Pt: 44 y/o WM CC: Pt was short of breathe and gets tired quickly. Rapid heart rate and feels a little weak. HPI: Patient presents with mental status changes and was found to be in atrial fibrillation with rapid ventricular rate. He was on medication but has not been taken them for over a year because he thought he was all better. Patient is visiting aunt and was brought into the ER and was mini-altered.
The examination of the head and neck is normal except for pale conjunctiva. His lungs are clear to auscultation. The cardiac evaluation reveals tachycardia, with normal heart sounds and no murmurs noted. The abdominal examination is significant for ________________tenderness, without rebound or guarding. He is noted to__________abdominal distension as well as hyperactive bowel sounds.
His responses to questioning were appropriate. He complained that he could not feel his arms and legs. His pupils were equal and reactive to light. He showed no other signs of injury except for several scrapes on his arms. His vital signs revealed a blood pressure of 110 / 72, heart rate of 82 beats per minute, respirations of 18 per minute.
Every Dr. that went through this journey with Morgan and kept track of his health are stunned and that people shouldnot eat fast food and one Dr. even says that Morgan should not eat fast food for one whole year to give his body time to recuperate. In 30 days Morgan ate 30lbs of sugar, a lb a day and managed to eat 12 whole pounds of fat. It takes 6 months for Morgan to lose the 20lbs he gained in only 1 month. It takes 2 months of detox eating to get his liver and cholesterol back to normal function. My take from this movie?
Kathleen Lowe The Bournewood case H L is a adult male who is autistic & with profound learning difficulties. He lived in Bournewood hospital from the age of 13 for more than 30 years. In 1994 he was discharged into the community to live with Mr & Mrs E. On 22 July H L became agitated at his day care centre & Was admitted to the accident & emergency department at Bournewood hospital under sedation. Due to the sedation he did not resist admission so doctors chose not to admit him using the powers of mental health act. H L was compliant & never attempted to leave hospital.
The patient knew this colleague worked at the hospital. Over the next six weeks, the patient noticed an increase in cancelations of appointments with his patients. The dentist called a few of his long term patients and they explained that though the sympathized with him, they no longer feel safe in his care. Within two months after, the dentist’s practice virtually collapsed. The colleague, who the dentist knew, signed an affidavit stating that the nurse’s aide in the radiology holding area called him the day of the biopsy and informed him of the dentist’s HIV status.
PT. VS within normal limits except her temperature is 99.8F. wound is not discolored or draining, abdomen tender to light palpitation, rash on trunk petechiae, oozing from PICC, She urinated blood, has blood in sputum, and bloody drainage from the blood draw 2 hours earlier. Blood was drawn for coagulation and a CBC. 8.
There are no signs of breathing problems. Cheat Sheet For Acid/Base Balance Page 3 of 4 www.NCLEXPreceptor.com to learn how to pass NCLEX on your 1st try Case Study 8 An 79 year old man is seen in the emergency department at a private hospital. He states that he took many tablets of aspirin (salicylates) over the last 24-hour period because of a severe headache. He is unable to urinate. His vital signs are: Temp = 98.6; apical pulse = 94; respirations = 32 and deep.
Along with previous scenario stated, let’s review another case: A phlebotomist from a contracted lab begins his daily rounds of blood collections for the day in a long term care facility. He enters room 201 to draw a 85-year-old woman who was admitted for atrial fibrillation. When he introduces himself and asks for consent to draw her blood, she shouts, "No!" and asks you to leave and not come back. The patient made it very clear that she did not want the phlebotomist to draw her blood (Finnegan, 2013).This same phlebotomist has drawn her for several days for a Prothrombin Time (PT) and Activated Thromboplastic Time (aPTT) without incident, so he reports this situation to the nurse.
Kobe Bryant Offseason Los Angeles Lakers guard Kobe Bryant, who is recovering from a fractured lateral tibial plateau of his left knee, was examined by team physician Dr. Steve Lombardo, who determined that Bryant’s injury has still not healed. With this diagnosis, Bryant will not return to play this season. After this injury, Kobe Bryant was working a lot to get back to his normal state. Bryant returned from the Achilles tendon tear he suffered in April on Dec. 8, then fractured his knee six games later and has struggled in his rehabilitation ever since. Since the injury, Kobe would have intense workouts and training to be in his normal state and come back to his team and play.