Comprehensive 1 Essay

2. If you were the doctors on the scene, what diagnosis would you give this patient? (You may use the internet to help diagnose the patient.)

physician orders an IV to be started with 0.45% normal saline, and orders a serum

2. The medical director makes rounds and writes orders to start an IV of D51/2 NS at 75 m/hr

Ideas can be explored thoroughly in a dynamic home school environment, where in a traditional classroom it might need to be pushed aside in order to meet the next learning objective on time. (Jackson, 2013)

The incubation periods ranges from 3-30 days, the first symptoms usually appears in 7-14 days after the bite. Whereas this disorder can be asymptomatic, typical symptoms include fever, migratory polyarthralgia, headache, myalgia, fatigue and a characterized isolated skin called lesion that progress with its multiplication. If left untreated, the disease can affect the joints, the heart, and nervous system, that may exhibit neurological findings including meningitis and other neuropathies(Goolsby, Grubbs, & Goolsby, 2014)("Lyme Disease| Lyme Disease | CDC,"

First, one uses tweezer and grasps the tick as close to the skin as possible. Second, pull upward and make sure the entire tick is removed including the mouth part. Third, thoroughly clean the bitten area with rubbing alcohol. If a rash develops after a few days, seek medical help for proper diagnoses. Patients are treated with antibiotics. The three presenters listed that they orally took doxycycline and amoxicillin. The first question one should ask themselves when finding a tick is how long the tick has been attached since a person is not treated with antibiotics if it has not been attached for more than three days. In order to prevent lyme disease, one must be aware of his or her surroundings. When spending time outdoors, cover exposed skin by wearing light-colored, long pants, sleeves, and socks. One must use insect spray if spending a long time in high grass, leaves, or bushes. Also, always check pets for ticks when they come inside the home. If a tick is found attached to your clothes, place the clothes in the dryer for an

Lyme disease, also known as Lyme borreliosis, is an infectious disease caused by bacteria of the Borrelia type.[1] The most common sign of infection is an expanding area of redness, known as erythema migrans, that begins at the site of a tick bite about a week after it has occurred. The rash is typically neither itchy nor painful. About 25% of people do not develop a rash. Other early symptoms may include fever, headache, and feeling tired. If untreated, symptoms may include loss of the ability to move one or both sides of the face, joint pains, severe headaches with neck stiffness, or heart palpitations, among others. Months to years later, repeated episodes of joint pain and swelling may occur. Occasionally, people develop shooting pains or tingling in their arms and legs. Despite appropriate treatment, about 10 to 20% of people also develop joint pains, have memory problems, and feel tired much of the time.[2]

4.)  The physician is planning to place a percutaneous central line to infuse TPN.  Which site is recommend and why?

Within 12 hours, the rashes covered her body. Dana was rushed to urgent care and the doctor knew with one look that she had Lyme disease. She was given antibiotics to take twice a day for three weeks, along with staying out of the sun, wearing long sleeves and a hat. When I asked Dana how the overall experience was, she said it was very painful and confusing because initially she did not know why she was hurting. Overall, she is thankful because if it wouldn’t have been caught it could have been

I would also point out that the patient is developing a condition called Leukoplakia as evidence by white patches are

As this point in the infection occurs the bite becomes inflamed and irritated. This comes with a fever lasting several days along with rigor, nausea, and headache. Along with these symptoms, another one appears a rash that can take many different forms such as; erythematous (red rash), postural (containing pus), and petechial hemorrhages (tiny red mark).

After a bite over the next couple of weeks, you should watch for signs or symptoms of Lyme disease such as rash or fever. See a healthcare provider if you have signs or symptoms as soon as possible. Many times people do not know they have been bit. It is important to always be alert for fever or rash. An

A woman who resides in Delaware had no record of any tick bites or travel history outside Delaware. She was 43 years old and her past medical history included transfusion dependent Diamond-Blackfan syndrome, hepatitis C, pulmonary hypertension, and a splenectomy performed 20 years before this admission. Diamond- Blackfan syndrome or “Diamond Black-Fan anemia”, is a problem that stems from the bone marrow. As we know, the bone marrow is responsible for producing the body’s supply of erythrocytes which supply oxygen to the body’s vital organs and tissues. Many problems can occur in the body as a result of this anemia. This patient had been undergoing some treatment for her hepatitis C for the 40 weeks

As mentioned before, tick bitcks are typically harmels and may even produce no symtoms. However, in the same breath a tick bite can lead pain and swelling at the site, the development of a rash, blister, the manifestation of a burning sensation and even difficulty when it comes to breathing. Addionally, some types of ticks have the ability to pass diseases through their bite as well. Tick-borne illnesses can cause a wide assortnment of symptoms and typically develop within the first few days or weeks after the original bite. Some of the symptoms that are associated with tick-borne illnesses inlcude:

interpret the results of diagnostic and laboratory examinations undergone by our client and identify the corresponding nursing considerations;