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- tein X Case Studies.docx X + rl=https://wheatland.orbundsis.com/einstein-freshair/Videos/0216D9403D0ED43358766A676D8A4817/Case+Stuc TCentral | NBA... a Amazon.com: Onlin... (6) The Reason Why... Isaiah Blames Zora... Beyond The Lights... Case Study, Chapter 26, The Digestive System Mr. McArthur is hospitalized with pancreatitis and cholecystitis. Neither his gallbladdernor his pancreas are functioning normally at this time. The client is placed on a NPO (nothing by mouth) diet order, given intravenous fluids and pain medication. The nurse is aware that the pancreas has two functions: one being endocrine, secretion of hormones to assist with glucose control and the other being exocrine, aiding the digestive system. Mr. McArthur is scheduled for gallbladder removal in the morning to treat the cholecystitis. (Learning Objective 4) 1. The client asks what his gallbladder does. What is the nurse's best response? 2. The client also asks how the pancreas works to help with digestion. What…Patient M., 36 y/o, was found in the street unconscious. The patient has a medical history of diabetes. There is a smell of alcohol from the mouth. The skin is moist, warm, arterial pressure -145/90 mm column of mercury, convulsive twitching of muscles. Breathing is shallow, eye ball tone is retained, pupils are dilated, hyperflexion. How would you treat this patients?A. Intravenous introduction of 40-80-100 ml 40% glucose solution B. Injecting 20 units of insulin subcutaneouslyC. Injecting 20 units of insulin intravenouslyD. Injecting 500 ml 5% glucose solution intravenouslyE. Injecting 500 ml 0.9% sodium chloride intravenouslyWhat are the salient features of the case? A 52-year-old female presented to the emergency department (ED) resuscitation unit with a 5-day history of progressive shortness of breath and productive cough of green sputum. She described some brief episodes of hot and cold spells but had no documented fever or rigors. She was too tachypnoeic to further offer any history. Vitals on presentation were as follows: pulse oximeter reading of 78% on room air, heart rate (HR) of 110 bpm, blood pressure of 85/60 mmHg, respiratory rate of 37 breaths per minute, and temperature of 35.4°C. Initial management was commenced by the ED physicians. A brief collateral history was obtained from her daughter. The patient was visiting Ireland on holiday and had arrived 6 days ago from Minnesota, USA. Her past medical history included chronic migraine, genital herpes, and zika virus infection, which was acquired 2 months ago during a visit to Mexico and was treated supportively. She was an ex-smoker with…
- Discuss the provisionsal diagnosis of tension pneomothorax verses pericardial temponade1 2 3 4 5 6 CASE STUDY ON CATARACT Mrs. Janet Donald is a 66-year-old woman who lives alone in her own home. Her son found her unconscious on the floor approximately four hours after sustaining a fall. She was admitted to the Mount Hope hospital for overnight observation. On admission, she had a small bump on her forehead but was awake, alert and oriented to time, place and person. When interviewed about the incident, she said that she has been experiencing blurring of her vision and complained of seeing glares and halos whenever she looks at bright lights even for a split second. However, she ignored these, attributing them to tiredness. She admits that her vision is very foggy and she is having problems seeing as clear as she use to in earlier years. She claims that she under estimated the placement of the mat and her foot got entangled in it while exiting the bath. Assessment shows that the lens in her eyes looked cloudy. Mrs. Donald was reviewed by the ophthalmologist on call and…Patient R., 32 y/o, was delivered with complaints of fatigue, decrease of appetite, intensification of pigmentation in the open areas of the body, palms of the hands, cyanosis, losing weight, nausea and vomiting. The symptoms began to aggravate during 1-2 weeks after acute poisoning. Objectively: arterial pressure – 60/30 mm column of mercury, pulse – 140 beats/minute, skin turgor is lowered, the colour is dark with intense pigmentation of the elbows, scars, skin folds on the palms; clearly low levels of sodium and chlorine, high levels of potassium in the blood; glycemia – 4.3 mmol/l. What is your diagnosis?A. Addisonian crisisB. Uremic coma C. Brain comaD. Acute cardio-vascular insufficiencyE. Hypoglycemic coma
- A 62-year old, recently widowed male Hispanic patient, KB. was brought in to the emergency department (ED) by his daughter for progressively worsening shortness of breath, fatigue, a lingering non-productive cough, and generalized edema. One month prior, he noticed dyspnea upon exertion, loss of appetite, nausea, vomiting and malaise, which he attributed to the flu. In the emergency department, he appeared anxious and pale, and had a dry yellow tint to the skin. He denied any chest pain, and he could not recall the last time he urinated. He has history of benign prostatic hyperplasia, diabetes mellitus type 2, hypertension, dyslipidemia, and renal insufficiency for the past two years. His ED assessment findings included: 1+ pedal edema, basilar crackles in the lungs bilaterally, and a scant amount of urine according to a bladder scan. His lab results indicated a glomerular filtration rate (GFR) of 12. Based on his subjective and objective symptoms, he was admitted with a diagnosis of…DISCUSS THE CURRENT INDICATION FOR THE USE OF IV FLUIDS IN THE TREATMENT OF HAEMORRHAGIC SHOCK.A 62-year old, recently widowed male Hispanic patient, KB. was brought in to the emergency department (ED) by his daughter for progressively worsening shortness of breath, fatigue, a lingering non-productive cough, and generalized edema. One month prior, he noticed dyspnea upon exertion, loss of appetite, nausea, vomiting and malaise, which he attributed to the flu. In the emergency department, he appeared anxious and pale, and had a dry yellow tint to the skin. He denied any chest pain, and he could not recall the last time he urinated. He has history of benign prostatic hyperplasia, diabetes mellitus type 2, hypertension, dyslipidemia, and renal insufficiency for the past two years. His ED assessment findings included: 1+ pedal edema, basilar crackles in the lungs bilaterally, and a scant amount of urine according to a bladder scan. His lab results indicated a glomerular filtration rate (GFR) of 12. Based on his subjective and objective symptoms, he was admitted with a diagnosis of…
- Case study of a child suffering from pneumonia 4 years old in detail c. Any assistant device used e.g. catheter d. Activity – exercise pattern: a. Developmental screening of the child: 1. Gross motor: 2. Fine motor: b. Self-care abilities or activities: Independent Needs assistance Dependent Activity Feeding Bathing Dressing Toileting | Mobility 3Case Study Identifying Intravenous Delivery Systems, Administration Method, Infusion Rate, Stability/Compatibility, and Labelling of an Intravenous Admixture Mr. Blair, a 75-year-old man weighing 60 kg, was admitted to the Gastroenterology Unit of the Miracle Hospital with severe diarrhea due to food poisoning. After examining Mr. Blair, Dr. Clark ordered IV fluids of D5W 1000 mL q12h, for the next three days with added electrolytes, such as potassium, sodium, calcium, and magnesium, since Mr. Blair was severely dehydrated. In addition, suspecting Salmonella poisoning, Dr. Clark prescribed Septra, 500 mg IV q12h, to be mixed in the D5W electrolytes fluid admixture. What considerations must be taken into account prior to admixing this order? (NAPRA 6.1, 6.2, 8.3, 9.2) 2.If the drug is determined to be incompatible with D5W and electrolytes, what IV delivery system and/or administration method would you use to administer the medication? (NAPRA 2.3, 6.1, 6.2, 8.3, 9.2)…identification of Drugs Used to Treat Diseases of the Blood,Inflammation & Gout Objective: To familiarize the half-life and recommended dosage of NSAIDS. Instruction: 1. Supply the missing column accordingly. HALF-LIFE (in hours) Recommended Dosage DRUG 1: Aspirin 2. Naproxen 3. Ibuprofen 4. Celecoxib 5. Ketoprofen 6. Indomethacin 7. Sulindac 8. Ketorolaс 9. Salicylate