Virtual Assisignments 2
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May 6, 2024
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Uploaded by UltraFlower14218
Mariliz Rios
Bio 205- Pathology
Dr. Ellorin
Virtual Assignment 2
Janice is experiencing a food allergy; due to it’s delayed in nature, it is classified as a Type IV hypersensitivity. The best option for Janice is to avoid eggs altogether. It has been suggested that the adverse reaction could take 3 to 6 weeks to dissipate. While looking into her history, she should also look into anyone in her family with the same allergen. Janice should also keep a food
journal or diary. List all the foods she eats daily and list any reactions she may have during that time. Due to Janice’s reaction’s emergent nature, she sought help in the Emergency Room (ER). The ER is mainly stopping emergent/urgent responses until it is safe to do more testing to help prevent it from happening again. They likely did a quick blood test until Janice could see an allergist. The doctor will probably do a skin test to test her allergens. The doctor places a tiny amount of the food allergen on a small probe and punctures the skin on either her arm or back to test what she is allergic to. Another test that can be done is a blood test that measures the amount of IgE antibodies to specific foods. An oral food challenge can be done when the patient is given a small amount of food they may be allergic to, and then the amount is increased. It is always a controlled test with a medical personnel with the patient. The skin test is the most common, but oral food challenge is the most accurate. (Maeda, 2022) Both skin test and oral food challenge give the patient the food allergen. The skin test is only a tiny amount, while the oral challenge is
a significant amount, which could cause a worse reaction. Because the patient is given the food allergen, the results will help the doctors find the best course of treatment. (Alcala, 2023)
Anaphylaxis reactions can cause the body to go into shock. If left untreated, it can cause the body to have organ failure, coma, or death. Due to Janice developing swelling in her throat, compromising her breathing, she was seen in the ER. During Janice’s time in the ER, the doctor gave her antihistamines and corticosteroids. These medications can help stop an acute reaction to
avoid more damage. The antihistamine is made to help with mild to moderate allergic reactions. It does not help with any respiratory and cardiovascular symptoms. Corticosteroid does not manage acute anaphylaxis, but it does block glucocorticoid receptors. Together, they reduce inflammation of the air passages and improve breathing. Giving the patient oxygen can also be helpful for patients with compromised breathing. (Rodgers, 2011) They may also be given a beta-agonist like albuterol to help relieve breathing symptoms. Epinephrine can also be given to reduce the body’s reaction. It can be shown in auto-injectors like EpiPen. They deliver the drugs subcutaneously or intramuscularly to treat emergent allergic reactions. (Richer, 2023)
The best way to prevent reactions is to avoid allergens or other products containing the allergen
—taking medicines like antihistamines and corticosteroids as directed. Also, wear any medical alert bracelets or necklace, and carry all auto-injectors. Some other measures can also be natural remedies like dietary changes. These bioflavonoids are plant-based chemicals in citrus fruits and blackcurrants that can be natural antihistamines and supplements like flaxseed oil, zinc, and vitamins A, C, and E to improve allergy symptoms. (Richer, 2023)
Allergens can be life-altering/life-threatening. It is best to know how to identify the symptoms. We should also teach our employees, co-workers, and children about food allergies to help them
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Client ERIC RAYMOND, 12 years old from CAA HOUSING, MANUYO DOS, Las Pinas City, was admitted in the hospital due to high grade fever for 4 days. Vital signs taken are as follows: BP 110/60, RR is 14, PR is 78 and Temp is 38.5. high grade fever Weight is 45kgs. Eric Raymond is known to have allergic reactions to eggs and seafoods but no known allergies to any medication. CBC / Platelet counts were requested laboratory test was done.Client Eric Raymond was admitted under the care of Dr. Rod Buenavista. Admitting diagnosis is Dengue Fever.Dr. Buenavista ordered the following. Start IVF of 1L of D5.09 NaCl to be infused for 8 hours. IVF started at 9amGive Acetaminophen 500mg q 4hrs.Repeat Platelet count after 8 hours
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eSkill
Subject: Bloodborne Pathogens
Topic: OSHA Standard and the
Question: #486578
Talent Assessment Platform
>> QUESTION: 3 OF 30
Instructions A Please report any problems with this qu
You are working as a housekeeper in a healthcare facility. According to OSHA's Bloodborne Pathogens Standard, your
employer is required to create an exposure control plan (ECP). Which of the following criteria is required to be fulfilled by
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Select the single best answer:
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Mr. Hooke a 35 y/o male presented himself in the clinic complaining of shortness of breath and having fevers for the past few weeks. He is known to be infected with HIV for almost 2 years already. He returns to HIV clinic at different intervals for follow-up. He has been on stable antiretroviral therapy consisting on didanosine, stavudine, and indinavir for the past year.
Patient history revealed that he is unsure about his immunization status, and thinks he got them as a child.
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Neck/LN: slight cervical lymphadenopathy, thyroid normal
Lungs/Thorax: CTA, slight axillary lymphadenopathy
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Chest X-ray: Bilateral subtle infiltrates
Bronchoscopy with BAL: positive for the presence of a unicellular eukaryote, a yeast-like fungus
Assessment: breakthrough opportunistic infection
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Could…
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Patient history revealed that he is unsure about his immunization status, and thinks he got them as a child.
Physical Examination as follows:
General: thin, anxious, acutely ill-appearing, young white man with tachypnea
Neck/LN: slight cervical lymphadenopathy, thyroid normal
Lungs/Thorax: CTA, slight axillary lymphadenopathy
Labs
Chest X-ray: Bilateral subtle infiltrates
Bronchoscopy with BAL: positive for the presence of a unicellular eukaryote, a yeast-like fungus
Assessment: breakthrough opportunistic infection
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Patient history revealed that he is unsure about his immunization status, and thinks he got them as a child.
Physical Examination as follows:
General: thin, anxious, acutely ill-appearing, young white man with tachypnea
Neck/LN: slight cervical lymphadenopathy, thyroid normal
Lungs/Thorax: CTA, slight axillary lymphadenopathy
Labs
Chest X-ray: Bilateral subtle infiltrates
Bronchoscopy with BAL: positive for the presence of a unicellular eukaryote, a yeast-like fungus
Assessment: breakthrough opportunistic infection
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General: thin, anxious, acutely ill-appearing, young white man with tachypnea
Neck/LN: slight cervical lymphadenopathy, thyroid normal
Lungs/Thorax: CTA, slight axillary lymphadenopathy
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Case scenario:Client ERIC RAYMOND, 12 years old from CAA HOUSING, MANUYO DOS, Las Pinas City, was admitted in the hospital due to high grade fever for 4 days. Vital signs taken are as follows: BP 110/60, RR is 14, PR is 78 and Temp is 38.5. high grade fever Weight is 45kgs. Eric Raymond is known to have allergic reactions to eggs and seafoods but no known allergies to any medication. CBC / Platelet counts were requested laboratory test was done.Client Eric Raymond was admitted under the care of Dr. Rod Buenavista. Admitting diagnosis is Dengue Fever.Dr. Buenavista ordered the following. Start IVF of 1L of D5.09 NaCl to be infused for 8 hours. IVF started at 9amGive Acetaminophen 500mg q 4hrs.Repeat Platelet count after 8 hoursGive one common problem for client in Intravenous therapy and list 2 independent nursing interventions you can do to manage the problem
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Chief Complaint
“I just moved to town, and I’m here to see my new doctor for a check up. I’m just getting over a cold. Overall, I’m feeling fine, except for occasional headaches and some dizziness in the morning. My other doctor prescribed a low-salt diet for me, but I don’t like it!”
HPI
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Case scenario:Client ERIC RAYMOND, 12 years old from CAA HOUSING, MANUYO DOS, Las Pinas City, was admitted in the hospital due to high grade fever for 4 days.Vital signs taken are as follows: BP 110/60, RR is 14, PR is 78 and Temp is 38.5. high grade feverWeight is 45kgs.Eric Raymond is known to have allergic reactions to eggs and seafoods but no known allergies to any medication.CBC / Platelet counts were requested laboratory test was done.Client Eric Raymond was admitted under the care of Dr. Rod Buenavista.Admitting diagnosis is Dengue Fever.Dr. Buenavista ordered the following.Start IVF of 1L of D5.09 NaCl to be infused for 8 hours. IVF started at 9amGive Acetaminophen 500mg q 4hrs.Repeat Platelet count after 8 hoursCBC and Platelet Result: (attached picture)Computation 1 : Compute for the gtts/min (Drop factor is 15) Computation 2 : Compute for ml/hrComputation 3 : It is now 2:00PM how many should have been infused to the client?
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Case scenario:Client ERIC RAYMOND, 12 years old from CAA HOUSING, MANUYO DOS, Las Pinas City, was admitted in the hospital due to high grade fever for 4 days.Vital signs taken are as follows: BP 110/60, RR is 14, PR is 78 and Temp is 38.5. high grade feverWeight is 45kgs.Eric Raymond is known to have allergic reactions to eggs and seafoods but no known allergies to any medication.CBC / Platelet counts were requested laboratory test was done.Client Eric Raymond was admitted under the care of Dr. Rod Buenavista.Admitting diagnosis is Dengue Fever.Dr. Buenavista ordered the following.Start IVF of 1L of D5.09 NaCl to be infused for 8 hours. IVF started at 9amGive Acetaminophen 500mg q 4hrs.Repeat Platelet count after 8 hoursCBC and Platelet Result: (attached picture)Check Record vital signs*
Normal
Abnormal
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