Essay about Case Study 28 Days

S.P. is admitted to the orthopedic ward. She has fallen at home and she has sustained an intracapsular fracture of the hip at the femoral neck. The following history is obtained from her: She is a 75-year-old widow with three children living nearby. Her father died of cancer at age 62; mother died of heart failure at age 79. Her height is 5’3 and weighs 118 pounds. She has a 50 pack year smoking history and denies alcohol use. She has severe Rheumatoid Arthritis (RA) and had an upper GI bleed in 1993 and had Coronary Artery Disease with CABG 9 months ago. Since that time, she has engaged in “very mild exercise at home.” Vital signs are 128/60, 98, 14, 99 degree farenheight (32.7 degrees C) SAO2 94%

(Marieb and Hoehn, 2010, p 703) defined Blood Pressure (BP) as ‘the force per unit area exerted on a vessel wall by the contained blood, and is expressed in millimetres of mercury (mm Hg)’. BP is still one of the essential and widely used assessment tools in healthcare settings. Nurses generally record the arterial BP which is the forced exerted blood that flows through the arteries, to establish a baseline and to determine any risk factors. BP

The applicants are morally correct as long as their action promotes their long term interest. If their action produces or will produce for them a greater outcome of good, versus evil in the long hall than any other alternative, than that action is the right one to act on, and the individual should take that to be a moral act. An Assessment of Morality by Ethicsinbusiness.net

As a member of management Clive Jenkins is responsible for boosting employee morale to ensure that company goals are met

Physical Examination: General: The patient is an alert, oriented male appearing his stated age. He appears to be in moderate distress. Vital signs: blood pressure 132/78 and pulse 68 and regular. Temperature is 38.56 oC (101.4 oF). HEENT:Normocephalic, atraumatic. Pupils were equal, round, and reactive to light. Ears are clear. Throat is normal. Neck: The neck is supple with no carotid bruits. Lungs: The lungs are clear to auscultation and percussion. Heart: Regular rate and rhythm. Abdomen:Bowel sounds are normal. There is rebound tenderness with maximal discomfort on palpation in the right lower quadrant. Extremities: No clubbing, cyanosis, or edema.

Because white blood cells in the body do not last very long because they will be constantly used up fighting his already present infections and because his body does not create these antibodies he will need these transfusion to place them back into his body.

1.  Blood pressure is the force of circulating blood against the walls of the arteries. The pressure of blood in the arteries correlates directly to the amount of blood pumped by the heart and the amount of resistance in the

Physical examination showed soft, right upper quadrant tenderness with mild hepatomegaly. Ultrasound of abdomen revealed contracted gallbladder and hepatic steatosis. CT of abdomen and chest without contrast revealed bibasilar heterogeneous opacities, bilateral pleural effusions, prominent lower right paratracheal lymph node, and two hyper enhancing foci within the liver. Abdominal MRI showed liver masses. With this, medical concerned was for neutropenia fever due to viral infection vs HIV vs malignancy vs drug induced. Plan of care included, CT of the abdomen and chest, ultrasound of abdomen, MRI, blood culture, urine culture, stool analysis, peripheral smear, Infectiologist and Oncologist consultation, C differential toxins, mono spot test, A1C and TSH test, intravenous fluid of 150 cc/hr of NS, Lyrica: 25 mg, 1 cap, oral, twice a day , Zofran: 4 mg, 2 mL, IV Push, every 6 hours, Zosyn IVPB: 3.375 gram, 100 mL, 25 ml/hr, IVPB, every 8

Angina is caused when the artery comes blocked and slows the blood flow and oxygen to the

It is the measurement of the force of the blood pushing against the artery walls. A blood pressure cuff and a stethoscope is what are used to measure this. While taking you blood pressure two numbers are recorded; Systolic pressure and Diastolic pressure. Systolic pressure is the higher number that refers to the pressure inside the artery when the heart contracts and pumps blood through the body. Diastolic pressure is the lower number and refers to the pressure inside the artery when the heart is at rest and is filling with blood. Having high blood pressure can increase the risk of coronary heart disease (i.e. heart attack, stroke).

The patient is a 70-year-old female who presents to St. Joseph emergency room with sharp abdominal pain for the past 2 weeks which are actually worsening. She does not have any significant aggravating or relieving factors. She just complains radiation to the right lower back. It is sometimes aggravated with food. She was recently seen as an outpatient by the gastroenterologist. She underwent an EGD but does not have any results. She does not have any improvement in her symptoms and hence has presented to the emergency room. She is known to have a medical history of hypertension, depression, asthma, and a history of anxiety disorder. In the ED a CT scan of the abdomen and pelvis revealed acute colitis. The patient was begun on IV fluids,

Prior to his admission to Barnet hospital, Alexander had been suffering with abdominal pain, diarrhea and vomiting for around two days. Due to these symptoms, the initial diagnosis was gastro-enteritis along with dehydration. Blood tests were taken and these displayed high levels of creatine and urea due to dehydration. A strong antibiotic, Ciprofloxacin, was prescribed on 4th November as an attempt to treat his symptoms. Further blood tests showed concerning decrease in platelet levels and red and white blood cell counts. The concern of poisoning was initially raised by

Patient is a 45 yo male; 5’7”, 221 lbs who entered the emergency room at 6:30 am on 9/7/14 with severe chest pain (onset at 6:00 am) radiating to his arm, L arm numbness and nausea and vomiting. Past medical history reported by wife includes peptic ulcer, tobacco use (1-2ppd for 27 years), elevated blood pressure (controlled by lopressor). Wife did not know of any family history but reports patient’s father is deceased, died at 42 in his sleep. Mother alive and with high blood pressure.

After reading this scenario about this patient, there are a few things that I wonder about and things that could have potentially contributed to this patient’s death. First, I do not understand why they did not place an Ewald tube down this patient and perform some sort of gastric lavage with activated charcoal (Gastric, 2017). They did all the work to stabilize the patient, but did not remove the remainder of the product, causing the acidosis. Basically, I feel that the patient came in with metabolic acidosis because of the aspirin, was stabilized, but then developed metabolic acidosis again. Which could have lead to a whole new list of complications to develop.

Have you ever had a colonoscopy or endoscopy – where they take a camera and look through your mouth down into your stomach; or a camera that goes in your rectum that looks through your bowel and intestines?