1. What is happening to Ms. Jones’s kidneys, and why is it causing the observed symptom? Mrs. Jones is suffering an acute kidney injury due to hypo perfusion likely linked to blood loss and/or low blood pressure during the operation. Reduced blood supply has caused the kidneys to cease to operate effectively. Her blood results will show elevated urea and creatinin while urine output will reduce to under 20mls/per hour.
She is on sliding scale insulin and required thickened fluids and a diabetic diet due to dysphagia. Her past medical history states that she was diagnosed with type two diabetes 25 years ago, Peripheral Vascular disease and Congestive Cardiac Failure. Mrs. Robinson has a right below knee amputation (in the year 2001) and right-sided Hemiplegia due to a left sided CVA. Mrs. Robinson also has dysphasia and dysphagia. Mrs. Robinson will require ongoing Insulin to manage her diabetes when she is discharged.
Due to deterioration of her health status and reduced independence, she is wheel chair bound and requires assistance to be moved from place to place. She requires full assistance with all activities of daily living (ADLs). She can weight bear but cannot walk; therefore she is transferred by the use of a standing machine. Mrs Smith has a past medical history of frequent falls, osteoporosis, osteoarthritis, Hypertension, Glaucoma, multiple fractures and depression. In the recent two weeks she has lost some weight.
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
Height: 160.5 cm Mass: 59.4 kg Temperature: 36.7 0C Respirations: 13 per minute Blood Pressure: 118/76 mm Hg During her conversation with the doctor regarding her past medical history, Anita said that she had developed severe eczema about 5 years ago and mononucleosis the previous year. From April of the current year, she found that she felt fatigued quite often, frequently experienced diarrhea, myalgia and arthralgia. Her family doctor had referred her to an allergist who found negative reactions to a multitude of substances. Because her symptoms were so severe, more specific testing was done 2 months later. An enzyme-linked immunosorbent assay showed positive reactions to gluten, spelt, albumin, lactose, barley and rye.
She believes the milk industry is one of capitalism’s greatest deceptions (De Vivo). Surprisingly, studies show that milk is not good for you and has little nutritional value. Milk can cause constipation, stomach aches, food rejection, reflux, and allergies. The milk industry’s biggest statement is that it contains a good source of calcium. According to Marcela and an article from Cindy Cleary and Jo DelAmor, calcium in milk cannot be absorbed in our bodies because there is not a sufficient amount of magnesium.
1. Health-perception- Health Management My client did have an immunization history; she was given her pnemococcus shot in 2006. She does have some allergies to drugs she mentioned including, Codeine, which makes her develop nausea and vomiting. The other drug she is allergic to is Penicillin, which causes her pharyngeal to swell. My patient has many risk factors including the risk for falls, due to muscle weakness on her right side, and risk for malnourishment due to the fact that she is not eating full meals in the hospitals because she doesn’t feel like the food is good enough.
The dementia also caused my grandmother to lose weight, have difficulty swallowing, and it seemed as though she had lost the ability to smile. As the disease progresses further many people lose the ability to walk (Mase and Rabins, 92). Dementia can be said to be the cause of death because it predisposes its victims to pneumonia and blood clots to the lungs, and perhaps to strokes and heart attacks (Gillick, 97). Confusion seems to be one of the early noticeable psychological changes with
Users tend to suffer from severe anxiety, paranoia, psychosis, hallucinations, agitation and delusions. Those are the symptoms that cause users to act out violently as we’ve seen in the news. The user appetite has decreased and they’ve lost a lot of weight in a short period of time. Since bath salts are a stimulant you’ll notice involuntary muscle movements, grinding of the teeth and rolling of the tongue. Drastic changes in sleep patterns and dilated pupils are also signs that a person is abusing bath salts.
In the cardiovascular intensive care unit at Foothills Medical Centre, Carol was going through renal replacement therapy with dialysate solution (Pharmacy theory activity booklet, 2014, p.57). The solution contains 5.9 mmol/L sodium and 53.6 mmol/L potassium; there should be 110 mmol/L sodium and zero potassium in the solution (Pharmacy theory activity booklet, 2014, p.57). This incident belongs to wrong drug, two look-alike bottles contains both 250 ML. The dangerous similarities between