Case 679 ________________________________________ CLINICAL HISTORY The patient is a 10 year old female, who underwent liver transplantation at the age of 2 for Alagille syndrome-related end-stage liver disease. Prior to transplantation, she received 36 mg of thymoglobulin followed by 24 mg post transplant, and tacrolimus 2 mg twice daily. Her immediate post transplant course was complicated by a pulmonary thromboembolism and acute cellular rejection which were treated with corticosteroids and antibiotics. Approximately one year after transplant, the patient presented with flu-like symptoms that included fever, rhinorrhea, body aches and an EBV titer of 30 million copies/ml. She was admitted for ganciclovir and CytoGam administration with EBV surveillance.
There are several critical infrastructures involved with the homeland security, but I’m going to go into detail about 3 select ones. The first is public health with includes hospitals and ambulance’s. Public health is the science and art of preventing disease, prolonging life and promoting health. Without doctors, hospitals and ambulance’s we could have a lot of sick, dead and injured people in the world. Doctors help protect and save people from/with diseases.
Many families will reject the idea of organ donation in an effort to hold on to their loved one. The case study this week regarding the distribution of organs for transplants has brought about many changes in the ways donated organs are distributed. In the case study, Misty is a 26 year old famous recording artist who has always given back by donating her time to perform benefits of charities and has established her own charity for children with leukemia. Misty is diagnosed with a rare kidney disease which will warrant a kidney transplant. She is put on the list as most patients are to wait for a match.
language Jenny is 38 years old and 22 weeks pregnant . Her obstetrician found on ultrasound what looks like a heart abnormality in the growing fetus . He referred her to a cardiac surgeon who advised surgery in utero to repair the heart During the surgery the doctor successfully repaired the heart abnormality but damaged a blood vessel leading to the heart , creating a significant future risk of death to the child after birth Consider each of the following situations 1 . Discuss the present legal position of the surgeon on the facts above[->0] br should Jenny sue the surgeon 2 . What difference would it make if the child died before its birth as a result of the damaged blood vessel 3 .
You must be immunized within one week to four months prior to exposure for the vaccine to be effective. The vaccine is composed of inactivated organisms from several virus strains with scientist attempt to include the most recent mutation. Vaccines are typically 67-92 percent effective. Although most people recover fully from the flu, some develop serious complications, including life threatening conditions such as pneumonia. About 20,000 people in the United States die from flu complications each year and thousands more need to be hospitalized prior to recovery.
Fluid resuscitation refers to the medical practice of replenishing body fluids lost via bleeding, sweating, etc. With the knowledge that the patient is scheduled for hip surgery, which is considered major surgery and a substantial loss of blood would be expected, the rationale may also include fluid resuscitation. The transfusion will improve oxygen carrying capacity during and after her surgery. “Fluid Resuscitation” The Merck Manuals Online Medical Library (2010). Observation requirements associated with commencing and monitoring Transfusions: It is imperative that the patient is prearranged for the transfusion prior to collecting the blood.
Laskowski-Jones described an accident that her mother died at the scene and critically injured her father. Her father being brought to the hospital where she was employed, Laskowski-Jones was given the opportunity to see her father in the operating room just before being put under anesthesia. He was awake; Laskowski-Jones was able to express how much she loved him and not to worry. These would be that last words they spoke. Laskowski-Jones (2007) stated “I’m sure both my position in the hospital and my education as a trauma nurse allowed me a rare privilege that isn’t typically offered to families” (p. 47).
These are questions you may not hear everyday but if you have one of these so-called “donor babies” in your family it may come up a lot. A donor baby is a baby that genetically engineered and is made to help the sick. For example, in the movie My Sister’s Keeper, Anna Fitzgerald is a donor baby. She knows that she was created to help her sister, cancer patient, Kate Fitzgerald. “Help” meaning that ever since Anna was born doctors have been taking parts out of her, like bone marrows and blood cells to give them to her sister who is in
I could see the catheter bag hanging from the bed which was filling up with blood instead of urine. I thought I was going to bleed to death as I can not accept blood transfusions, due to my religious beliefs. After a week in the hospital, the fluid in the catheter bag started gradually turning yellow. On day seven, the doctor came to my room and gave me the best news that I have heard in a long time. He said “Kerry you can go home but will need to follow-up with your doctor”.
Why you should become a blood donor Good morning everyone. My name is Charlene Katie Pinckney and my speech today is about why you should donate blood. Donating blood is something a lot of people take for granted until either someone close to them or even they themselves are in a medical situation and need it. I’ve given blood but never thought I would never have a situation where someone close to me would be the recipient. Today, I’m going to talk about my personal experience and also how donating blood can save lives.