Diagnosis Case Study

“It isn’t fair. I’ve worked so hard all my life, I don’t deserve this,” thought Mrs. Ross as she looked down at her right leg where a large wound gaped open. Two weeks ago, she had a femoral-popliteal bypass, which got infected. The wound was opened up and was healing slowly by secondary intention. It was painful, raw, and frightening. She put a hand on her chest and raised the head of the bed higher so she could catch her breath and stare out the window.

The patient did have black soot around his nose and mouth. Thats when first responders started manual ventilation's via BVM and 02 at 15 LPM. At this time Medic 1 assumed patient care. Medic 1 assigned first responders to obtaining vitals signs that are stated in the vital section of the report. It was at this time that Medic 1 applied a OPA after first measuring on what size to use. First responders also applied fast patches to the patients right upper chest and left midaxillary line At this time Medic 1 assigned first responders to start chest compressions a 15:2 ratio. Medic 1 at this time started a IO in the patients plateau region of the right leg. The Plateau region is inferior and lateral to the knee cap. At this time Normal Saline bolus was started with a 60 drop per ML set. Medic 1 found the patient to be in a sinus rhythm At this time miscommunication with Medic 1 and first responders happen with chest comparisons started. We then secured the patient on the cot via 4 straps and transported a code red patient to the nearest hospital. While enroute to hospital radio report was given with chief compliant and treatments listed in the appropriate category of the report. Vitals was continued to be taken every 5

State in your own words what you would say to this patient to explain why she is unable to eat or drink (relate to diagnosis).

The patient that I have chosen for my diagnostic reasoning paper is a 47-year-ol-Hispanic female. The presenting problem that I have chosen to use as my patient’s chief complaint is back pain. The only other clues that I have to use in order to help narrow my focus is that she is a female, she is 47-years-old, and she is Hispanic. I do not know how long she has been experiencing pain or how severe her pain is. Given these parameters, I will “cast a wide net” as I evaluate my patient and create my list of differential diagnoses.

The emergency department RN evaluates Harmony and determines the percentage of body surface burned according to the Rule of Nines. Her injuries include deep partial-thickness and full-thickness burns on her lower abdomen and on both of her anterior and posterior lower legs.

Which data indicates the need for the nurse to evaluate Mrs. Rusk further for altered nutrition? (Select all that apply.)

What disorder(s) do you think Sonya is likely experiencing? Provide support for the diagnosis/diagnoses you make, walking me through your reasons. Specifically, you might outline what is needed to meet diagnostic criteria and explain how the patient fits these criteria. (10pts)

On Tuesday 06/27/2017, veteran Mr. Saenz walked very angrily in my office with his wife about 11:00 AM. I greeted them and offered to sit down; Mr. Saenz and Mrs. Saenz were very upset and asked me where they need to go as they have VA examination, they both said “nobody tells them anything; they have been sitting in waiting room”. They told me that the lady on the desk told them to come to me.

The second most likely diagnosis is dehydration. According to Arant and Canavan (2009), the diagnosis can be determined by if there has been vomiting, diarrhea, or decreased oral intake. The patient has had decreased tear production, a capillary refill time of more than two seconds, and decreased skin turgor (Arant & Canavan, 2009). All of this points to dehydration.

• Pre-Registration - When the Patient either comes into the office or calls over the phone for the inital appoitment. If they are new Patients you will need all their insurance information prior to appoitment to confirm they infact take that insurance, co-pays, and active insurance. You then will need to know what the patient is being seen for.

Before using the following guidelines in completing family assessments, two words of caution. First, not all areas included below will be germane for each of the families visited. The guidelines are comprehensive and allow depth when probing is necessary. The student should not feel that ever sub-area needs to be covered when the broad area of inquiry poses no problems to the family or concern to the health worker. Second, by virtue of the interdependence of the family system, one will find unavoidable redundancy. For the sake of efficiency, the assessor should try

State in your own words what you would say to this patient to explain why she is unable to eat or drink (relate to diagnosis).

Trauma is a fast-paced, stressful, and often dangerous field of nursing. These nurses are faced with life or death situations, where the cause of injury or sickness is not always known. They must be extraordinarily knowledgeable about the human body and the diseases and injuries that can be sustained to it, but also the potential complications because a patient’s physiological situation can change rapidly. A tough exterior is needed to deal with the harassment and violence they can be afflicted with during these traumatic situations, but also a soft and caring touch to handle the issues of death delicately with the patient’s family.

Fluid resuscitation protocols and interventions have established guidelines for nursing care of burn patients in hospital settings. Although these protocols aid the nurse in making treatment decisions, the nurse must first understand the fluid pathophysiology of burns, the different fluid alternatives, the amount of fluid volume infusions allowed and their effects within the patient’s body, as well as, any complications related to fluid resuscitation for burn patients. In addition, fluid resuscitation should be carefully and diligently monitored to ensure the main goal of therapy which is to attain adequate tissue perfusion while minimizing patient’s complications.