Vital Signs: A Case Study

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.

A week after initial admission, the patient is on the medical surgical floor recovering from his transverse colostomy five days ago. At 1200 vital signs are as follows, temperature 99.1; pulse 96; respirations 18; blood pressure 141/69; pulse ox is 94% on 1L NC in AM. The patient appears acutely ill and lays in bed with his eyes closed even when family comes into the room to check on him. He is alert and oriented to person, but not place or situation. He appears lethargic and is slow to respond to questioning, this appears to be due to recent administration of pain medication. Pupils are equal round and reactive to light and grips are week bilaterally in hands. Abdomen is firm, distended, and non-tender. Colostomy site appears to be

Before the head-to-toe examination, a health history was obtained from the patient, in which a detailed

Abdominal Ultrasound: She doesn’t have masses, fluid collections, and infection. Also, she doesn’t have pancreatitis and gallbladder disease.

The complication is determined by any existing medical problem and the postoperative management. The complication should be treated considering the patient medical history in mind to avoid further problems. Initial signs include but not limited to pain, fever, dehydration and confusion. Most complications happen within minutes of surgery or days after surgery. Late complication may be bowel obstruction due to patient lying in one position for a long time, infection on the wound, pneumonia, nausea and vomiting and insomnia. When nurses advocate for the patients and identify the symptoms might help from becoming worse. Complications may also be influenced by other various causes, comprising of pain, sleep disturbance, medication or metabolic disorders, Nausea and vomiting: analgesia, paralytic ileus, Fever, Secondary hemorrhage often caused by infection, Pneumonia, wound not healing well. Report to the surgeon who may treat and prevent further damage to the

The patient is a female by the name Annie. She is married to a female partner who is away working at a mining site. Her case was presented as an emergency due to the excruciating pain that she was undergoing. According to her, the pain has been there for two days where she could not sleep due to the pain intensity. Also, she was unable to cover herself as the warmth provided by the bed sheet amplified the pain. According to her, she had to raise the affected foot using a pillow to ease the pain. Her toe appears red in color with an evident swelling. Also, the toe under the pain is experiencing higher temperature than the rest of her body. According to Anne, she

The essence of nursing care is the measurement of vital signs. One of the very first skills that are taught in nursing school is how to accurately measure and record; temperature, pulse, respirations and blood pressure. These are some of the first identifying signs to indicate a probable illness with our clients.

01/19/16 Discharge note indicated that the patient was taken to OR on 01/14/16 and he underwent the surgical procedures. The procedure was tolerated well and there weer no immediate complications. Postoperatively, he was admitted for further monitoring, and recovered following the expected trajectory. By the day of discharge, the patient was tolerating PO and pain was well controlled. And thus was deemed stable for discharge. Start Aspirin,

   physical exam, and obtaining a baseline for vital signs. The history is characterized by past

Vital signs are important to assess during physical therapy. They let you see how well internal organs are functioning and helps monitor responses to treatment. Some variables that affect vital signs are food consumption, medications, and stress. Blood pressure is the most important thing to assess because it makes sure the patient can withstand therapy. A patients pulse and breathing are also equally important to ensure they are capable to perform therapy. Pain is important to assess, also. When the patient reports pain and soreness, it could affect how well they can do specific movements. Pain lets the therapist know how far to push exercises on the patient as well. Infection control can include things like proper hand washing, wearing personal

The patient is a 91-year-old gentleman who presented to the ED because his PEG was out and his stoma was found to be closed. He was admitted inpatient for PEG replacement. The physician was asked to place the patient in outpatient status which he did. However when an attempt was made to replace the replace the PEG tube in endoscopically a patch amount of inflammation was found around the entire stomach. The site of the previously PEG placed was identified thick secretions from the PEG site noted on external exam therefore it was decided not to replace the PEG tube thru the original track. Another site was located however the feeling was if the patient had an underlying PEG tract infection the procedure should be avoided and the patient

The results presented in this study indicate that the Brazilian version of the Newest Vital Sign is suitable for evaluating health literacy levels of adults in the context of oral health. NVS demonstrated appropriate psychometric properties, such as internal consistency, stability and convergent/discriminant/predictive validity. Indeed, it seems advantageous to rapidly screening patients for low health literacy, since it simultaneously evaluates skills as communication, reading, numeracy, comprehension, and logical reasoning. To our knowledge, this is the third version of this instrument, pre-validated in English and Spanish.

A middle aged male came to emergency department complaining of severe pain above the anus. On examination there was swelling and redness around the anus some blood and pus discharges were noticed, so an immediate surgical intervention was needed. We gave the patient antibiotic then prepare him for the surgery. First we asked the patient to lay on a prone position and we exposed the area. Then we cleaned the area by normal saline to remove any foreign objects. After that, we cleaned the skin around the fistula with iodine solution. Then we injected lidocaine, local anesthesia, into the 4 edges of the fistula. Then, we cut the fistula from the middle and the pus and blood were flushed out, we left the wound

patient was not having any pain or significant discomfort in the area. The throat was

This essay aims to provide a discussion of vital signs and how they are relevant to contemporary nursing practice. This is done by;