Meet the Client: Bert Graham Sixty-three-year-old Bert Graham visits the health care clinic complaining of increasing fatigue and difficulty breathing. Physical assessment findings include a rapid, irregular heart rate of 138 beats per minute, BP of 140/86, and a respiratory rate of 28. His breath sounds are clear with fine crackles in the bases bilaterally. He has positive jugular vein distention (JDV) bilaterally and 1+ pitting edema of his ankles bilaterally. His initial medical diagnosis is heart failure (HF).
Central nervous system disturbances may be noted with decreased cardiac output. •Observe for chest pain or discomfort; note location, radiation, severity, quality, duration, associated manifestations such as nausea, and precipitating and relieving factors. Chest pain/discomfort is generally indicative of an inadequate blood supply to the heart, which can compromise cardiac output. Clients with heart failure can continue to have chest pain with angina or can re-infarct. •If chest pain is present, have client lie down, monitor cardiac rhythm, give oxygen, run a strip, medicate for pain, and notify the physician.
These occupations can increase the risks of COPD. COPD is rarely found to be genetic however, there has been a few that shows genetic signs of the disease. Chronic Obstructive Pulmonary Disease can be very critical, if the symptoms are not taken note of and take actions to treat the disease, because there is still no cure for the disease, just treatment to slow down the
The patient presented to her physician’s office with shortness of breath, chest pain, excessive coughing, and excessive fatigue and states that, “she has fainted on occasion before”. The patient looks very weak and flushed. Her son accompanied her to the doctor’s appointment. After diagnostic testing, the patient was diagnosed with Cor pulmonale. Risk Factors The inability of the right ventricle to properly pump blood in the arteries leading to these abnormally high pressures is known as cor pulmonale.
4. A 68-year-old male presents to the office complaining of pronounced weakness on the right side of his body and slurred speech for the past 24 hours. Based on the examination, the physician orders an MRI to investigate a possible transient ischemic attack (TIA). The range of codes that would be used for this patient would be Codes 390-459 because the treating physician ordered and MRI to rule out a transient ischemic attack. These codes are for Diseases of the Circulatory System 5.
COPD 2 INTRODUCTION COPD, chronic obstructive pulmonary disease is an overall term for the conditions of chronic bronchitis and emphysema. It is noted that bronchodilator therapy is necessary in managing the symptoms; also, reducing exacerbations improving the quality of life. Primary care generally diagnoses and manages COPD. COPD is a progressive condition where air flow becomes limited which makes it difficult to breathe. This is the third leading cause of death in the United States.
The irregular rhythm, or arrhythmia, results from abnormal electrical impulses in the upper chambers (atria, singular=atrium) of the heart that cause the heartbeat (ventricle contraction) to be irregular and usually fast. The irregularity can be continuous, or it can come and go. Some individuals, especially patients on medications, may have atrial fibrillation constantly but not have a rapid (>100 heartbeats per minute) rate at rest. Variations of A fib may be termed paroxysmal, persistent, or permanent (these are further described below). A fib is the most common heart arrhythmia.
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.
Although it would be exceedingly rare to suffer the consequences of halting a sneeze, nevertheless, the possibility exists. Other than suffering spontaneous perforation of the pyriform sinus, holding a sneeze has other complications. The authors of a case report, published on Monday in BMJ, said that holding a sneeze may lead to complications such as pneumomedistinum, perforation of tympanic membrane, and rupture of a cerebral aneurysm, Mashable reported. They noted that halting sneeze by blocking nostrils and mouth is a dangerous maneuver and must be avoided. Feeding tube for 7 days After he ripped a hole in his throat when he held back a sneeze, the British 34-year-old male patient had to be confined in a hospital and placed on a feeding
Sarah Klein states in her article "In cases of surgery patients, some have been known to lose lung function after developing pneumonia due to shallow breathing after anesthesia." Expressing that with the shallow breaking often comes the yawn. That could be the reason we yawn when we get tired. It's