hypertension‚ chronic kidney disease stage 3 Past Medical/Surgical History: metastasis of prostate cancer‚ primary; bone cancer‚ secondary; cardiomyopathy‚ a central hypertension‚ left bundle branch lock‚ past substance abuse‚ congestive heart failure; removal of throat abscess (date unknown); tonsillectomy (date unknown) Family/Cultural/Ethnic Considerations: patient prefers to live alone though has family support from siblings Summary of Admission History and Progress Notes: 67-year-old
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ID: 469011 Admitted: 08/17/2013 Deceased: 08/20/2013 at 4:30 p.m. Consultations: None. Procedures: Proctoscopy. This 75-year-old Asian female was admitted through the ER with acute massive rectal bleeding of unknown origin‚ possibly diverticulitis; congestive heart failure in mild exacerbation; chronic renal failure‚ worsening since the day before admission‚ with dehydration and chronic atrial fibrillation. Emergency proctoscopy was done in the GI suite immediately after leaving the ER‚ which
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Chapter 17 End of life care includes: palliative care- comprehensive care for patients whose disease is not responsive to cure; care also extends to patients’ families; management of psychological‚ social‚ and spiritual problems as well as control of pain and other physical symptoms; to improve pt and family’s quality of life hospice- care provided to terminally ill patient’s and their families; death has been accepted‚ bereavement for family; generally associated with palliative care that is
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are involved in blood pressure regulation‚ abnormally low or high blood pressure may develope. Complications of nephrotic syndrome may include venous thrombosis which occurs in the renal veins. Infection is due to leakage of immunoglobulins‚ bacteria such as influenzae‚ and streptococcus. Acute renal failure‚ despite the excess fluid in the tissues‚ there is less in the vasculature. Decreased blood flow to the kidneys will cause them to shutdown. Pulmonary edema is due to fluid leak‚ which sometimes
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prevalent over the years‚ one in nine Americans has chronic kidney disease‚ resulting in the need for a kidney transplant. Kidney failure is caused by variety of factors resulting in damage of the nephrons‚ which are the most important functioning unit of the kidneys. Kidney failure can be broken down into three groups: acute‚ chronic‚ end-stage. Once kidney failure is irreversible‚ dialysis or transplantation is the only method of survival. To avoid a kidney transplant‚ one needs to be aware of
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such as with chronic kidney disease. Others caused by illness or medication are called acute kidney injury (National Kidney Disease Education Program‚ NKDEP). Some of the more common types of kidney disease are Acute Kidney Injury/Failure‚ Polycystic Kidney Disease‚ Glomerulonephritis‚ Alport Syndrome‚ and Chronic Kidney Disease. Acute Kidney Injury/Failure- According to‚ Mayo Clinic‚ Acute kidney failure happens when the kidneys rapidly lose the ability to filter wastes from your body resulting
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INFECTIOUS DISEASES 1. Group A Strep is least likely to cause which of the following complications: a) scarlet fever b) necrotizing faciitis c) impetigo d) subacute bacterial endocarditis e) glomerulonephritis 2. Septra is used in AIDS patients to prevent which opportunistic organism? a) Pneumocystis carinii b) M. tuberculosis c) S. pneumoniae d) CMV e) Cryptococcus 3. Severe bloody‚ afebrile diarrhea is associated with what bacterial infection? a) Salmonella infection
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Question 1 Mr. Jones‚ aged 70 years‚ has a history of Left Ventricular Failure and has been admitted to a medical admissions unit with dyspnoea and is found to be tachycardic. He is accompanied by his wife. a) Discuss the immediate care that would be given by the multidisciplinary team to aid Mr Jones dyspnoea. (12Marks) Feedback Question 1a: Those who did well: demonstrated a clear understanding of the anatomy and physiology of the heart and
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Acute onset of nephrotic syndrome: Nephrotic-range proteinuria can occur in more severe IgAN and is an adverse predictor of prognosis. However‚ some patients have an acute onset of nephrotic syndrome and renal biopsy reveals only mild mesangial proliferation‚ with the most prominent finding being diffuse fusion of the foot processes on electron microscopy‚ similar to that seen in minimal change. Furthermore‚ acute onset of nephrotic syndrome can be caused due to treatment with glucocorticoid ‚a common
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relevant to the case and situation of the patient include weight gain of 12 ibs‚ blood pressure of 150/88 mm Hg and bilateral ankle edema. The possible cause of the the patient’s symptoms include underlying causes like kidney diseases‚ renal ischemia or heart failure‚ obesity or being overweight‚ old age‚ varicosities and tight clothing. b. These are the nursing priorities in the management of the patient’s bilateral ankle edema : • Administer diuretics • Limit fluid intake • Restrict foods rich
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