Subjective
CC/HPI: Patient is a 26 year-old female who presents with frequent shortness of breath and wheezing. She reports experiencing shortness of breath 4 times a week and experiences nighttime awakenings twice a month due to her symptoms. Patient claims to use her Flovent inhaler one puff twice a day, less than her prescribed dose due to cost issues, and her rescue inhaler 3 times a week for when her wheezing is severe. Patient also presented with a persistent runny nose and itchy eyes starting 5 weeks prior. Her inhaler technique was assessed and deemed correct.
PMH: Asthma
SH: Patient is single and currently lives with her parents. She consumes 3-4 cups of coffee daily, drinks socially, and denies any tobacco use. She reports beginning a part time job mowing a local football field six weeks ago. Patient is also concerned about cost of medications, as her insurance has high co-pays ($20
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• Avoid pollen, dust mites, strong odors, and smoke
• If possible, keep windows and doors closed, use AC, use hardwood flooring, wash bedding once a week, and minimize animal exposure o Pharmacological
R/s Tracie Antonelli receives hemodialysis. R/s Mrs. Antonelli has hypertension, anemia, iron deficiency, vitamin d deficiency, and a magnesium disorder. R/s Mrs. Antonelli is the primary caregiver for her 16 year-old disabled son, Dominic. R/s there is a concern for Mrs. Antonelli’s overall health if she doesn’t take her treatments. R/s Mrs. Antonelli’s husband, Vincent and other son, Anthony also live in the home.
Acute is a condition in which carbon dioxide builds up very fast, before the kidneys can return the body to homeostasis. Symptoms of respiratory acidosis may include: Sleepiness, easy fatigue, confusion, and shortness of breath and lethargy. Treatment is aimed to the underlying disease, oxygen if the blood level is low, treatment to stop smoking, Noninvasive positive-pressure ventilation (called CPAP) or a breathing machine and some Bronchodilator drugs to reserve airway obstruction. Compensation refers to the body 's natural mechanisms of counteracting a primary acid-base disorder in an attempt to maintain homeostasis. In Respiratory Acidosis, the elevation in PCO2 result from a reduction in alveolar ventilation.
A case is presented at the hospital of a 2-month-old child, diagnosed with down syndrome, and currently recovering from a case of bronchiolitis. The child, Elisa, is also diagnosed with Tetralogy of Fallot, and she will undergo surgery to correct this defect once she has had time to recover from her bronchiolitis. Elisa is the sixth child or Maria and Hector. She has three brothers and two sisters who range in age from 10 to 25 years old.
Part 1 Some of the common things that trigger an asthmatic episode are cigarette smoke, exercise, allergens, sudden temperature change, excitement or stress, cold air, and odors. Some factors that could have affected her is going upstairs, going from standing to sitting position, the dust and allergens, the smell of coffee and the teddy bear as well.
While auscultating sounds of lung fields no wheezing was found, and VS were within normal range for patient as determined through comparison of chartings on 10/23/2015 thru the morning and lunch VS of 10/26/ 2015 before impaired gas exchange was detected. 10/26/2015 2. Administer O2 @ 2L N/C
Chest x-ray showed no acute pulmonary findings. She was diagnosed with a viral syndrome. A follow-up visit was recommended. A visit note from Mary Grace Lasquety, MD (Internal Medicine), dated 05/22/2017, indicated that the claimant presented with headaches since the
The findings from this research have led me to be certain of the importance of how by just merely looking into a subject from the origin of it can make us understand the true cause of the problem. Often people believe in one thing because it was told to them as a child like “ you are just like your parents who also have asthma.” However, after examining the different triggers of asthma it is with more certainty that I believe the borough of the Bronx has to advocate for its community and the area in they live in. Without change the Bronx’s pollution will continue to affect the people and the hospitalizations will continue to be the highest in all the boroughs.
Substance History: Mr. Fountain reports that he drinks alcohol infrequently. He estimated drinking less than 6 beers in the past month. He avoids mixing alcohol with his prescription pain medications. He quit smoking tobacco in 2001. Previously, he smoked 1 pack of cigarettes per day for approximately 10 years.
Visit Some Forts Fort Point National Park - This historic park was a fortress for military forces defending the San Francisco Bay from enemies during from the Gold Rush Era through to World War II. Fort Ross State Historic Park - This fort has been a settlement for Indians and Russians who migrated from Europe. Some other forts worth mentioning are Battery Russell, Battery Townsley, Fort Cronkhite, and the Nike Missile Site Museum from the Cold War in the Marin Headlands. Fishing
Her only regular medication is Atacand. On examination today, oxygen saturation was 97% and blood pressure was 130/75. Chest auscultation was clear and two heart sounds
She is transferred to a long-term care facility for intravenous antibiotics, ventilator weaning, and rehabilitation (Prizio, n.d.). Annette’s goals by
2012). An anticholinergic nebulizer, ipratropium was given to mrs.Smith as per the order which helped to reduce dyspnea and cough slightly. Her Early warning score still remains 6. On detailed examination, Ed doctor suspected mrs.Smith may be having heart failure. ECG done on her which shows sinus tachycardia.
The patient BAC was .34 when lab were conduct. The patient reports a non-compliance with his medications for 3 weeks. The patient reports that he was unable to fill them a few months ago with DayMark. The patient reports that he has been depressed recently. Furthermore, he reports that both of his parents died years ago around this time of year and he tries to block out the thought of both their deaths.
While Jose and Jorge are identical twins, their lives could not have been any more different. They have different health determinants to their unfortunate diseases that differ from each other. The case study of Jorge and Jose emphasizes the idea that your zip code determines your health more than your genetic code. Just a quick reminder, Jose is the twin who grew up in a largely improvised family, while Jorge is the twin who grew up in an upper-middle-class family. Since both brothers have asthma it can be assumed that the brothers have asthma in their genetics, however, needed to be triggered.
Include one intervention to address each of the nursing diagnoses that are still applicable. In 24 hours the patient goal was not met regarding Impaired Gas Exchange. The patient oxygen saturation was at 94 percent