UGIB Case Study Essay

In addressing this problem, the nursing care plan is expected to determine the relationship with how therapies reduce recurrent episodes and complications of heart failure, and list all the signs and symptoms which require immediate intervention (Vera,

Scenario Analysis Questions PCC What priority problem(s) did you identify for Rashid Ahmed? What information led to identification of the priority problems? Mr. Ahmed was diagnosed with dehydration and hypokalemia, which required close checking on his vital sings, input and output. As well constantan respiratory, neurological and cardiovascular assessments.

(Claffey, 2018) The best way to reduce the risk of medication errors is to enquire about which orders wouldn't be appropriate to give to the patient based on their condition. (Claffey, 2018) In addition to successfully completing a physical assessment on the patient, the practitioner must also view the patient holistically, and always report near-miss medication errors. (Claffey, 2018)

Examples are vaccine or smoking cessation. Secondary prevention is early detecting. Examples are screening of breast cancer or testing for diabetes. Tertiary prevention reduces the impact of the disease after it has developed and being treated. Examples are cardiac rehabilitation after myocardial infarction.

Imperative non-pharmacologic measures along with the right kind of medications benefit patients in the management of disease. A review of literature was conducted on the topic of dietary compliance in preventing fluid overload in diseases like end-stage renal disease (ESRD) and congestive heart failure (CHF). Focus was narrowed down on topics related to congestive heart failure because of its part as a core measure in the acute hospital setting for prevention of readmissions within a 30-day period per Medicare requirements. A study conducted by Abshire et al.

Inactivity, dyslipidaemia, metabolic syndrome, excess body weight, elevated blood glucose, hypertension, smoking, as well as the reduction of stress, anxiety, and depression are targeted with intensive interventions, and as such are critical components of CR (17). Acute Myocardial Infarction Cardiac rehabilitation has long been recognised as a fundamental part of the comprehensive management of patients after a hospitalisation for myocardial infarction (MI), and the survival benefit after CR is well established. A decrease of 20-24% total mortality and a 22-25% decrease in cardiovascular mortality was shown in a meta-analyses of clinical trials of CR at 3-year follow-up (18-20). A study of patients after MI by Witt et al.

Thus, the use of morphine could be reserved for patients with pulmonary oedema or persistent severe chest pain after the administration of drugs that favorably alter myocardial oxygen supply and demand while waiting for timely reperfusion. Prospective, randomized, clinical trials are needed to determine whether and how morphine should be administered to patients with chest pain and

The usual dose should be 2-4 tablets a day, which has similar efficacy, but with much less risk of side effect. Intravenous colchicine is associated with potential fatal adverse event and should be avoided. Also, there is a drug interaction between CYP3A4E-glycoprotein inhibitors and colchicine in particular in the presence of hepatic and renal dysfunction which should be taken into consideration on using colchicine. In mild to moderate renal impairment with GFR >30 ml/min colchicine can be used in reduced

Lomotil should be given at the onset of loose stools; Granisetron 3mg IV before the first dose of IL-2 and throughout therapy minimizes nausea and vomiting. Oral famotidine should give for gastric protection; piriton prn if any itchiness happens. Oral acetaminophen 650 mg should give before the therapy, 6hourly prn. Important notes are IL-2 only compatible with D5W.do not piggyback through running IV solution. Separated IV set for IL-2 only, flush with 50cc D5W before and after each dose, complete each dose of the IL-2 bolus in 15

For instance, blood serves as a replacement of blood lost during haemorrhage; platelets are used to stop postoperative bleeding; erythrocytes provide oxygen which is important for patients with severe anaemia. Through plasma transfusion, individuals with haemophilia get clotting factors while individuals at a risk of certain infections get immunoglobulins necessary passive immunity. Albumin from plasma may be used in treatments of traumatic shock or extensive burns (Armstrong,

There are numerous parts for cardiovascular ultrasound throughout potentially cardiotoxic cancer treatment regimens. Primarily, prior to potentially cardiotoxic chemotherapy, echocardiography can safeguard that patients do not already have diminished cardiac function. Subsequently, throughout chemotherapy, cardiovascular ultrasound can monitor ventricular function to eliminate chemotherapy-induced dysfunction. Preceding, the follow-up treatment, cardiovascular ultrasound can regulate new symptoms that are potentially caused from cardiac disease.

The quicker the patient can come off of the ventilator the less of a risk for the patient. To wean a patient off the ventilator it is important to have a physician order and to do it slow to make sure the patient can maintain. Slowly stop the sedations and see if the patient can breathe over the ventilator. Breathing exercises are important with a patient who is intubated to be able to get off the vent sooner. Some reasons that a patient would need mechanical ventilation is respiratory distress, if a person can’t protect airway, overdose, or an injury to the

Labs such as Arterial blood gas gives information about a patient oxygenation, ventilation, and acid-base balance. Assess collaboration of client with healthcare team such as the physician, respiratory therapist. Last, you would interpret and summarize finding you would match evaluative measure with expected outcome to determine if client status improving or not improving. If goals have been met discontinue the portion of the care

19- Overall/Summary Questions In response to Yali’s question, everything came down to the location and settlement of people back in ancient times. Since some areas were not suitable for farming, they remained hunter-gatherers and carried on with their lives. Like New Guinea, these were the countries that would soon be backed-up on all the technological innovations and items produced that were brought into the world later on. Since food production was what off-set these creations, those regions that had perfect climate year-round had many advantages over others.

The Patient Assessment is one of if not the most important skill and tool in the in the career of an Emergency Medical Technician. EMS stands for Emergency Medical Services this is like the genus or the foundation and Paramedic, Advance Emergency Medical Technician (AEMT), and Emergency Medical Technician (EMT) are like the spices. Each of these spices has different ranges of the skills they are allowed to perform but each one has to go through one common step and that is the Patient Assessment. There are five steps to the Patient Assessment those steps are Scene size-up, Primary assessment, History taking, Secondary assessment, and Reassessment. Step One: Scene size-up 1.