She has had an IV cannula inserted in her left antecubital fossa. She has IV therapy, Normal Saline, commenced at 40ml per hour, (0.9% Sodium Chloride Solution). She has been started on IV antibiotics. She is incontinent of urine, and seems to be unsteady on her feet. You sponge her in bed.
The range of codes that would be used for Darlene would be Codes 680-709 because Darlene had an infection of her skin due to shards of glass still left in her wound. These codes are for Diseases of the Skin and Subcutaneous Tissues. 2. A 44-year-old male presents to the office complaining of intermittent chest pain. The physician orders an EKG to rule out a possible cardiac event.
The patient is prescribed a 5-day course of Zithromax. The complaints addressed were very detailed. The examination revealed what was wrong with the patient and the decision was also detailed. I would code this scenario 99202. • Established patient on Lithium presents for routine blood work to monitor therapeutic levels and kidney function.
Unfortunately my bladder was full of blood. One of the many cysts on my kidneys had ruptured and filling my bladder with blood. I was immediately admitted into the hospital which left me no choice but to call my kids, my mom and my dad who came to the hospital within the hour. It seemed like they were by my bedside within
You are his admitting nurse. As you are making him comfortable, Mrs. W. gives you a paper sack filled with the bottles of medications he has been taking: enalapril (Vasotec) 5 mg PO bid, warfarin (Coumadin) 5 mg/day PO, digoxin 0.125 mg/day PO, KCl 20 mEq PO bid, and tolmetin (an NSAID) 400 mg PO tid. As you connect him to the cardiac monitor, you note that he is in atrial fibrillation (A-fi b). Doing a quick assessment, you find a pale man who is sleepy but arousable and oriented. He is still dizzy, hypotensive, and tachycardic.
The numbness in his lips and face made it almost impossible for him to communicate, but the hospital staff managed to at least understand the address he gave them and they sent an ambulance. As Dr. Westwood was rushed to the hospital, his breathing became increasingly labored. The patient presented in the ED with diaphoresis, motor dysfunction, paresthesias, nausea, and an ascending paralysis that started in his legs and spread to the upper body, arms, face, and head. The patient was cyanotic and hypoventilating. Within 30 minutes of presenting in the ED, Dr. Westwood developed bradycardia with a BP of 90/50 mmHg.
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.
2) How would you overcome it? You are observing a multi-disciplinary team (MDT) meeting where Mrs Singh is due to be discharged home following major bowel surgery. Present at the meeting are Mrs Singh and her husband, the ward nurse, the district nurse, the social worker, the doctor, a physiotherapist, a dietician and an occupational therapist. The meeting is to organise a discharge package for Mrs Singh and is held in the ward day room at lunchtime. The MDT are all seated around the table on high chairs whilst Mrs Singh and her husband are sitting in lower ‘patient’ chairs.
So I went and got the nurse and the nurse looked up at the monitors and proceeded to get the doctors. The team came in and told me I needed to leave.” The waiting room smelt like cleaning supplies and burnt coffee. The smell of it kind of made me sick to my stomach. About after five minutes, we all turned our heads to look out in the hallway because we seen about four doctors running into the I.C.U. I told my sister “I wonder what’s going on” Little did I know, it was our mother.
So soon after my graduation, the hospital gave me the choice to decide where I would like to work and I decided to go for neurosurgery. I worked in the Neuro- surgical trauma ICU of a super specialty hospital in Bangalore, India, for almost 4 years. My first 4 years over there made me a very strong. I have seen many lives fade away. I realized how short life is and how thankful we have to be each day of our lives being healthy.