Acute Cystitis Introduction: Marvin Brown, 42 year old male complains of having to void constantly, as well as painful urination and hematuria. He noted that immediately after he voids he feels the need to void again but nothing comes out. He states that this has been going on for about a month, but refuses to visit the physician because he feels it’s a waste of time and money. He’s upset because majority of his day is spent standing over the toilet. After experiencing low back pain he decided to make a visit.
Potassium may quickly reach levels of 6.0 mEq/L or higher. Specific electrocardiographic changes are associated with hyperkalemia: peaked T waves, a widening of the QRS interval, and ultimately, ventricular tachycardia or fibrillation (p. 408). The nurse should frequently assess vital signs. “Monitor cardiac rate and rhythm. Report changes to the provider.
Patient denies being struck in abdomen during practice. This was only his second practice and was contributed to “sore muscles.” Pain continued throughout the night. Patient’s appetite has diminished and he has not had a BM for 28 hours. Patient rates the pain at 7 of 10 and describes it as a feeling of “being punched” in the stomach. Pain is increased during movement and is not relieved by anything.
While admitted, the health care team will monitor for complications such as heart failure, dysrthymias, , pericarditis and cardiogenic shock. The medical treatment team will give him medications to dissolve the blood such as streptokinase and pain medication such as morphine. If necessary, he could also undergo surgery such as of a stent to restore perfusion to the myocardial tissue or a coronary artery bypass graft or placement. The patient’s diet history include eating ethic food rich in fat and sodium his whole life. As a consequence has developed hypertension, coronary artery disease and peripheral artery disease.
The client’s blood pressure is 162/105, pulse 92 and reparations are 20. The lab values found low hemoglobin and hematocrit along with a high BUN and creatine levels. From the last hemodialysis, two days ago, patient has gained six pounds and has edema of the ankles, with crackles auscultated in both lungs. The patient has claimed, “I’m sick of trying to follow the diet the dietitian recommended. It’s not worth it.” Client has stated, “I know what I am supposed to eat, but it’s too hard.
Patients who have illnesses and common blood disorders are highly recommended having blood transfusions to replace missing blood and to help treat the disease. However, Blood transfusion transfers 40,000 units of blood using blood transfusion daily (Torphy, & Lynm, 2012). Transfusions are very safe and often used. With blood transfusions, risks can occur when hemolytic transfusion reaction to blood given that is not compatible with the patient’s blood type (Torphy, & Lynm, 2012). Fever and chills could occur after receiving blood and immune response can occur as well.
Coronary Artery Disease by Module Four – Myocardial Disease Case Studies November, 2011 Abstract: It is important to assess the prescence of regional wall motion abnormalities (RWMA) and thrombus following an ST elevated myocardial infarction. Echocardiography is often the preffered tool when assessing these patients. It is non- invassive and can detect both RWMA and thrombus reliably. Echocardiography was used in the following case after an ST elevated myocardial infarction. The echocardiogram demonstated both RWMA and apical thrombus.
Neuropathy prevented Ian seeing where his body was which is a petrifying feeling; literally Ian was “The Man who Lost His Body”. It took a year for Ian to stand up safely and six months to put on his sock, this sensory process was long and tedious. This documentary taught me how we are fortunate to have sensory abilities; most people take it for granted because it’s natural. It was unbelievable how Ian recovered from this illness. The doctors told him that he will be in the wheel chair for the rest of his life but he was determined to regain his strength and movement.
The Bleeding Time (BT) was introduced as a tool for predicting the risk of bleeding in relation to surgery. Test the vascular integrity, qualitative and quantitative defects of platelets. Principle: The Ivy method is the traditional method for carrying out this test. In the Ivy method, a blood pressure cuff is placed on the upper arm and inflated to 40 mmHg. A disposable lancet is used to make two separate cuts into the forearm usually 5-10cm apart in quick succession.
Although the infant is finally discharged in good condition, the mistake is a hard lesson for all healthcare workers. Let’s take a closer look at how the error had happened. Phytonadione, an antidote of Coumadin, is frequently used in the prevention of blood thinning in the newborn. The common brand name in the United States includes AquaMephyton and Mephyton. According to Schull’s drug handbook (2006), Phytonadione acts on the liver to promote the production of active prothrombin, proconvertin, plasma thromboplastin component, and Stuart factor.