We will need to determine the cause of the bleeding. 7. What are you going to tell the triage nurse? * Possible DIC, 38 year old female had a ruptured appendix 10 days ago with subsequent peritonitis. She was discharged 9 days postoperative with a left PICC for IV antibiotics.
CASE STUDY Assignment: Pain Management Mrs. Chang is an 80-year-old Asian female with terminal small-cell carcinoma of the right lung with brain metastases. The patient is on your palliative care unit and frequently reports intense breakthrough pain. Data Obtained From Nursing Assessment • Vital signs: afebrile; pulse, 92; blood pressure, 112/86; respiration, 28 • Dyspneic • Weight: 96 pounds • Height: 5 feet, 2 inches • Lung sounds: bilateral rales and gurgling; improved after nebulization therapy • Confused, restless, and agitated • Bowel sounds diminished in all four quadrants • Last bowel movement 2 days ago • Speaks few words in English; family members at the bedside can translate • Points to “4” pain rating on FACES pain scale • Has used 6 rescue doses for pain in last 24 hours Lab Data • CBC shows anemia: Hb 9 • Pulse oximetry: 92% on 02 2L/NC Current Drug Therapy • Fentanyl 75 transdermal patch, change q72h • Morphine, 1–3 mg IM qh prn for breakthrough pain • Amitriptyline, 150 mg PO bid • Albuterol solution for inhalation, 2.5 mg, diluted to 3 mL with normal saline via nebulizer, three to four times daily Case Study Questions: 1. How do these drugs work together to address Mrs. Chang’s underlying pathologic conditions? (10 pts.)
In 2006, approximately 212, 920 new cases of invasive breast cancer were diagnosed in the United States (Women’s Health Resource, 2011). The case scenario below will discuss ethical and legal issues regarding a female patient with breast cancer, which refuses treatment for breast cancer. Additionally, the scenario will cover the following four ethical principles: respect for persons/autonomy, justice, beneficence, and non-maleficence that relates to the case scenario (Bishop, 2003). A 25-year-old female patient made an appointment with her primary care physician because she discovered a lump on her breast. She went to her appointment with her primary care physician the following day.
The Health Belief Model (HBM) is a psychological model that is use in nursing to explain and predict health behaviors of patients diagnosed with chronic disease like MI. In educating the patient using this model, the nurse will focus on the attitudes and beliefs of the patient. The nurse will encourage the patient by educating to recognize and promptly response to signs and symptoms of any complication from the MI. In-depth education opportunities will be planned and evaluated. The overall goal is for the client to return to pre-hospital living condition in an improved state of wellness.
Medication errors that cause harm are called preventable adverse drug events. For example, 40-year-old female was brought into the emergency room for shortness of breath and rash following an ingestion of seafood. On presentation, she was found to have edema of the throat with a mild stridor upon inspiration. Her temperature was 98.7 °F axillary with a blood pressure of 100/69 mm Hg and a pulse of 70 bpm. The patient was placed on supplemental oxygen and a 0.5 mg (1:1000) dose of epinephrine was ordered.
After months of testing and the doctors telling my mom I might have cancer, we finally got an answer. My diagnosis was called Chronic Recurrent Multifocal Osteomyelitis (pediatrics 2005). This disease is something that is very rare childhood disease. After multiple surgeries, lots of medication and a whole year spent living at the hospital things had started to quiet down. Throughout all of this, I met so many compassionate nurses, doctors with great bedside manner and even laundry and maintenance people who would stop and say hi.
In addition, a Tennessee woman died from a ruptured ectopic pregnancy after undergoing an RU-486 abortion.” In addition, At least one woman in France died while others there suffered life-threatening heart attacks from the technique. In U.S. trials conducted in 1995, one woman was known to have nearly died after losing half her blood and requiring emergency surgery. Furthermore, “On November 15, 2004, the FDA reported having received 676 "adverse event" reports concerning RU-486 abortions, including 17 ectopic pregnancies, 72 cases where
Individual Health Needs Assignment This assignment will examine the individual health needs of a client I have cared for in practice, from a holistic point of view and will be using a nursing model and relating it to my client. Mr X is 53 years old and lives with his wife and daughter in a small house. Mr X has had epilepsy, from the age of seventeen and has been on medication since then. Mr X has a poor diet and is obese. Mr X has been admitted to hospital with an increase of ‘Grand Mal’ seizures.
Nursing Management of Patient w/ Pain, Ambulatory Dysfunction & UTI S.L., a 31 year old female patient with a pertinent medical history of Lupus, Raynaud’s Phenomenon, Ablation for Supraventricular Tachycardia (SVT), Hypertension, Pyelonephritis and a mini stroke that has undergone surgical procedures of cholecystectomy, four C-sections and a hysterectomy, was admitted to the medical floor through the emergency department on January 12, 2010 with complaints of severe back pain. Patient reports that the pain began approximately two weeks prior to her arrival to the hospital. The pain became progressively worse and limited her ability to perform Activities of Daily Living (ADL’s). She was experiencing severe pain but was able to ambulate with the aid of a cane. For one week prior to her hospital admission she reports being bed bound and “couldn’t even get up to use the restroom”.
In the article, "Medicines and Side Effects", it states "…antibiotics such as those in the sulfonamide and penicillin families cause allergic reactions in around five percent of the population. Skin rashes are a common reaction." ("Medicines and Side Effects"). Most people that are predisposed to having allergic reactions to the antibiotic have a history of such allergy in their genetic makeup. The authors, Segal and Pilote, state "…case of a 70-year-old woman who, while being treated with warfarin, was admitted to hospital with multiple internal hemorrhages after having used chamomile products (tea and body lotion) to soothe upper respiratory tract symptoms."