He was severely dehydrated, anemic, and malnourished on admission. Jackie is receiving parenteral nutrition through a tunneled central venous catheter. His diarrhea is persistent, and plans for an ileostomy are being discussed. Jackie experiences only short periods of remission between flare-ups of his disease. Among the many problems that Jackie has, you are very aware of his potential for acid-base imbalance.
Normal skin has many types of bacteria living on it. When there is a break in the skin, these bacteria can cause a skin infection. Skin in the infected area will become red, hot, irritated, swollen, and painful. (www.nlm.nih.gov, Linda J. Vorvick, MD) Factors leading up to the emergency room visit with this patient in this case, the wound was not properly taken care of, which allowed the infection to spread, causing Richard to go to the emergency room. Patient cleaned cut with peroxide and applied a Band-Aid, when he should have washed it thoroughly with soap and water and applied an antibacterial cream every day.
There are multiple testimonies that have stated the contamination causing health problems in the individuals and families of the town. A Farmville resident and father of the James family has stated that his young son is constantly affected by asthma attacks due to the contaminated air. The manure odor from the CAFOs has created breathing difficulties for him along with constant headaches. He is unable to go outside without being bombarded by respiratory ailments. The Sykes family gets their water from a personal drinking well, but Mrs. Sykes has considered switching their family to bottle water or tediously boiling the well water.
If the physician suspects Heather has bacterial meningitis, they will treat her with antibiotics immediately. Early treatment with antibiotics can reduce the risk of dying dramatically. 3. How do the results obtained from the spinal tap and blood sample support the diagnosis? The spinal tap shows a majority of the leukocytes are neutrophils, which is a sign of meningitis.
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.
Falls – If an individual falls you should act quickly to assess the situation and cheek them for any serious damage. You should ask trained in moving and handling staff to help the individual up and sat in a safe position, ring the ambulance if necessary, you must follow the accident procedure policy. Cuts and Bruises – if someone cuts themselves you should have the first aid box/bag with you and addresses the situation and wash with antiseptic wipes and dress the cut if needed. If someone has a bruises you should try a cold compress (such as a ice pack) the cold reduces the blood flow to the swelling area and limits the bleeding into the skin. Asthma attacks – if someone appears to be suffering
2. Which assessment takes priority while the nurse provides oral care?A) Assess the sides of the oral cavity for any open sores. Feedback: INCORRECT Considering the client’s recent history of nausea and vomiting, another assessment takes priority at this time. B) Observe for excessive dryness of the mucus membranes. Feedback: CORRECT Because the client has a recent
Case Study #1: Patient on Hemodialysis A 47 year-old man is being sent back to the hospital unit after undergoing hemodialysis in the dialysis unit. The patient was initially admitted for pneumonia but has been receiving hemodialysis Mondays, Wednesdays, and Fridays for the past year for kidney failure. He has a functioning arteriovenous fistula on the left arm. On assessment a positive thrill and bruit are confirmed. The nurse from the dialysis unit informs the unit nurse assigned to the patient that 1 L of fluid was removed.
He needs a reduction of this hip and goes through a moderate sedation procedure to get this done. He subsequently goes into ventricular fibrillation, has to be intubated and defibrillated. His blood pressure drops and he needs vasopressors and becomes ventilator dependent. All of this could have been prevented. The nest step in a root cause analysis is to look at the “why” it happened.
Pertussis Yvonne Grahn HCS/245 November 26, 2012 Tynan Weed Pertussis The article I read is called A Doctor’s Diary… Whooping Cough. The article is about whooping cough, also known as pertussis. The article covers the different stages of pertussis, the ages of people who are normally affected, stages of pertussis, complications, diagnosis, and treatment. Pertussis is making a comeback for some reason and is seen in people quite often. Pertussis is spread through breathing in bacteria that are carried on microscopic water droplets.