Mr. F.: A Case Study

Mr. X is a 46-year-old, Latino-American, married male who was referred for an psychological evaluation by his physician for numerous health concerns that are mostly unfounded. Mr. X was oriented times three.

The normal blood pH is between 7.35 and 7.45. Allen’s blood was acidotic due to a decrease in lung expansion and an alteration in the perfusion to his spinal cord. He also has an alteration in spinal innervation to the respiratory muscles including the phrenic nerve that controls the diaphragm. This would further cause Allen to not be able to adequately take in enough oxygen and blow off enough CO2 to adequately have gas exchange, within the alveoli. Respiratory failure.

Irrespective of the potential metabolic acidosis, Initial management of both DKA and HHS is focused on rehydration. The aim is to replace fluids in the both the intravascular and extra vascular spaces, while simultaneously diluting glucose levels (and thus lower osmolality) and counter-regulatory hormones (Raghavan, 2014) The Monash Health HHS & DKA

Mr. S is a 29-year-old male with past medical history of (PMH) hypertension (HTN) and obesity who presented to local emergency room (ER) with headache and chest and back pain. Mr. s had been seen at urgent care three days prior for a headache and near syncope and was told to hold his metoprolol due to bradycardia. Due to health insurance related problem, he has been off amlodipine and lisinopril for a month.

These results are showing a more acidosis level and with our pH low the PaCO2 low and also HCO3 low, Sam’s decreased level in the glascow coma scale and tachycardia we could consider a hyperglycaemic metabolic or ketosis acidosis and commence corrective treatment immediately( Roman,M,2008, p268).

As per our conversation earlier I want to make sure we are all in the same page regarding Mr Futerfas and his care.

Ms. Sash was suing Mr. Meave for the amount of $675 for trip expenses, since he left her at Aspen Colorado. Ms. Sash and Mr. Meave were couples. Meave's birthday was approaching and Sash decided to make a trip to Aspen, Colorado. Ms. Sash said that she was a conservative and shy woman who had never had a boyfriend and who had never kissed someone, but in that trip she was determined to take the relationship to another level.

Mr. P. was born and raised on the island of Puerto Rico by both his parents with five other siblings in a household that exhibits dysfunctionality. Mr. P. is the oldest of his five siblings. He shared that throughout his years he has witnessed violence both in his household and his community. Mr. P. also disclosed that at five (5) years old he witnessed his father beating and chopping off the hands of his neighbor. Mr. P. also disclosed being abused by his paternal uncle from the age of eight (8) years old, until he left home at 16 years old. He shared that his parents were aware of the abuse, however it was neglected and kept as a secret within the family as his uncle who was a “drug lord” and financially supported the family. Over the years,

When I arrived MF had dinner made for her and her roommate. MF has been well behaved today. MF took her 5 pm medication and went to lay day. MF used two of her hours of alone time. MF confunted staff about an alligation from her roommmate. MF's roommate stated that MF said "She was going to get a gun and shoot staff in the eye." MF expressed how she did not want to be roommates with her current roommate. MF called her case manager, I spoke with her case manager. MF's case manager informed me she will speak to her tomorrow. MF was upset and was saying how she was going to hit her roommate in the face. I contacted on-call and Sara and Casey arrived to seperate MF and her roommate. MF went to Northern Dance for the night to seperate. MF is currently

CK rises in rhabdomyolysis within 12 hours of muscle injury, peaks in 1-3 days, and declines 3-5 days after the cessation of muscle injury. Whether the decision is made to perform a fasciotomy or not, aggressive fluid resuscitation and hemodialysis should be started if the patient shows signs of myoglobinuria induced renal failure. A rare complication in drug abusers is the occurrence of compartment syndrome, which can be triggered by a long-lasting compression of the extremities while the patient is unconscious. Reports have also shown for heroin, alcohol, and barbiturates their direct influence on rhabdomyolysis with polyneuropathy; however, the type of drug and its doses are of less importance than the impact of an unconscious state and continued extremity compression. A fasciotomy is considered to be the standard procedure for all types of

Physicians at NCH provide the best care possible. The guideline for the management of alcohol withdrawal syndrome evaluation and treatment is a document that clinicians rely on. As it is, it provides the exact recommendation to follow in the implementation of orders to care for patients with AWS. Once the physician dictates the orders, a power plan is generated in the EMR. When the system triggers such alert, it is the duty of the nurse to acknowledge the order, which then the pharmacist verifies and provides clearance for use. Although this type of patients require of lots of attention to avoid deterioration, physicians and nurses at NCH understand the circumstances and try to conform to the duty.

Mr. C is a 55-year-old, widowed, Caucasian male, who was civilly committed for one-day-to-life as a Sexually Dangerous Person in 2003. Mr. C has been diagnosed with paraphilic disorder, however, for the purposes of this assessment the focus will be on his diagnosis of antisocial personality disorder. According to the Diagnostic and Statistical Manual of Mental Disorders an individual must meet four diagnostic criteria in order to be diagnosed with antisocial personality disorder. One must be at least 18 years-old, have been diagnosed with a conduct disorder before the age of 15, currently demonstrate a lack of concern for others, and these behaviors cannot occur as a result of other mental illnesses (Diagnostic and Statistical Manual [DSM] V, 2013). The specific problem being addressed in this paper will be Mr. C’s ineffective coping skills and proclivity towards victimstancing.

Mr. L grew up in a 3-room apartment located in a Brooklyn NYC housing development. He describes the building as being acculturated by drugs and the smell of marijuana burning in its hallways a trademark of its inhabitation. His childhood apartment was located in an area of predominately Hispanic and African American lower income families. Mr. L describes the neighborhood as tough and overridden with crime. He reported that his household consisted of himself and 4 sisters who are 2-years, 3years, 6years, 8-years younger, his mother, and a 12-year younger male cousin he identifies with as a brother. For as long as Mr. L can remember he was treated as the man of the family in absents of his father, i.e., responsible for taking care of his younger sisters, and cousin. This accountability soon developed with the anticipation that he would be financially responsible for them. This expectation became part of his decision to sell drugs.

As mentioned before, FFF is an organization that tries to bring together immigrant families from different backgrounds in order to fight for more comprehensive immigration laws in the U.S. In this way, Figure 2, which was taken from FFF’s website, also tries to accomplish FFF’s goals by showing how people from different backgrounds are uniting to protest against deportations. One of the visual cues that suggests this is a poster in Spanish that is evident at the back. Also, another big poster behind it represents a women’s organization. Lastly, in front of that one, a group of youth is holding a sign that reads “Raza Youth Collective,” which, according to their website, is “a collective comprised of people hailing from various communities and

The possible causes of this acid base imbalance are the vomiting and the overuse of antacids. As the name implies it is bicarbonate which has been added to the body. The vomiting reduces the extracellular fluid and this in turn leads to a release of angiotensin and aldersterone. This release then increases the bicarbonate absorption and increased hydrogen ion and potassium excreted. This patient may also have hypokalemia which is very common in metabolic alkalosis and would need to be replaced if it occurred ( Thomas, 2015). The respiratory rate would also slow to try and compensate for the alkalosis.