Case Study of the Thirsty Woman This case study is about a woman named Mrs. Anderson. Mrs. Anderson’s current condition has produced effects in numerous body organs. Her clinical presentation showed symptoms of polydipsia, polyuria, and nocturia. The patient’s medical history includes a long history of manic depression illness treated with Lithium. Mrs. Anderson is asymptomatic when she is allowed to drink massive volumes of water.
Anemia is associated with chronic fatigue, impaired cognitive function, and diminished well-being. This type of anemia is seen very often in women and people that have a poor diet low in iron, women with heavy menstrual cycle, pregnant or after recent births, breast feeding, its seen in individuals that had recent major surgery, GI disease, peptic ulcers, gastric bypass patients, Crone’s disease and vegetarians and individuals with poor iron-rich intake (Jimenez, Dabsch & Gasche, 2015).. Ms. A should be admitted to the hospital for couple days, placed on oxygen therapy, type and cross for identifying the blood type she needs, obtain IV access with a large bore catheter for possible RBC transfusion, normal saline for fluid resuscitation and iron injections or IV iron therapy could be ordered by the physician. Repeated laboratory testing should be done post transfusion and periodically while in the hospital. Also knowing that Ms. A takes large dosages of aspirin, continued monitoring for any active bleeding internally, imaging testing (abdominal ultrasound, CT scan), occult blood should be done and also
In addition, he complained of intermittent pain in the right posterior lumbar area, radiating to the right flank. He also has post-void dribbling and the sensation of not having completely emptied the bladder. Earlier today, he had hematuria at the end of urination and several bouts of N&D. MEDICATION ALLERGIES: None CURRENT MEDICATIONS: Benadryl 25 mg. dailys, at bedtime. PHYSICAL EXAM: Temperature 98.6® F. Blood pressure 140/90.
Case Study 1: Patient Admission Concepts related to HLTEN512B Topic 1 Mrs. Gwen Jones is a 70 year old woman who has been admitted to your ward after arriving from her doctor’s surgery. Her GP has included a letter stating that he has assessed Mrs. Jones and requests she is admitted. She is feeling very unwell, with a high temperature, frequency of urination and burning when urinating. She appears slightly confused. She complains of back pain.
Stephanie Rallion Hypothyroid Disease (under active thyroid or myxedema (mucous swelling)) Patient Case Study Initial Presentation: Karen is a 29-year-old white female who was eight months pregnant at the onset of her illness. She is 5’2” and weighs 140 pounds. She has a son and daughter from a previous marriage. She also suffered from one miscarriage in the past. Today, Karen phones the PCP’s (Primary Care Physician) office and complains of a “sore throat and a temperature of 103.0 degrees.” She also describes what the nurse interprets to be mild uterine contractions (contraction
Clinical Worksheet Student Data to be collected prior to clinical from the medical record: Room 357 Age 66 Sex M Admit Date 06/25/2015 Admitting Doctor Admitting Diagnosis (es) CHF Exacerbation Allergies NKA Diet Cardiac, low cholesterol Code Status Full Code Intake and Output Measurement (q hr, q shift?) Strict I&O 1500ml/day Activity as tolerated Indicate other disciplines caring for patient (e.g. Physical therapy, speech therapy, dietitian, etc): Dietitian, Respiratory therapist What was your patient’s “chief complaint” that brought him/her to the hospital? Shortness of Breath Describe the event that leads to patient’s seeking hospitalization. (Read History and Physical and summarize important/relevant
She also consumes one to two drinks of brandy per week. She has owned a gas station for the past 12 years. She is single and not sexually active. Data Obtained From Nursing Assessment System review reveals a thin woman with complaints of increasing fatigue and weakness for the past 3 to 4 months, increased frequency of bowel movements—now “watery”—hyperactive bowel sounds, 9-pound weight loss over the past six weeks with a noticeable increase in appetite—“I’ve lost weight without even trying”—and slight hand tremor. Ms. Kissinger complains “my eyes look like they are bulging.” .
His last hemoglobin A1C was 6.1 %. Recent blood work showed she has hyperlipidemia LDL 169 mg/dL and triglycerides of 211 mg/dL. Because the results of his blood work, her doctor recently started him on Zocar. The patient states that he does smoke at least a half a pack a day and is trying to quit. On examination, the right lower leg is cooler to the touch in comparison to the left leg.
His color and heart rate improved but he looks pale, his capillary refill is 4 seconds. Mean blood pressure is 29. List the differential diagnoses: * Prematurity * Birth Depression * Possible Hypovolemia vs Metabolic Acidosis What would you order for this admission? Why? * 0.9 NS bolus 10ml/kg (25ml) IV x1 over at least 20 minutes, for volume expansion to improve perfusion and mean BP * Maintenance IVF at 60ml/kg of D10W
MEDICATION LIST Zonisamide (Zonegran) 100mg give 1 Capsule by mouth once daily Dx: Epilepsy Amiodarine HCL 200mg tablet give tablet by month once daily DX: Cardiac Arrest Dorzolamide- Timolol Eye Drops Instill 1 drop in both eyes twice daily DX: Glaucoma Furosemide (Lasix) 40 mg tablet give tablet by mouth 3 times per week (Mon, Wed, Fri,) DX: Pneumonia Furosemide (Lasix) 20 mg tablet give tablet by mouth 4 times per week (Tues, Thurs, Sat, Sun) DX: Pneumonia Galantamine (Razadyne) HBR 12mg tablet give 2 tablets by mouth once daily DX: Dementia Lacutulose 10gm/15 ml solution give 30ml by mouth twice daily DX: Constipation Levofloxacin 500mg tablet give 1 tablet by mouth once daily DX: Cellulitis Losartan Potassium 25mg tab give 1 tablet by mouth once daily DX: HTH Simvastatin 40mg tablet (Zocur) give 1 tablet by mouth daily DX: Dyslipidemia Xarelto (Rivaroxaban) 10mg tablet give 1 by mouth once daily DX: Thromboembolism Prostat101 give 30ml by mouth twice daily DX: Supplement Levothyriod 50mg PO daily DX: Hypothyroidism Insulin glargine (Lantus) give 62u SQ Accu check AC + HS with Humalog sliding scale coverage Humalog 100units/ ml viral 140-160= 0 units 176-200=1 units 201-250=2