Th e patient was cyanotic and was hypoventilating. Within 30 minutes of presenting in the ED, Dr. Westwood developed bradycardia with a BP of 90/50. Atropine was administered in response to the bradycardia. IV hydration, gastric lavage, and activated charcoal followed a presumptive diagnosis of tetrodotoxin poisoning based on the clinical presentation in the ED. Five hours after intervention, the following vitals were noted: • BP 125/79 • HR 78bpm • Oxygen saturation: 97% on room air Follow-up Within a few hours, Dr. Westwood’s condition improved and he was on his way to a full recovery.
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.
R’s past medical history includes acute renal failure, removal of gallbladder stones, hypertension, angiograms x 3, CABG in 1984, arthritis, prostate cancer with bony metastases, AMI 2004 and panic attacks. Mr. R’s current medications include Slow K, Lasix, Losec, Zoladex, Pravachol, Plavix, Cosudex, Coversyl, and Zyloprim. Mr. R is allergic to morphine At 1345hrs following episodes of chest pain radiation to his left arm since 0100hrs. Mr. R called an ambulance in which he was transported to Hornsby hospital. Mr. R described his chest pain as tightness in his chest and rated pain 8/10 he was given 300mcg of anginine and 300mg of aspirin, oxygen was applied, the pain was relieved slightly, rating the pain 6/10 then 1/10 enroute to hospital.
* Teach the patient about the procedures associated risks and benefits, what to expect during the transfusion, signs and symptoms of a reaction, and when and how to call for assistance. * Check for an appropriate and patent vascular access. * Make sure necessary equipment is at hand for administering the blood product and managing a reaction, such as an additional free I.V. line for normal
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.
Age Specific Case Study Roberto Calderone, is an 82-year-old retired army general. He was with a myocardial infarction. He was monitored and treated with aspirin 325 mg and started on a beta blocker to control his hypertension. Several nurses have commented on him being a “difficult patient” as he is “stubborn and wants to control everything” while he is at the hospital. Mr. Calderone has been observed to order his wife to “get this” and “get that” in a rather brusque manner and when she steps out of the room, he does the same to the nurses.
This enables the medicine to be delivered to the site where it is most needed – the lungs. Inhalers and nebules (for use in a nebuliser) are common examples of this route of delivery. A variety of inhalers are available on the market. Aerosols and dry powder inhalers are marketed. Compliance aids such as ‘spacers’ can be prescribed to help with the delivery of the medicine from an inhaler.
Lymphatic System & Disease Resistance 1. Describe lymphatic system functions. The lymphatic system helps fluids circulate the body and helps defend against agents that cause disease. 2. Locate each of the following lymphatic vessels: right lymphatic duct, thoracic (left lymphatic) duct, right and left subclavian veins, and cisterna chyli.
Along with previous scenario stated, let’s review another case: A phlebotomist from a contracted lab begins his daily rounds of blood collections for the day in a long term care facility. He enters room 201 to draw a 85-year-old woman who was admitted for atrial fibrillation. When he introduces himself and asks for consent to draw her blood, she shouts, "No!" and asks you to leave and not come back. The patient made it very clear that she did not want the phlebotomist to draw her blood (Finnegan, 2013).This same phlebotomist has drawn her for several days for a Prothrombin Time (PT) and Activated Thromboplastic Time (aPTT) without incident, so he reports this situation to the nurse.