known allergies. She said “I don’t think I have any problems with my health. I am lacto-ovo vegetarian. Most of the time I hang out with my friends for a tea or…Case Study Management of Patients WithMusculoskeletal Disorders 1. Jane Wagner, a 22-year-old patient with no previous medical history, presents to the emergency department with complaint of low back pain after slipping on a wet floor at work and falling. The patient states that the pain is constant aching and radiates down both legs (sciatica). The MRI shows pulled muscles and ligaments surrounding the L4- L5 area. The emergency physician provides the following discharge orders: Bed rest with bathroom privileges for 2 days. Apply ice pack to lower backfor 20 minutes several times a day for the first 48 hours, and then starting day 3 and on, apply a heating pad for 20 minutes on and 20 minutes offseveral times per day for the next several days,as needed, to relieve pain. Take 400 mg of ibuprofen every 6 hours and 5 mg cyclobenzaprine (Flexeril) three times a day. Limit sitting to 30 minutes at one time. Ambulate around home and yard, as tolerated, gradually increasing activity. Avoid…R9. N.H. is a 76-year-old male admitted to the hospital through the emergency department. He fell outside his home. It appears that he may have sustained a fracture to his left hip. He has a history of type 2 diabetes mellitus and has a 40 pack-year smoking history that is now complicated by chronic obstructive pulmonary disease. Data Collected (use only those that apply) Complains of excruciating pain and tenderness in left hip Pain not relieved with morphine BP 166/94 mmHg Diaphoretic and pale skin Respiratory rate 36; crackles, expiratory wheeze X-ray of left hip reveals extracapsular fracture Hematocrit 30%; hemoglobin 15g/dL; WBC 15,000/uL Do ASAP.
- A. Case Study, Chapter 92, Gerontology:The Aging Adult Mrs. Thomas has made the decision to move to a long-term care facility. When you visit her in her room, she expresses doubts, sadness, and feelings of worthlessness. She states that she is so lonely and unable to care for herself and her large home alone. (Learning Objectives 1, 3,4, 5, 6) 1.Review with Mrs. Thomas the type of care settings available and what each has to offer her. 2.You sense a great deal of anxiety in talking with Mrs. Thomas regarding her future. What are some nursing considerations regarding anxiety in the elderly? 3.As Mrs. Thomas is talking, you become concerned that she is exhibiting signs of depression. Why is depression in the elderly such a concern? What is available to combat the depression? B. Case Study, Chapter 93, Cognitive Impairment in the Aging Adult Mr. Edwards has been admitted to room 337 with mental status changes. When you come to the room, his oldest…Case Study 1 Morphine Suspension (1 mg/mL) One of your long-term patients who you have known for many years has progressed to end-stage prostate cancer and been placed on a palliative care program. The currently commercially available morphine liquids he has been using contain a flavouring agent that makes him nauseous. His Physician has requested you compound a morphine liquid for him without flavour as his pain is well controlled on this medication and he does not want to change to another pain reliever. Your pharmacy team and the Physician would like to make his end-of-life process as comfortable as possible. A formulation for a suspension appears to be a good option to try. RX: Morphine liquid 1 mg/mL Sig: Take 1-2 mL q1h prn Mitte: 100 mL Formulation: Morphine HCl 10 mg Glycerol 1 mL Compound Hydroxybenzoate Solution 0.1 mL Purified water to 10 mL Use within 1 month Questions: Calculate the quantities you will require for each ingredient and create a worksheet. (You may…Case Study 1 Morphine Suspension (1 mg/mL) One of your long-term patients who you have known for many years has progressed to end-stage prostate cancer and been placed on a palliative care program. The currently commercially available morphine liquids he has been using contain a flavouring agent that makes him nauseous. His Physician has requested you compound a morphine liquid for him without flavour as his pain is well controlled on this medication and he does not want to change to another pain reliever. Your pharmacy team and the Physician would like to make his end-of-life process as comfortable as possible. A formulation for a suspension appears to be a good option to try. RX: Morphine liquid 1 mg/mL Sig: Take 1-2 mL q1h prn Mitte: 100 mL Formulation: Morphine HCl 10 mg Glycerol 1 mL Compound Hydroxybenzoate Solution 0.1 mL Purified water to 10 mL Use within 1 month Questions: What are the purposes of each excipient in this mixture? What counselling instructions should…
- Case Study 1 Morphine Suspension (1 mg/mL) One of your long-term patients who you have known for many years has progressed to end-stage prostate cancer and been placed on a palliative care program. The currently commercially available morphine liquids he has been using contain a flavouring agent that makes him nauseous. His Physician has requested you compound a morphine liquid for him without flavour as his pain is well controlled on this medication and he does not want to change to another pain reliever. Your pharmacy team and the Physician would like to make his end-of-life process as comfortable as possible. A formulation for a suspension appears to be a good option to try. RX: Morphine liquid 1 mg/mL Sig: Take 1-2 mL q1h prn Mitte: 100 mL Formulation: Morphine HCl 10 mg Glycerol 1 mL Compound Hydroxybenzoate Solution 0.1 mL Purified water to 10 mL Use within 1 month. What special prescription requirements will you need from the doctor? Can he prescribe refills over the…Chief complaint: Dizziness and headache In nursing care plan what will be the nursing diagnosis of the patient? Explanation of the problem?planning with short term and long term goal? Intervention with independent and dependent ? Interventions?and evaluation of this patient?A. Create a 6-column drug study of medications given on the case scenario (include IVF’s). Below is the sample of 6-column table. Thank you. Generic name, brand name if any, classification, dosage, frequency, route of administration Mechanism of action Indications and drug rationale (why the drug is being given to the patient) Contraindication Common side effects Nursing considerations while taking the drug