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- Atherosclerosis DEFINITION AND /PREDISPOSING FACTORS ANATOMY AND PHYSIOLOGY/ PATHOPHYSIOLOGY CONFIRMATORY DIAGNOSTIC/LABORATORY WORK-UP PHARMACOLOGY ASSESSMENT/ NCP EDUCATION/FOLLOW-UP /HOME CARELeukemia DEFINITION AND /PREDISPOSING FACTORS ANATOMY AND PHYSIOLOGY/ PATHOPHYSIOLOGY CONFIRMATORY DIAGNOSTIC/LABORATORY WORK-UP PHARMACOLOGY ASSESSMENT/ NCP EDUCATION/FOLLOW-UP /HOME CAREPneumonia DEFINITION AND /PREDISPOSING FACTORS ANATOMY AND PHYSIOLOGY/ PATHOPHYSIOLOGY CONFIRMATORY DIAGNOSTIC/LABORATORY WORK-UP PHARMACOLOGY ASSESSMENT/ NCP EDUCATION/FOLLOW-UP /HOME CARE
- Hemophilia DEFINITION AND /PREDISPOSING FACTORS ANATOMY AND PHYSIOLOGY/ PATHOPHYSIOLOGY CONFIRMATORY DIAGNOSTIC/LABORATORY WORK-UP PHARMACOLOGY ASSESSMENT/ NCP EDUCATION/FOLLOW-UP /HOME CAREBetamethasome Indication/mechanism of action Dosage/route Nursing responsibilityBetty presents at the ED with chest pain, accompanied by Alan and her daughter Cheryl. On triage, Betty reports that the pain started overnight. Betty is diaphoretic, pale and is complaining of pain - 7/10. She is alert and oriented but needs help to get into the ED from the car via a wheelchair. Once she is moved to a treatment cubicle, a cannula is inserted for IV access and she is given 5mg Morphine IV as a stat does. Her observations are as follows: T: 36.7 , HR:110bpm, BP: 150/90 Sats: 95%RA The admitting ED doctor orders and ECG and Bloods. ECG shows some <ST elevation> suggesting a myocardial infarction (MI). Her bloods show raised troponin – also suggestive of a MI. Provisional diagnosis –a second MI and she is admitted to a cardiology ward for a GTN infusion and ongoing monitoring History: Chronic Kidney Disease (CKD) Type 2 diabetes Coronary Artery Disease (CAD), Peripheral Vascular Disease (PVD) Hypertension Myocardial infarction (MI) Height: 168 cm; Weight: 50kg Betty…
- Betty presents at the ED with chest pain, accompanied by Alan and her daughter Cheryl. On triage, Betty reports that the pain started overnight. Betty is diaphoretic, pale and is complaining of pain - 7/10. She is alert and oriented but needs help to get into the ED from the car via a wheelchair. Once she is moved to a treatment cubicle, a cannula is inserted for IV access and she is given 5mg Morphine IV as a stat does. Her observations are as follows: T: 36.7 , HR:110bpm, BP: 150/90 Sats: 95%RA The admitting ED doctor orders and ECG and Bloods. ECG shows some <ST elevation> suggesting a myocardial infarction (MI). Her bloods show raised troponin – also suggestive of a MI. Provisional diagnosis –a second MI and she is admitted to a cardiology ward for a GTN infusion and ongoing monitoring History: Chronic Kidney Disease (CKD) Type 2 diabetes Coronary Artery Disease (CAD), Peripheral Vascular Disease (PVD) Hypertension Myocardial infarction (MI) Height: 168 cm; Weight: 50kg Betty…History of present illness: Patient is a 67 year old thin Caucasian female presenting to her family practitioner with the main complaints of decreasing strength and moderate back pain that radiates from the back to the sides of the her body. Past medical history Irritable bowel disease. Right foot stress fracture last year while stepping off a small bench. Family history Father dies of a heart attack at age 80. Mother has a history of Osteoporosis. Social History Patient smoked 2 packs a week from age 25-50. Patient has a long history of alcohol use and abuse from age 20 to 45. She frequently got drunk during social occasions as well as during gatherings, as often as once a week. She stopped drinking 13 years ago. Sedentary life style Allergies None Medications Multivitamins Calcium 1200 mg/day Key Labs, images, or procedures performed in relation to current diagnosis. Bone Density: T score of -3.1 Estrogen levels: <30 pg/mL (decrease) Key Physical Examination…Mr. Smith complains to the doctor that he feels weak, has a headache and feels dizzy. This is considered a: symptom assessment sign clinical finding a
- Gouty Arthritis DEFINITION PREDISPOSING FACTORS SIGN AND SYMPTOMS ANATOMY AND PHYSIOLOGY/PATHOPHYSIOLOGY CONFIRMATORY DIAGNOSTIC/LABORATORY WORK- UP PHARMACOLOGY ASSESSMENT/NCP EDUCATION/FOLLOW-UP/HOME CAREHistory of present illness: Patient is a 67 year old thin Caucasian female presenting to her family practitioner with the main complaints of decreasing strength and moderate back pain that radiates from the back to the sides of the her body. Past medical history Irritable bowel disease. Right foot stress fracture last year while stepping off a small bench. Family history Father dies of a heart attack at age 80. Mother has a history of Osteoporosis. Social History Patient smoked 2 packs a week from age 25-50. Patient has a long history of alcohol use and abuse from age 20 to 45. She frequently got drunk during social occasions as well as during gatherings, as often as once a week. She stopped drinking 13 years ago. Sedentary life style Allergies None Medications Multivitamins Calcium 1200 mg/day Key Labs, images, or procedures performed in relation to current diagnosis. Bone Density: T score of -3.1 Estrogen levels: <30 pg/mL (decrease) Key Physical Examination…an afternoon shift. Patient informationName: Irene Smith Age / Sex: 16 years 10 months / femaleAccompanied by: Taylor Smith (Brother, 20 years/Male)Present Medical HistoryIrene presented to the PED with her brother Taylor, following a fall around 3 hours ago. Irene was riding abike in in the street in front of her home and bumped into a parked car on the street, fell and hit her head.She was not wearing a helmet during the incident. There was no loss of consciousness noted at the time.However, she started having headache after half an hour of injury. There were multiple abrasions on elbowand knee and swelling on her left forehead.Past Medical/ Surgical HistoryAcne Vulgaris, Depression, Anxiety, and attempts of self-harm multiple timesCurrent medications: Roaccutane, Olanzapine (poor concordance- she misses to take medicationsregularly as prescribed)Allergies: Pea nuts (Anaphylaxis)Perinatal historyVaginal birth, other details are not availableImmunisation history? Incomplete. Irene…