Answered: is dehydrated with urine output of 500…

is dehydrated with urine output of 500 ml/day, pale and dry skin, her temperature is 38.2 C, and stool culture revealed Salmonella infect

Surgical Tech For Surgical Tech Pos Care

5th Edition

ISBN:9781337648868

Author:Association

Publisher:Association

Chapter9: Surgical Pharmacology And Anesthesia

Section: Chapter Questions

Problem 9.4CS

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Case Study #1: Ms. C is a 19-year-old college student. She was brought to the ER with symptoms of nausea, vomiting and gastric pain, and diarrhea for two days. Upon interview, the patient revealed that she ate street foods a few hours before the symptoms developed. She is dehydrated with a urine output of 500 ml/day, pale and dry skin, her temperature is 38.2 C, and stool culture revealed Salmonella infection. She was given IV fluids and loperamide. Make a SOAP (Subjective, Objective, Assessment, and Plan) Chart for this case. What is salmonellosis? What causes it? How is it diagnosed? What are the Symptoms? How is it managed? Discuss how salmonellosis can be prevented.
Case Study #8: A 35-year -old Native-American male presents in the clinic with a complaint of recurrent low-grade fevers, sweating, weakness, muscle pains and a loss of about 10% of his body weight over a 4 month period. The worsening weakness and muscle pain prompted the visit. The patient reports that he has been working on a bison slaughter line owned by his tribe, and blood and tissue juices often splash in his face or contaminate minor hand and arm injuries. He likes to hunt and fish. He is married and has two children. He eats fairly well, but he has not been as hungry lately. He had rheumatic fever as a child and was in a fairly serious car accident three years earlier, resulting in a leg broken in three places. He feels he was physically fit prior to the past 4 months. He likes to play basketball and softball. He has had all the usual childhood immunizations, but does not see the doctor often. On physical examination, the patient has a temperature of 101F. He has mildly swollen…
Case Study #1Setting: Small city in rural Missouri with an unchlorinated water supply.Subjects: Residents and visitors to this small town who developed bloody diarrhea and abdominal cramps between 15-December-1989 and 20-January-1990. During this time, 243 case patients were identified…..86 developed bloody stool, 32 were hospitalized, 4 died, and 2 developed hemolytic uremic syndrome.The CDC was called in to investigate the outbreak and took water samples for analysis. After isolating several microbes, the scientists at the CDC performed a number of biochemical tests to determine the nature of these organisms. The results will be
Case Study #10: A 4-year old girl presents at the emergency room with bloody diarrhea, fever and vomiting. The child's mother reports that the child has had these symptoms for about 24 hours and she has not passed any urine for about 12 hours. The child is enrolled in a day care center and the group had recently made a field trip to a fast food place to learn about different jobs. The children had a lunch of ground beef, fries, and cola after meeting with different workers. This field trip was 4 days earlier on Friday. The child had a temperature of 39C and showed physical signs of dehydration. Blood samples drawn showed evidence of greatly reduced kidney function and lysed red blood cells. 1. What is your presumptive diagnosis for this patient? 2. What is the name of the most likely bacterium responsible? 3. What were the key critical features leading to your diagnosis? 4. Lab test(s) to confirm diagnosis? Expected results? 5. What virulence factor of this organism caused the severity…
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
CASE STUDY Ruth, a 25 year office worker, decided to visit the doctor’s office after noticing changes in her body. She complained of severe nausea, vomiting, stomach pains and loss in appetite. But her biggest worries are her frequent skin itching, bloated belly and apparent yellowish pallor. After physically examining Ruth, the doctor ordered several laboratory tests. These include CBC, Coagulation studies, blood chemistry and Serologic tests. The results showed Prolonged Prothrombin time, increased INR, decreased blood proteins such as albumin, elevated liver enzymes and bilirubin levels. Her serology was reactive for the Hepatitis B surface antigen, positive for Total anti-HBc but negative for the anti-HBe and anti-HBs 1. What do you think caused the liver disease of Ruth? Explain your answer2. What other hepatitis virus can infect Ruth?3. Is it an acute or a chronic infection? Explain your answer
CASE STUDY Ruth, a 25 year office worker, decided to visit the doctor’s office after noticing changes in her body. She complained of severe nausea, vomiting, stomach pains and loss in appetite. But her biggest worries are her frequent skin itching, bloated belly and apparent yellowish pallor. After physically examining Ruth, the doctor ordered several laboratory tests. These include CBC, Coagulation studies, blood chemistry and Serologic tests. The results showed Prolonged Prothrombin time, increased INR, decreased blood proteins such as albumin, elevated liver enzymes and bilirubin levels. Her serology was reactive for the Hepatitis B surface antigen, positive for Total anti-HBc but negative for the anti-HBe and anti-HBs Answer the following questions, using the medical information of Ruth. 1. What do you think is the health issue of Ruth? Provide medical evidence.
Case Study 5:A 4-year-old boy was seen in the public health clinic because of intermittent bouts of diarrhealasting almost 4 weeks. The mother did not note any bright red blood in the stool. The child waspale, listless, and had a protuberant abdomen. He had a number of small erythematous vesicleson his feet. His mother said that he sometimes ate dirt and always had a good appetite. The familylived in a rural part and had a well from which they got their drinking water. This part of thecountry had only recently been connected to the local city’s sanitation system. The physicianinitially ordered a complete blood count with an elevated Eosinophil count. The physicianordered a stool culture for bacterial pathogens and stool examination. The bacterial culture wasnegative for enteric pathogens, but the stool examination revealed parasitic organisms and thepresence of Charcot-Leyden crystals. Diagnosis: Capillariasis Causative Agent: Capillaria philipinensis Case study presentation should…
Case Scenario John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: Dr. Ramos is Mr. Doe’s surgeon and Dr. Reyes is Mr. Doe’s anesthesiologist. Both come to see him and discuss the surgery the evening before. How does the nurse ensure informed consent? What must the patient consent to for the procedure to be done? (Discuss in 5-6 sentences)
ents/668 de WK 2 Assgh - Clinical case study X + Clinical Case Study and Med Calculation, Liquids for Injection 4 Aiden Avery, age 54, has a history of Type Il diabetes for 5 years. He is seen in an urgent care clinic for complaints of shortness of breath, nonproductive cough, wheezing, and dyspnea for 1 week. Mr. A is admitted to the hospital to rule out pneumonia. At present, Mr. A has no intravenous access. Medication orders: prese ● . . NPH insulin 10 units subcutaneous daily Regular insulin 15 units subcutaneous daily Sliding scale insulin: ac (before meals) and at night. For blood glucose greater than 200, administer regular insulin subcutaneously, according to formula: BG-100/40= number of units of regular insulin . methylprednisolone 80 mg IVP every 8 hours . ticarcillin 750 mg IM now . ceftazidime 400 mg IM now . morphine 4 mg IM now Calculate the doses (do not round, unless directed): 1. methylprednisolone. Supply: 125 mg in 2 mL Answer 2. ticarcillin. Supply: vial of powder…
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 intravenously
Case Scenario John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Summary: Given case: 53 years old, male History of Type-1 diabetes mellitus, CAD ( Coronary Artery Disease) PAD ( peripheral artery disease) Cigarette smoking 40 packs per year COMPLAINTS: 6 weeks ago, he developed a wound in his left heel. Despite antibiotics, patient developed a gangrene infection. ADVISE: To undergo BKA ( Below knee amputation) of left lower extremities MEDICATION: Daily insulin, aspirin 325 mg /day, pletaal 100 mg BD Post-operative Data: Post-operatively, Mr. Doe goes to the Post Anesthesia Care Unit…