Patient is still in A. fib with a heart rate around 130 and still on amiodarone drip. Blood work was tested and showed abnormal platelet count. ROMI test came back negative and TSH was low. Heart catheterization will be scheduled for further evaluation. Day 3: Pt denies SOB and chest pain, no new issues.
No edema noted, toes are absent of cracks and present of hair, cap refill 3 seconds; presents good vascular circulation. Ankle and feet shows no swelling, Negative Romberg test; no loss of balance. No pronator drift; absent of upper motor neuron disorder noted, good sensation in all upper and lower extremities including the face. Able to identify familiar objects with eyes closed, cerebellar functions are intact, present deep tendon reflexes 2 + in the biceps, Triceps, brachialradialis and patella and Achilles. Present of Babinski
Significant orthostatic changes are noted in the patient's pulse and blood pressure.Patient's blood sugar level, which was __________mmol/L was within acceptable range. Oxygen saturation is __________. The patient is tachypneic, with a respiratory rate of breaths/min, but he is not in any acute respiratory distress. At the time of initial evaluation, he appears pale and weak, and dry oral mucosa is noted. The examination of the head and neck is normal except for pale conjunctiva.
He is awake, alert, and oriented with no adventitious heart sounds. Breath sounds are clear but diminished in the bases bilaterally. Bowel sounds are present, and he is taking sips of clear liquids. An IV of D5 ½ NS is infusing 75 mL/hr in his left hand and orders are to change it to a saline lock in the morning if he is able to maintain adequate PO fluid intake.
The following results of the physical examination support the diagnosis: • All the muscles are normal except the right arm rotator cuff muscles, which are given a grade of 4- in a manual test. • Right shoulder “droop” and lack of free movement of right arm during walking. • Right shoulder and arm held more closely to body • Abnormal range of motion of the right shoulder, which is reduced and guarded • Inflammation of muscles of the right shoulder. 4. List the muscles of the rotator cuff.
He is steady on his feet, but tends to veer to the right side when walking. Denies having weakness or dizziness. VS – P, BP, R, oral temp, pain level 0-10 scale IV – NS 100 ml/hr, gtt factor 15, encourage fluids Mobility – Ambulate hall x1 with assist AOCs: Neuro assessment Respiratory assessment Comfort management 17 year old male waiting for discharge to tertiary facility. Was admitted 4 weeks ago for epidural hematoma after falling from his skateboard and striking his head on the sidewalk. Aspirated belly contents en route to hospital and developed pneumonia.
Case Scenario: Carl Fowler, a 46-year-old man, presents to a health clinic for a check-up. He was last seen in the clinic three years prior when he had acute bronchitis. A year ago, he was told that his blood pressure was "a little high" when he donated blood. His past medical history consists of a fractured clavicle sustained when he was playing a pickup game of football at age 24. The fracture healed without complications.
PHYSICAL EXAM: Temperature 98.6® F. Blood pressure 140/90. Pulse 98. Respirations 24. Palpation of the abdomen shows a suprapubic mass approximately three fingerbreadths below the umbilicus, dull to percussion, and slightly tender. IMPRESSION: Renal Pelvis distention caused by urinary outlet obstruction, probably from benign prostatic hyperplasia.
TASK 1 The research obtained in this particular study does support the conclusion. When all five area’s were studied, it verified that the incidence of ventilated associated pneumonia was decreased when oral care and dental care was performed onto these mechanically ventilated patients. The background information that was provided was direct, to the point and relevant to the impact of today’s heath care. Millions of dollars are being spent every year for incidences within hospitals that can be prevented and this study was set out to prove just that, that ventilator associated pneumonia can be prevented. The logic was simple.
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.