Assume you found that all of the patients above were infected with the same organism. What steps would you take to prevent further infections from occurring? Within your answer, be sure to discuss how the organism is spread.
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- Patient: Winston Waller Physician: Morris Johnston, MD August 1, 2022 History This patient is a 73-year-old male nonsmoker with type 2 diabetes mellitus and hypertension. He presented to this ED with shortness of breath and was found to have had an acute myocardial infarction of the anterior wall of his heart showing an ST elevation that had previously been left untreated. He developed several complications, including renal failure from a combination of cardiogenic shock and toxicity from the dye used for emergency catheterization of his heart. Hemodialysis was started during this hospitalization because of his renal failure. After spending almost a month in the hospital and developing severe deconditioning, he was discharged to a subacute rehabilitation facility. Examination While he was there, he was noted to have symptoms consistent with mild depression, as well as a prior history of a major depressive episode in 2019. Mirtazapine (Remeron) 25 mg/day was started. He was…A 66-year-old woman was admitted to the emergency department with hemorrhage into the right arm and right breast. No previous history of bleeding or medication was indicated. Lab. Data upon admission were as follows: PT 12 sec APTT 58 sec Fibrinogen: APTT (1:1) mix 40 sec dRVVT 21 sec N.V. <25 sec PNP (PNP vs saline): 58sec/59sec N.V. PNP vs saline <5 sec Prolonged incubation of Patient’s plasma with Normal pooled plasma at 37 degrees Celsius for 1 hour and 2 hours was done and the result indicates prolong APTT overtime but with correction if done in more than 2 hours incubation. Question: What material is used to perform the 1:1 Ratio mixing study? What is the reason why the dRVVT is part of the lab request? What is the possible cause of the patient’s bleeding tendency? Explain your answer.A 66-year-old woman was admitted to the emergency department with hemorrhage into the right arm and right breast. No previous history of bleeding or medication was indicated. Lab. Data upon admission were as follows: PT 12 sec APTT 58 sec Fibrinogen: APTT (1:1) mix 40 sec dRVVT 21 sec N.V. <25 sec PNP (PNP vs saline): 58sec/59sec N.V. PNP vs saline <5 sec Prolonged incubation of Patient’s plasma with Normal pooled plasma at 37 degrees Celsius for 1 hour and 2 hours was done and the result indicates prolong APTT overtime but with correction if done in more than 2 hours incubation. QUESTION What is the reason why the dRVVT is part of the lab request? What material is used to perform the 1:1 Ratio mixing study?
- A 66-year-old woman was admitted to the emergency department with hemorrhage into the right arm and right breast. No previous history of bleeding or medication was indicated. Lab. Data upon admission were as follows: PT 12 sec APTT 58 sec Fibrinogen: APTT (1:1) mix 40 sec dRVVT 21 sec N.V. <25 sec PNP (PNP vs saline): 58sec/59sec N.V. PNP vs saline <5 sec Prolonged incubation of Patient’s plasma with Normal pooled plasma at 37 degrees Celsius for 1 hour and 2 hours was done and the result indicates prolong APTT overtime but with correction if done in more than 2 hours incubation. Question: What is the possible cause of the patient’s bleeding tendency? Explain your answer. Can you rule out the possibility of a clotting factor deficiency? Why? What additional test will you recommend to come-up with the final diagnosis? Why?what is the triage category (red, yellow, green, black) for a 26 year old patient that walks over to me, has obviously mangled arms and crying because of how painful it is, and has a respiration of 22/min, and has 124 radial pulse?Amelia Frankish is 67 years old. She presented to her GP last week, complaining of a very strong headache, followed by dizziness. The symptoms had resolved by the time she could see the GP, who was concerned enough to request a CT (computerised tomography) of Amelia's head and neck. medical history: Diabetes mellitus Type 2: Management: metformin 1000mg, daily enalapril 10 mg daily rosuvastatin 10mg, daily Atrial fibrillation (AF) Management: apixaban 2.5 mg, BD sotalol 40 mg, BD Cigarette smoking: 20 - 30 cigarettes/day, quit 5 years ago. GP diagnosis - one week ago. Amelia underwent a CT scan of the head and neck, but the results were normal. Amelia was assessed as requiring changes to her hypertension & AF management and the following changes made: enalapril ceased the following medications commenced or changed; irbesartan/ hydrochlorothiazide 300/25, daily amlodipine 5mg, daily apixaban 5mg, BD. Today: Amelia woke early this morning at 0600 hours with a 5/10 headache.…
- Amelia Frankish is 67 years old. She presented to her GP last week, complaining of a very strong headache, followed by dizziness. The symptoms had resolved by the time she could see the GP, who was concerned enough to request a CT (computerised tomography) of Amelia's head and neck. medical history: Diabetes mellitus Type 2: Management: metformin 1000mg, daily enalapril 10 mg daily rosuvastatin 10mg, daily Atrial fibrillation (AF) Management: apixaban 2.5 mg, BD sotalol 40 mg, BD Cigarette smoking: 20 - 30 cigarettes/day, quit 5 years ago. GP diagnosis - one week ago. Amelia underwent a CT scan of the head and neck, but the results were normal. Amelia was assessed as requiring changes to her hypertension & AF management and the following changes made: enalapril ceased the following medications commenced or changed; irbesartan/ hydrochlorothiazide 300/25, daily amlodipine 5mg, daily apixaban 5mg, BD. Today: Amelia woke early this morning at 0600 hours with a 5/10 headache.…Which of the following medications is most appropriate for treatment of arterial hypertension in patients with benign prostatic hypertrophy?A. AmlodipineB. AtenololC. DiltiazemD. DoxazosinE. LosartanA 67 years old female patient. She presented to her GP last week, complaining of a very strong headache, followed by dizziness. The symptoms had resolved by the time she could see the GP, who was concerned enough to request a CT of her head and neck. Diabetes mellitus Type 2: Management: metformin 1000mg, daily enalapril 10 mg daily rosuvastatin 10mg, daily Atrial fibrillation (AF) Management: apixaban 2.5 mg, BD sotalol 40 mg, BD Cigarette smoking: 20 - 30 cigarettes/day, quit 5 years ago. She underwent a CT scan of the head and neck, but the results were normal. the patient was assessed as requiring changes to her hypertension & AF management and the following changes made: enalapril ceased the following medications commenced or changed; irbesartan/ hydrochlorothiazide 300/25, daily amlodipine 5mg, daily apixaban 5mg, BD This morning patient woke up at 0600 hours with a 5/10 headache. At 0700 hours she began to feel weak in her limbs, and her headache increased to…
- A 75 year old male with a long standing history of cardiovascular disease and vascular reconstruction in the lower extrimities presents with a pulsatile mass in the right inguinal area. The history of vascular reconstruction includes an aorto bifemoral bypass graft and a left femoral to popliteal bypass graft. What are two possibilities to explain the presence of the pulsative mass ?1. Differentiate the platelet aggregometry from platelet closure time as to: (2 sentence each to differentiate per item) a. principle b. procedure c. diagnostic importance 2. Give the pathology in : 1 sentence each only a. hemolytic-uremic syndrome b. thrombocytopenia with absent radii syndrome c. Ehlers- Danlos syndrome d. Osteogenesis imperfecta e. Henoch-Schonlein purpura f. senile purpura g. purpura simplex h. Hereditary hemorrhagic telangiectasia i. scurvy j. Scott syndromePatient X, 47 years old was admitted last April 15, 2021. During admission the patient experiences dark brown to bright red vaginal blessing for the last 3 months, severe nausea and vomiting, pain on the pelvic area and notice some grapelike cyst pass on her vagina. She also mentioned feeling of dizziness and fatigue. Her admitting diagnosis is: - Gravida 7; Para 3 (6016) - Gestational Tromphoblastic NeoPlasia IV:16 High Risk - Hypertension Stage 2 Controlled -Status Post Exploratory Laparotomy for Total Abdominal Hysterectomy with bilateral salpingo-oophorectomy (10-18-20) Based on the following data, answer the following:1. As a nurse on duty, give at least two (2) priority nursing diagnoses based on the admitting diagnosis.