Review of Symptoms General: denies fever, night sweats, significant weight gain or loss, exercise intolerance, depression, sleep disturbances, or fatigue HEENT: denies dry eyes, irritation, vision changes, difficulty hearing, ear pain, sore throat, runny nose, or sinus pressure Neck: denies swollen glands or stiff neck Pulmonary: denies cough, wheezing, or shortness of breath Cardiovascular: denies chest pain or palpitations Gastrointestinal: denies abdominal pain, nausea, vomiting, diarrhea, constipation, acid reflux, or melena Genitourinary: reports dysuria and vaginal itching, denies incontinence, hematuria, increased frequency, abnormal bleeding, or vaginal odor Musculoskeletal: denies muscle aches, weakness, joint pain, back pain, or edema Integumentary: denies any rashes, lesions, or change in hair Neurological: denies numbness, headache, seizures, tingling or sensation changes Endocrine: denies bruising, excessive sweating, thirst, hunger, heat or cold intolerance Objective Data Physical Exam Vitals: blood pressure - 130/77, heart rate - 97, respiratory rate - 17, temperature – 97.9 , oxygen saturation –97% on room air, weight – 183 pounds, height – 5 feet 4 inches, body mass index –
“Fatigued: A Case on Blood” 1. The values collected from a CBC can reveal a great deal of information about a patient’s health. This information can be broken down into three broad categories, which are listed below. For each of these categories, list all of the CBC values that would provide information on that aspect of the patient’s health. OXYGENATION STATUS (oxygen-carrying capacity): Hemoglobin, Hematocrit, RBC count, Mean RBC volume IMMUNE STATUS (signs of infection, allergy, immune suppression): Neutrophils, Basophils, WBC count HEMOSTASIS (blood clotting): Platelets 2. Review the measurements in the CBC.
A comprehensive review of the other components of the CBC is one of the most important steps in the evaluation of low platelet count. The CBC can tell us whether other blood disorders may be present, such as, anemia (low red cell count or hemoglobin), erythrocytosis (high red blood cell count or hemoglobin), leukopenia (low white cells count), or leukocytosis (elevated white blood cell count). These abnormalities may suggest bone marrow problems as the potential
Indeed, this was important in establishing the rapport and the therapeutic alliance. The doctor explained to her about the nature and the course of the illness, the importance to adhere to medications and the anticipated side effects of the medications. The relationship between non-adherence and re-emergence of the symptoms was emphasized multiple times. This was because she had a past history of multiple relapses secondary to treatment non-adherence.
The results of this test say if the patient is lacking few vitamins. It also identifies what type of disease the patient might have. For example, this patient has pernicious anemia which indicates problems with iron deficiency. Creatinine and BUN relates to the Kidneys and shows if the kidneys are still being able to filter or work properly. Low calcium indicates bone problem, hear failure, and problems with the kidneys, ((Pagana, K., Pagana, T.,
The emergency room physician, David C. Lee, M.D., ordered medication, a series of diagnostic tests, and blood cultures, and he admitted Mrs. Adae to the hospital for further observation and testing, in order to rule out myocardial infarction and ACS. Dr. Lee listed "infectious etiology" in his differential diagnoses. Jennifer Bain, M.D., came on duty as an attending physician during the morning of June 29, 2006. Dr. Bain, an employee of UC, recorded her suspicion that Mrs. Adae 's chest pain was musculoskeletal. Dr. Bain noted that Mrs. Adae 's EKG, cardiac enzymes, and blood tests, with the exception of her elevated blood sugar, were normal.
Michaela P. Capulong NU 333-01: Physical Assessment for the Nursing Professional June 29, 2015 Journal 7 When I do my assessment on admission, I always include the assessment findings that I expect to be abnormal if the patient has definite cardiovascular problem. I notify the MD and the nurse practitioner immediately if I find abnormal findings or values. I ensure to chart the education and the correction in response of the abnormal findings. In addition to that, tests and labs should be done to rule out problems. It is essential to know the patient’s health history before conducting the physical exam.
This is a lack of red blood cells caused by low iron in the person’s body. If a person’s body is low on iron, this will make it difficult for the red blood cells to carry oxygen to the tissues. Many people go undiagnosed with this type of anemia. If the deficiency isn’t much, the signs and symptoms may not be very noticeable. With a larger decrease in iron, the signs and symptoms will become more apparent and obvious.
Introduction Definition Patient safety mainly refers to the prevention of preventable errors and adverse effects to patients associated with healthcare(Rcn.org.uk).Personal safety requires knowledge and skills in multiple areas in order to be executed effectively(Pascale Carayon,2010). This is generally a nationwide priority particularly focused on preventing medical errors before they can occur and cause either death, permanent injury or temporary harm.(Nursingcentre.com,2015).Statistically, medical errors affect 1 in 10 patients worldwide (Who.int,2015), and implications could include death, permanent injury, financial loss or psychological harm to the patient or in some situations to the caregiver (Nursingcentre.com,2015).Therefore
While waiting for BNP test result mrs.Smith is referred to medical team for further investigation when the medical registrar came to review mrs . Smith BNP result arrived and which was normal, 75 pg/mL. Medical registrar examined mrs.Smith and adviced to give a stat dose of iv Augmentin 1.2 gm because of the elevated CRP. Confirmed with mrs.Smith that she is not allergic with any medication. Doctor adviced to
Patient Safety in Healthcare: Pressure Ulcer Rate Hospitals admit patients all over the United States (US) every day. Generally, the public regards hospitals as safe places to receive the care they need. Patients and families perceive nurses as being trustworthy and hard workers that dedicate their lives to caring for the sick. Utilizing Patient Safety Indicators (PSIs) can assist hospitals to achieve the best patient outcomes, deliver safe, quality care, and prevent adverse events. The purpose of this paper is to define the purpose of the PSIs 90 and role in healthcare today.