1. Discuss the basic components of cardiac rehabilitation The patient is a 44-year-old, overweight female who presentedto her primaryhealthcare provider yesterday with complaints of recent episodesof shortness of breath that occur with minimal activity such aswalking a flight of stairs or with increased stress. Her symptomsare relieved with rest.She denied any chest, arm or jaw pain but did have somediaphoresis with one or two episodes.- She attributed her symptoms to her smoking one pack per dayfor the past 20 years and obesity.- She has gastroesophageal reflux controlled with ranitidine andhas a historyof elevated cholesterol (252), HDL of 46, and LDL of 180.Her triglycerides were 140.- She drinks three to four caffeinated beverages per day anddenies alcohol use.-In addition, she has a history of situational anxiety since hermother's death and hypertension controlled with atenolol.- Her surgical history includes total abdominal hysterectomy sixyears ago and right carpal tunnel surgery two years ago.The patient's mother had a myocardial infarction (MI) at age 56and died at age66, secondary to complications of a coronary artery bypass graft.- Her oldest sister died at age 54 fromsudden cardiac death.- Her father is alive with a recent stroke and two youngerbrothers are alive and well.The patient and her husband have three healthy children, ages14-18, all living athome.- She is employed full-time as a paralegal.- The patient failed an exercise tolerance test today with STdepression, shortness of breath and a drop in BP.- She was admitted to the cardiac unit and an MI was ruled outwith normal Troponin, CPK and Iso-Enzymes and ECG.She was then sent to the cardiac catheterization lab for possibleangioplasty and stent placement.- She was unable to have stent placement or angioplastysecondary to findings of three vessel disease and poor coronaryanatomy.- Thus, she was scheduled to have acoronary artery bypass graft (CABG) thefollowing day.The time is 1600 hours, and the nurses are working the PM shift.-The cardiac catheterization RN has just reported to you that thepatient was medicated with alprazolam 2mg at 1430 hours.- She tolerated the procedure with no complications.- Her vital signs have been stable with a clean, dry, and intactleft groin dressing.A sandbag is over the site and the head of the bed is flat.- The left lower extremity neurovascular status is intact, andpulses are 2/4.- She is scheduled to have a CABG tomorrow and she is awareof this.

Cardiac rehabilitation: In addition to other secondary preventive strategies, outpatient cardiac…

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An Illustrated Guide To Vet Med Term

4th Edition

ISBN:9781305465763

Author:ROMICH

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Chapter2: Where, Why, And What

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The patient is a 44-year-old, overweight female who presented to her primary healthcare provider yesterday with complaints of recent episodes of shortness of breath that occur with minimal activity such as walking a flight of stairs or with increased stress. Her symptoms are relieved with rest. She denied any chest, arm or jaw pain but did have some diaphoresis with one or two episodes. - She attributed her symptoms to her smoking one pack per day for the past 20 years and obesity. - She has gastroesophageal reflux controlled with ranitidine and has a history of elevated cholesterol (252), HDL of 46, and LDL of 180. Her triglycerides were 140. - She drinks three to four caffeinated beverages per day and denies alcohol use. -In addition, she has a history of situational anxiety since her mother's death and hypertension controlled with atenolol. - Her surgical history includes total abdominal hysterectomy six years ago and right carpal tunnel surgery two years ago. The patient's…
M.C., a 61-year-old woman with no known drug allergies (NKDA) is hospitalized with a chief complaint of increasing shortness of breath (SOB) and orthopnea during the past week. She has been treated previously for heart failure and has not taken any medication during the past 2 weeks. M.C. has severe (4+) pedal edema and is in respiratory distress. Laboratory tests were ordered and reported back as follows: Sodium (Na), 123 mEq/L Potassium (K), 4.1 mEq/L Chloride (Cl), 90 mEq/L Carbon dioxide (CO2), 28 mEq/L Blood urea nitrogen (BUN), 30 mg/dL Serum creatinine (SCr), 1.3 mg/dL Fasting glucose, 260 mg/dL. Should M.C. be given sodium chloride to return her serum sodium concentration to a normal value?
Fem. 80 years old, with 10 days of hospitalization for an ischemic stroke with slow recovery, she begins with a cough and expectoration difficult to expel, as well as difficulty breathing. Physical examination of the chest: bibasal crackles and some wheezing. O2 Saturation: 90%, HR: 101, FR: 28 Answer a) Possible diagnoses b) Pathogens involved c) Corresponding studies d) Specific treatment e) Expected radiographic findings, or radiological pattern.
A 51-year-old man with diabetes mellitus and who is on oral hypoglycemics, recently underwent surgery to remove his appendix after being diagnosed with acute appendicitis and was discharged after two days. Three days later, he notices increasing pain, redness, and swelling around the surgical incision site. He has a fever of 37.9°C and a foul odor emanating from the wound, in addition to some pus discharge. He decides to seek medical attention and is diagnosed as having acute wound infection.a. Discuss the infection prevention and control practices that should be incorporated to decrease the risk of spreading infection when providing care.b. Discuss the teaching strategies that should be implemented with the client and family to help control and eliminate the infection and potential reservoirs where pathogens can liveHere are two subpartsof the same ques, keep that in your mind. answer on your own, don't copy from ai. Otherwise be prepared for downvote
For the following cases, what are the signs AND symptoms mentioned, whether the patient has them or not? The patient was a 4-month-old female with congenital heart disease who was admitted to the hospital in January with severe respiratory distress. Five days prior to admission she had developed a cough and rhinitis. Two days later she began wheezing and was noted to have a fever. She was brought to the emergency room when she became lethargic. On examination she was agitated and coughing. She had a fever of 38.90C, tachycardia with a pulse of 220, tachypnea with respirations of 80/min., and a blood pressure of 90/58 mm Hg. A 35-year-old woman is seen for easy fatigue for many months. She is now 24 weeks pregnant with her 3rd child in 3 years. She does not see any obstetrician and does not take any vitamins. Lately, she has developed a taste for eating ice. She has no other complaint. Family and past history are negative. She does not smoke or drink. Physical examination is positive…
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A community volunteer and previously healthy man present with a 2-month history of flu-like illness, night sweats, intermittent fever, weight loss, and chest pain which has worsened over the past 24 hours making him feel very weak. The clinical finding shows his temperature is 39.5 °C with a heart rate of 100 and increased respiratory rate. His chest X-ray results show consolidation in both lung fields, and traces of blood in his sputum. After 24 hours his condition has not improved, a repeat chest X-ray reveals the presence of fluid in his lungs. What diseases do you suspect? (3 possibilities) Explain each. What are pathogens that would likely cause the above-mentioned diseases? Provide its morphology.
V.W, a 69-year-old male. You will address a postoperative client who has been non-compliant with ambulation and the use of his incentive spirometer. Ultimately, the client develops respiratory complications associated with pulmonary embolism. Clinical Picture: VW is a 69 year old male who presented to the ER 4 days ago for c/o nausea, vomiting and severe abdominal pain. He underwent emergency surgery for bowel perforation. PMHX: Cataracts, HTN Final DX: bowel perforation, s/p left hemicolectomy The scenario will begin with the charge nurse giving students a report on the patient. Chart Name: Vernon Watkins Age: 69 Gender: Male Weight: 80 kg Height: 5 feet, 10 inches Race: Caucasion Religion: Christian Wife: (major support) - Martha Watkins Allergies: Penicillin (hives) Immunizations: Current Current set of vitals on the chart: T: 98.6 HR: 100 RR: 21 BP: 146/88 SP02: 96% on RA LAB DATA: None available Provider's Orders Diet: Soft advance as tolerated Fall…
Mrs. Blaze, a 68-year-old female, visits her primary care provider’s office because she has not been feeling well. Mrs. Blaze tells the nurse that she has been experiencing regular episodes of shortness of breath and fatigue for the last 2 weeks. She does not have a fever or productive cough. Upon assessment, the client states that she has been smoking one pack of cigarettes per day for the past 40 years. Describe the physiologic process that is occurring when Mrs. Blaze becomes short of breath.
A 65-year-old female is driven to the hospital emergency room with severe shortness of breath, cough, and fever. She is also complaining of muscle aches stating, “It feels like I was hit by a truck.” She has a long-standing history of severe lung disease (chronic obstructive pulmonary disease) requiring home oxygen because of a 45-pack-per-year smoking history. It is January, and she declined influenza vaccination when she was seen by her primary care physician in November. She is admitted to the hospital with a diagnosis of severe exacerbation of her chronic lung disease. The next day her attending physician decides to test her for influenza. The test is reported back to the floor as a critical value because the result is positive for influenza Type A. She is started on an antiviral medication for influenza. Discuss the following questions: What type of transmission-based precautions should be used to isolate this patient? What could have been done differently with this case starting…
Patient X is a 66-year-old man who presented with anaphylaxis 3 days after taking Tetracycline. Two days after initiating tetracycline, the man developed rashes. On the day of admission, the patient has the difficulty of breathing. Question: What is the date of admission if the patient takes tetracycline on October 1, 2000?
Patient R., 32 y/o, was delivered with complaints of fatigue, decrease of appetite, intensification of pigmentation in the open areas of the body, palms of the hands, cyanosis, losing weight, nausea and vomiting. The symptoms began to aggravate during 1-2 weeks after acute poisoning. Objectively: arterial pressure – 60/30 mm column of mercury, pulse – 140 beats/minute, skin turgor is lowered, the colour is dark with intense pigmentation of the elbows, scars, skin folds on the palms; clearly low levels of sodium and chlorine, high levels of potassium in the blood; glycemia – 4.3 mmol/l. What is your diagnosis?A. Addisonian crisisB. Uremic coma C. Brain comaD. Acute cardio-vascular insufficiencyE. Hypoglycemic coma

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