Upon arrival Patricia is immediately assessed and states that she has failed to comply with her prescribed blood pressure medication, Labetalol 200mg BID. The paramedic reports a moderate amount of dark red vaginal bleeding, blood pressure 84/46, heart rate of 130, and respiratory rate of 26. The patient complains of severe abdominal pain rating it a 9/10. When the abdomen is palpated by the nurse there is localized uterine tenderness in the upper right quadrant and it is boardlike. Upon observation a large blood clot is seen on the patient’s pad.
Dallas Berrier Case Study: Falls Guilford Technical Community College March 11, 2018 1. Provide a brief explanation of what orthostatic hypotension is and identify the vital signs and their values that define orthostatic (postural) hypotension. In the Journal of Gerentological Nursing, Momeyer (2014) describes orthostatic hypotension as being the sudden drop in blood pressure as a result from changing positions from lying or sitting to standing. Mr. O 'Brien 's vial signs are consistent with the definition of orthostatic hypotension. His blood pressure continues to fall upon position changing and his heart rate is increasing in order to try to compensate for the fall in blood pressure.
Renal Failure Treatment What happened when the kidneys fail to function? The normal kidney removes the wastes and harmful material in the body by making urine. When the kidneys fail, wastes and extra fluids accumulate in the blood. There are other numerous symptoms accompany with kidney failure such as nausea, trouble sleeping, poor appetite, trouble breathing, swelling of the feet or ankles, puffiness around the eyes and so on. The treatment is required with the aid of a specialist who helps to decide which treatment is efficient and when the time to start the treatment.
It was noted that the claimant presented to the ER with complaints of a headache and fever. Urinalysis showed urine pH of 8.0 with squamous epithelial cells of 31-50/LPF. She had elevated glucose at 126 with low levels of BUN at 6, potassium at 3.3, sodium at 135, and chloride at 95. She was diagnosed with a viral syndrome. Zofran and a follow-up visit were recommended.
A pneumothorax can be caused by physical trauma to the chest wall or as a complication of a healthcare intervention which is referred to as traumatic pneumothorax. In a minority of cases the amount of air in the chest increases markedly when a one-way valve is formed by an area of damaged tissue, leading to a tension pneumothorax which leads to steadily worsening oxygen shortage and low blood pressure. Unless reversed by effective treatment, it can result in death. Diagnosis of a pneumothorax by physical examination alone can be difficult. Integrated diagnostic modalities can be used for the better detection such as chest X-ray,
If the body then drops below 31 degrees Celsius it is Moderate hypothermia. The muscles become difficult to coordinate, body moves slowly and the blood vessels in nose , ears , fingers and toes constrict turning them a blue colour. This can be treated by If the body drops below 28 degrees Celsius this is severe hypothermia. You can not talk , mentally unstable , victim can enter a stupor and victims heart and organs eventually fail resulting in
When the levels high the patient is said to be polycythemia. If a patient’s hematocrit levels are low they are said to be anemic. High plasma levels indicate hypervolemia, while low plasma levels indicate hypovolemia. When the buffy coat has increased it may be a sign of infection. In the findings they do not show a diagnosis.
Based on the symptoms of Mr. Rowan is having shown that he is suffering from left ventricle dysfunction. It started with the decrease in the cardiac output, the venous pressure increases and causes the fluid to be leak out from the blood into the interstitial fluid. In the lung, the fluid leakage causes dyspnea due to pulmonary edema and a productive cough is a response in cleaning the fluid inside of the lung. The increase in the systemic venous pressure forces the extravasation of fluid to dependent tissues and leads to ankle edema. As the cardiac function is reclining, the blood flow in the kidney and the glomerular filtration rate decrease which make the blood to be distributed away from the kidney.
Respiratory alkalosis occurs when a person is breathing to fast are deep and your CO2 levels will drop to low. When this happen, it will cause the blood to rise and become to alkaline. Treatment is chosen by the condition that may cause respiratory alkalosis. When the blood becomes too acidic this lead to respiratory acidosis. Respiratory alkalosis treatment or not bad unless the pH level is 7.5.
This result from shortage of blood supply and glucose supply to the brain. In the US it is the fourth leading cause of death. Stroke is also known as cerebro-vascular accident and it is a medical emergency. TYPES OF STROKE There are two main types of stroke namely ischemic stroke and hemorrhagic stroke, though some authors belief that transient
It can also happen to due kidney diseases. They are three kinds of Metabolic alkalosis, 1) Hypocloermic alkalosis is caused by an extreme lack or loss of chloride, from prolonged vomiting. 2) Hypokelemic alkalosis, which is caused by the kidneys response to an extreme loss or lack of potassium. This can happen from taking diuretics. 3) Compensated alkalosis, which occurs when the body returns the acid-base balance but the carbon dioxide and bicarbonate levels, remain abnormal.
Many patients coming for regular check up are diagnosed as diabetes. The normal random blood sugar is 80 mg to 140 mg. The persistent hyperglycemia leads to many complications in the long run like neuropathy, nephropathy, CAD, foot ulcer and gangrene resulting finally in amputation of the limb. The high blood glucose causes the cell walls to become stiff and rigid, impairing the flow of blood throughout the small vessels located at the surface of the wound. This reduces the blood flow and permeability of red blood cells, which are required for the development of dermal tissue.
1. Stress incontinence: Half of the patients who have urinary incontinence have stress incontinence. This condition is caused by weakened pelvic muscles that have been stretched which allows urine to escape from the bladder. Stress incontinence can be described as mild, moderate or severe. Patients that have stress incontinence, notice leaking urine when coughing, sneezing, straining, exercising or with any other type of exertion.
Cardiogenic shock is associated with inadequate tissue perfusion that can cause cardiac failure, usually causing acute myocardial infarctions .RG is a 68-year-old man that has been admitted to the ICU after undergoing coronary artery bypass grafting. He has been diagnosed with history of ischaemic heart disease with two previous myocardial infarctions, hypertension and hypercholesterolaemia which he has been on maintenance therapy. He has been administered with dopamine at 3 mcg/kg/minute and titrated to 8 mcg/kg/minute during the next 2 hours . However, the doctor in charge suggested to replace dopamine with dobutamine as RG has history of myocardial infarction. Cardiac failure in patients with cardiogenic shock occurs due to myocardial infarctions that cause inadequate tissue perfusion due to impaired delivery of oxygen and nutrient to the heart that can lead to hypotension and multi-organ
Elliott Cole Mr. Jason Long, Instructor EMS Academy 20 January 2016 Anaphylactic Shock Anaphylactic shock and Anaphylaxis are serious medical conditions that are a result of insufficient blood flow throughout the body. Anaphylactic shock refers to severe hypersensitivity or an allergic reaction. Causes of Anaphylaxis often include allergic reaction to foods, medications, or insect stings. Anaphylactic shock on the other hand, is a medical emergency which can lead to other conditions such as a lack of oxygen in the body 's tissues (hypoxia), heart attack, cardiac arrest and even severe organ damage. Anaphylactic shock requires immediate medical care and treatment for the symptoms which can worsen rapidly.