Scenario The wife of C.W., a 70-year-old man, brought him to the emergency department (ED) at 0430 this morning. She told the ED triage nurse that he had had dysentery for the past 3 days and last night he had a lot of “dark red” diarrhea. When he became very dizzy, disoriented, and weak this morning, she decided to bring him to the hospital. C.W.’s vital signs (VS) were 70/- (systolic blood pressure [BP] 70 mm Hg, diastolic BP inaudible), 110, 20. A 16-gauge IV catheter was inserted, and a lactated Ringer’s (LR) infusion was started.
Last year, the patient was hospitalized more than 4 months total for the problem. He is from Atlanta. He is coming to visit his aunt accompanied with his mom and his sister. Patient states “he has to go to University Hospital Emergency Room for cyclic vomiting syndrome on Sunday 7/15/12 at 1pm. 2.
Hemorrhagic stroke (~17%)- A blood vessel breaks open, causing blood to leak into the brain 3. Define the term collateral blood flow, and describe how this and other factors affect the development of stroke. The brain has s circular vascular structure called the circle of Willis and two pairs of arteries that feed the circle. So most areas of the brain receive blood from more than one collateral blood vessel. The type, and severity of stroke symptoms depends on the location of the and severity of brain ischemia 4.
Imagine a healthy man, sixty years old, recently retired, with many years left to spend with his wife, four children, ten grandchildren, and two great-grandchildren. Then one day he begins experiencing difficulty swallowing and slurred speech. After being told by his daughter that these could be symptoms of a stroke, he turns to his doctor for answers. As his swallowing and speech worsen, each diagnostic test is inconclusive. Finally, after several months of increasing frustration and decreasing health, he is diagnosed with amyotrophic lateral sclerosis, or ALS.
Task 7: Secondary prevention clinic This morning on the 17th September 2013 at the Hospital I attended the secondary prevention clinic, were patients with hypertension had to attend. One of the first patients to attend the clinic was a male and he is 49years. He was first presented to the hospital’s emergency department after an accident at work. This accident caused the patient to have two broken ankles which later lead to a myocardial infarction (MI) within a two hour period due to a possible ischaemic event within heart, suggesting ischemic heart disease. A clot busting drug Streptokinase was administered immediately to disperse the thrombus.
The following case study is on a 26 year-old male whom is a paraplegic and has developed one pressure ulcer on each buttock whom was looked after by the writer on November 26th, 2012. Client Demographics P.L. is a 26 year-old male that was admitted to the University Hospital of Northern British Columbia (UHNBC) in Prince George, British Columbia. In 2008, he was shot in the neck, and was rushed to UHNBC. He was then transferred to Vancouver to undergo emergency surgery.
Prior to seeing the nurse practitioner, he fills out a history form which elicits a family history and review of systems. His father died of a heart attack at age 72. His mother is alive and well at age 76. He has a 44-year-old sister who recently had a hysterectomy and has been treated several times in the past for depression. He has a 22-year-old son and an 18-year-old daughter who are in good health.
It is released by one nerve ending also known as synapses, and is picked up by another nerve ending. After a message is sent, enzymes in the brain clean the serotonin out of the synapses. C. Main Idea: Patients with OCD have damaged receptor sites and is blocked to prevent sertonin to function potentially. D. Big Point: As Medline Plus explains, on September 25, 2007, recent data shows, that about 7 millions Americans are diagnose with OCD. About the age of 20 to 30 is when the symptoms are noticed by the abnormalities in the brain.
According to articles online about half of patients with kidney failure receive treatment and are cured. Scenario B Chronic renal failure: Mr. Hodges, a 73-year-old man, has had congestive heart failure for the past 5 years. His doctor has told him that his heart is not functioning well, needing more and more medicine to maintain circulatory function. He has noticed that he
Outcome 1 Know what a stroke is 1.1 Identify the changes in the brain associated with stroke Heart attacks and strokes are usually due to cardiovascular disease, a condition featuring body-wide damage to the delicate lining of the arteries the tubes that carry oxygen and nutrient-rich blood to all the organs, tissues and cells in your body and to the brain. The psychological, behavioural and emotional changes that take place after a stroke are part caused by physical damage to the brain. When the brain cells are damaged the sensations and parts of the body controlled by the cells can no longer function properly. This usually affects the left hand side of the body. But I personally have seen someone who has had a stroke and it has