The consultant has been informed of Mrs. Jones’ admission. When she arrives on the ward you take her observations and find the following: Temp. 39, Pulse 100, Blood Pressure 170/80. Her BSL is 7.9mmol/L. She has had an IV cannula inserted in her left antecubital fossa.
Inpatient Meds: * amiodarone (Cordarone) 200 mg 1 T PO Daily * Digoxin 250 mcg 1 T PO Daily * enoxaparin (Lovenox) 90 mg Subcut every 12 hour * pantoprazole (Protonix) 40 mg 1 T PO Daily before breakfast * NaCl flush IV Push every 8 hours * warfarin (Coumadin) 5 mg 1 T PO Daily PRN meds: Active meds * acetaminophen (Tylenol) 325 mg 1 tablet every 4 hours as needed (received 2/6/12 and 2/7/12) * MOA: inhibits COX-2 and release PG by inhibiting pyrogens in the hypothalamus * AE: nausea and pruritis * diphenhydramine (Benadryl) 25 mg 1 capsule PO QID PRN itching (received 2 doses on 2/7/12, 2/6/12) * antagonizes histamine at the H1 receptor * Fentanyl 25mcg/0.5ml IV push PRN pain (Cath lab) (Received 2/6/12, 3 doses on 2/7/12) * acts with the opioid mu-receptor in the CNS * depresses cough, may lead to N/V * hydromorphone (Dilaudid) 0.5mg/0.25ml IV push PRN pain (received 2/7/12) * opioid agonist * constipation, N/V * metoclopramide (Reglan) 10 mg 2ml Injection IV push every 4 hours PRN N/V (received 2/7/12) * promotes motility in the upper GI tract by sensitizing tissues to the action of
A young mother is in intensive care after having a rare but serious reaction to a friend's prescription antibiotics that caused her to "burn" from the inside out. Yassmeen Castanada, 19, wasn't feeling well on Thanksgiving, so she took a pill that her friend had left over from a previous illness. Soon, Castanada's eyes, nose and throat began to burn, and she was rushed to the emergency room, her mother, Laura Corona, told ABC News. Her body erupted in blisters over the next few days, Corona said. She had to be sedated and placed on a ventilator.
Neurological Disorder Case Study - Meningitis The nurse is caring for a 21-year-old female college student who presents to the emergency department (ED) with complaints of “bad” headache pain, nausea, vomiting and neck tightening. She states, “My sinuses were bothering me last week, but I thought I was getting better until this morning.” No past surgical history noted, has recurrent sinus infections, and denies drug use, but is a social drinker on the weekends. Physical assessment findings are as follows: T – 100.8 F, P – 104, R – 24, B/P – 122/78 Alert and oriented X3 – person, place and time with periods of confusion and agitation over last 4 hours Lung sounds slightly diminished at the bases Mucous membranes dry and capillary refill <3 seconds Assessment of cranial nerve XI elicited severe pain response Pain to neck worsening and unequal pupillary responses are noted 4 hours after admission Lumbar puncture was prescribed and results are: Turbid appearance WBC - 560 cells/µL Glucose - 20 mg/dL Protein - 510 mg/dL Other diagnostic test results CT scan identified no obstruction to flow of CSF Define the key terms below: * Meningitis - see pgs. 1451 – 1455 in Lewis (8th edition) Critical Thinking Questions: 1. Define meningitis?
The chief complaint of the patient is a group of lesions on the child’s back. The baby’s mother explains that the spot on the baby’s back just popped up two days ago and that the baby hasn’t had a fever and seems well. When the baby was examined, it observed that, there is a group of seven to eight blisters like lesions localized to the left of the baby’s spine and they have clear fluid in them. Herpes Zoster is a viral infection of the nerve roots. The causative agent is Varicella-zoster virus.
Group 3: Skin Assessment Case Scenario Facilitator: Monica Hill Note taker: Jocelyn Huber Participant: Christine Hunt Maryville University Group 3: Skin Assessment Case Scenario R. H. is a 26 year old female that presents to the local health clinic with complaints of two red, scaly patches on her left hand. She states that the spots started about 2 weeks ago and that the first one appeared to be poison ivy. After the vesicles cleared R.H still complained of itching. Since initially seeing the two spots on her hand she has also noticed two new lesions, one above her left eyebrow and a small one above her right upper lip. She has used over-the-counter medications, believed to be steroid cream, antibacterial cream, and anti-itch cream, but they have not helped.
*Cor pulmonale is an enlargement of the right ventricle Check what ya know (Answers at end) 6.) ER nurse is caring for pts exposed to a chlorine leak. The nurse would closely monitor these pts for A.) Pul edema B.) Anaphylactic Shock C.) Resp Alkalosis D.) Acute tubular necrosis Answer: 6.
Tori Rivers is a ten-year-old female, admitted for severe right lower quadrant pain and fever. A CT scan confirmed appendicitis. She is one day post-op. She is allowed out of bed to the chair. When getting out of bed, she walks bent over holding her incision and grits her teeth as she sits down.
Mrs. Patricia Robinson is an 85-year-old woman who is Australian born and currently resides with one of her two daughters and has since her husband passed away. She was admitted to hospital with acute confusion. Her vital signs were: * BP 95/50 * Temp 38 * Respirations 28 * Pule 122 * BGL 32mmol/L * Oxygen Saturation 90% Mrs. Robinson was diagnosed with a UTI, which has since been resolved. She has an IV insitu of N/Saline and an IDC. She is on sliding scale insulin and required thickened fluids and a diabetic diet due to dysphagia.
rapy Program CASE STUDY REPORT Date: 12/14/2014 Student: Lauren Schubert Facility: Redlands Community Hospital NICU Week: 5 Chief Complaint: RDS History & Physical: Baby girl born at 23 weeks old due to mother premature rupture of membranes. APGAR scores were 5 at 1 minute and 7 at 5 minutes. The baby girl weighed 500 grams and required immeadiate intubation and mechanical ventilation, surfactant was delivered post intubation. Diagnosis: RDS and prematurity Current Medications: Name Classification Action Indication for this pt Ampicillin Antibiotic Acts as an irreversible inhibitor of the enzyme transpeptidase, needed by bacteria to make their cell walls. It inhibits the third and final stage of bacterial cell wall synthesis in binary fission, leading to cell lysis.