1. You read about nephritic syndrome in this lab. You know the cause is the loss of…
On 10/10/17, Room 370 who is a 65-year-old male was admitted into the hospital because his suprapubic catheter came out. He was admitted in the emergency department to have his catheter replaced. His brother says he checks on him often, and he has been doing good for the last few months. According to his brother, there has been no change to his medical condition. However, labs were done, which revealed Hypernatremia and an increased in blood urea nitrogen (BUN). Based on these results, Room 370 is dehydrated. His brother said he has not had any diarrhea or excessive sweating. Room 370 cannot communicate anything beyond an occasional yes or no. Room 370 finished a course of Levaquin for what appears to be a urinary tract infection (UTI). The plan is to start him on Zosyn as soon as possible. The order for Zosyn will be effective until the culture is negative.…
The jugular veins empty into the superior vena cava and then into the right atrium, so JVD…
Acute renal failure: Ms. Jones, a 68-year-old female, underwent open-heart surgery to replace several blocked vessels in her heart. On her first day postoperatively, it was noted that she had very little urine output.…
This article demonstrates Kaiser Permanente’s adaptation of this model toward the improvement of morbidity in patients with sepsis. They developed a team to formulate a standardized approach to the problem…
Dehydration, blood pressure of 90/60, heart rate of 100 bpm, dry skin with decreased turgor, dry oral mucous membranes are dry, BUN level of 60 and creatinine of 1.2, and dark amber urine with a specific gravity of 1.028.…
I chose this topic because the required article was suppose to be related to our case protocol in our nursing elective: critical care nursing. Other than that, we all know that family involvement in patient care is very crucial in managing the illness. They serve as the support system or the backbone of the patient in difficult times. From the start of the diagnosis to end of life care the family or caregiver is always there. This article though, talks from the perspective of the caregiver itself. School taught us about holistic and competent patient-centered care, so I’m curious about the side of the ones who are around the patient, who also act like nurses, in times of disease, like heart failure.…
The patient’s chronic renal failure worsened steadily, with increasing creatinine and BUN and decreasing CO2. At the request of the family no hemodialysis was done. Her chronic renal failure worsened further, and eventually she died at 4:30 p.m., 3 days after admission.…
Preeclampsia is the development of elevated blood pressure and protein in the urine after the 20th week of pregnancy. It may be associated with swelling of the face and hands.…
Human health has been misdiagnosed and misunderstood for centuries "until the evolution of the medical field in the late 1800s which led to a rise in the average life expectancy from thirty-six to a whopping seventy-eight"1. Then specialists started to identify the structure and the function of each organ. That’s when they found how some organs are important that the human body cannot work properly without them, such as heart, kidneys and lungs. As well as others that can be cut off or removed and it will not need special long term treatment ,nor will it make a huge difference, for example, cutting off half the stomach or removing the spleen entirely. The kidney is one of those essential organs due to how fundamental it is. To fully understand kidney failure, a summary about the organ is obligatory as well as its complete definition and diagnosis.…
Recent research indicates that patients with signs and symptoms of sepsis, who are assessed and treated according to sepsis protocols,…
Sepsis is a left threatening illness that affects millions of people each year. The Center of Disease Control reports sepsis as the 10th leading cause of death in the United States (V). For adults age 65 and over hospital admission because of sepsis have increased 48%. The body’s immune system switches into “high gear” which overwhelms the body’s normal blood flow and oxygenation of tissues throughout the body. This process, if not treated in time, can quickly lead to organ failure and death. Approximately one third of people diagnosed with sepsis die from it. The role of emergency departments throughout the country has become vitally important to the early detection and treatment of sepsis. With the implementation of sepsis protocols in the emergency department the mortality of patients with sepsis admitted through the ED is significantly lower.…
REASON FOR CONSULT: Acute on chronic renal failure. Patient is an 87 year old Caucasian male who has a history of hypertension, severe peripheral vascular disease, chronic renal insufficiency, and atrial fibrillation. He was admitted yesterday for treatment of an infected toe. The plan was to obtain an angiogram to check patients’ blood flow; however he was discovered on admission labs to have acute on chronic renal failure, patient states he is unaware of kidney problems before. He states he is able to pass his urine without difficulty, no obstructive symptoms, no history of kidney stones, no urinary tract infections, no hematosis, no dysuria, and no diabetes mellitus. Patient states he has a history of hypertension, but it has been very mild. He has had trouble with vascular disease to both legs.…
A client with coronary artery disease reports intermittent chest pain that occurs with exertion. The physician prescribes sublingual nitroglycerine, when teaching the client about nitroglycerine administration the nurse should include which instruction:…
This essay will discuss the plan of care I developed for Mr X while he was under my care in a post anaesthetic unit. It will discuss my nursing assessments, and what diagnoses I developed from this. It will then discuss the rationale behind my nursing interventions using relevant literature. My plan of care will be analysed throughout while identifying how my nursing care meets best practice guidelines.…