1. What is happening to Ms. Jones’s kidneys, and why is it causing the observed symptom? Mrs. Jones is suffering an acute kidney injury due to hypo perfusion likely linked to blood loss and/or low blood pressure during the operation. Reduced blood supply has caused the kidneys to cease to operate effectively. Her blood results will show elevated urea and creatinin while urine output will reduce to under 20mls/per hour.
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
Assessment Task 1 Case Study The following essay is a case study of a 27 year old patient who is generally in good health. He has just undergone surgery after a diagnosis of primary lung adenocarcinoma and been admitted to the ward following a left pnuemonectomy. Mr Johnson has an indwelling catheter insitu and is being administered epidural analgesia (Marcain and Adrenaline). The essay will discuss the application of an epidural infusion for pain management and the reason why this is appropriate. It will also address the risks and benefits of this manner of pain management.
Check skin integrity frequently. Now, I would like to talk in detail about each nursing-sensitive indicators: Patient is at risk for developing UTIs. Patient is demented. Patients with dementia forget to do a lot of their ADLS. Drinking water is one of them.
Patients who are very ill usually require intravenous (IV) antibiotics and admission to a hospital; they usually have a kidney infection (pyelonephritis) that may be spreading to the bloodstream. Other people may have a milder infection (cystitis) and may get well quickly with oral antibiotics. E. coli Enteritis E. coli enteritis is an inflammation of the small intestine, caused by infection with certain strains of E. coli bacteria. The diarrheal diseases caused by E. coli range from mild to life-threatening, depending on the specific type of E. coli bacteria involved. It is the most common cause of
LABORATORY DATA: His white blood cell count is 4.6, hemoglobin 14.2, hematocrit 42, and platelets 207,000. Assessment and Plan: This is a 72-year-old gentleman with chronic lymphocytic leukemia and is on chronic steroids for autoimmune hemolytic anemia. His blood counts are relatively stable at 5 mg of prednisone every other day. He should be put back on the Valtrex and decreasing his steroids to 1 mg daily. INDICATION: This 56-year-old male presents to surgical office with history of bilateral axillary masses.
Eighty percent of C-diff cases are found in healthcare settings (CDC, 2010). C-Diff can be very difficult to treat due to the fact that it has proven to be MDR (Multi-Drug Resistant) and in some cases the bacteria can cause death. Patients affected by C-diff may exhibit watery diarrhea, fever, loss of appetite, nausea, and abdominal pain and tenderness. However, patients may also present with symptoms of pseudomembranous colitis, toxic mega colon, perforation of the colon, and sepsis (CDC, 2010). Contact precautions are necessary when treating a patient this includes wearing a gown and gloves.
After delivery signs of aspiration may include, rapid or labored breathing, bluish colored skin (cyanosis), limpness and bradycardia or slow heart rate. Meconium in the uterus can cause complete airway obstruction which can then lead to atelectasis. Atelectasis is a collapse of alveoli caused by an absence of air in the lung. Most atelectasis is sub segmental, meaning segments or lobes may be collapsed. (Walsh, Czervinske, & Diblasi 2010) Meconium also interferes with surfactant functions and can inhibit the production of surfactant.
amoxicillin - Antibiotics are used to treat infections caused by bacteria. Potential side-effects : Diarrhoea, feeling sick, skin rashes and vomiting are the most common side effects. Some people get a fungal infection such as thrush (candida albicans) after treatment with antibiotics for a longer period of time due to inbalanced gut flora. More serious side-effects (rare) of antibiotics include kidney problems, blood disorders, increased sensitivity to the sun and deafness. Antidepressants e.g.
| Diarrhoea, feeling sick and vomiting are the most common side effects. Some people get a fungal infection such as thrush after treatment with antibiotics for a longer period of time. More serious side-effects of antibiotics include kidney problems, blood disorders, increased sensitivity to the sun and deafness. However, these are rare | Antidepressants e.g. Cipramil