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Ruth Livingstone Case scenario- peripheral vascular; Ms. Livingston is an 80-year-old

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Case scenario- peripheral vascular-: Ruth Livingston History of Present Illness Ms. Livingston is an 80-year-old female who was admitted to the orthopedic surgical unit from the emergency department because of a trip and fall accident at home. X-rays revealed a right femoral head neck fracture. Ms. Livingston has a history of osteoporosis. She went for an open reduction internal fixation (ORIF) late yesterday evening. Vital signs have been stable- 98.6 oral, 72 pulse, 20 resp, 136/74. Her ...

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Valerie Cucina concept map worksheet on case GI bleeding

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The patient, V.C., is a 78-year-old female experiencing an upper gastrointestinal bleed. This occurred due to her overuse of NSAIDs to manage her orthopedic pain. Additionally, she was taking an SSRI to manage depression since the recent loss of her husband. NSAIDs, such as ibuprofen or aspirin, are often associated with gastrointestinal perforation, ulceration, and bleeding. SSRIs, such as sertraline or fluoxetine, are also known to contribute to upper gastrointestinal bleeding. Using this ...

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Vsim Skylar Hansen; Hyperglycemia

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DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) PATIENT INFORMATION ANTICIPATED PHYSICAL FINDINGS ANTICIPATED NURSING INTERVENTIONS Insulin is a hormone secreted by beta cells, which are one of four types of cells in the islets of Langerhans in the pancreas. Insulin is an anabolic, or storage, hormone. When a person eats a meal, insulin secretion increases and moves glucose from the blood into muscle,...

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Tony Wallace sickle cell Case

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Tony Wallace is a 24-year old young man with known sickle cell anemia who was admitted yesterday experiencing an acute pain episode. He has been treated with morphine, Toradol, Benadryl, and Phenergan. He has a peripheral IV with normal saline infusing at 100 mL/hour and a PCA with morphine running at 2 mg/hour. Tony is not happy to receive morphine as this drug causes severe itching. Tony has been sleeping most of the night, but he has requested Phenergan and Benadryl about every 4 or 5 ho...

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Advanced Medical-Surgical/Critical Care Case 4: Charles JonesDocumentation Assignments

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Advanced Medical-Surgical/Critical Care Case 4: Charles Jones Documentation Assignments 1. Document your initial focused assessment and vital signs for Charles Jones. ECG: Atrial Fibrillation, HR 107, pulse present, B/P 152/92, RR20, SpO2 95%, temp 98.6. Occultation of heart the post was irregular but there was no abnormal heart sounds the lungs had crackles at both bases there was a lot of audible wheezing. 2. Document the changes in assessment findings that occurred after the nitroglyc...

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Guided Reflection Questions for Advanced Medical-Surgical/Critical Care Case 3: Liling Zhao

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Guided Reflection Questions for Advanced MedicalSurgical/Critical Care Case 3: Liling Zhao Opening Questions How did the scenario make you feel? Unprepared, you never know how to start with the patient and what to do next. What do you think went well during the simulation? Doing her vital signs, and assessments, and following the doctor’s orders. Is there anything you would do differently? I would continue to do all my vitals and assessments at the same time and not be anxious about th...

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Advanced Medical-Surgical/Critical Care Case 3: Liling ZhaoDocumentation Assignments

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Advanced Medical-Surgical/Critical Care Case 3: Liling Zhao Documentation Assignments 1. Document your initial focused neurologic, cardiovascular, and pain assessments, along with vital signs, for Lling Zhao. VS HR 61, BP 152/91, RR 21, and O2 97%. “pain is like a 6 all the time then goes to 10 when the ICD goes off” 2. Document the changes in assessment findings that occurred after Liling Zhao received a shock. VS HR 37, BP 118/70, RR 23, and O2 98%. 3. Document Liling Zhao’s exp...

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Med-Surg: NLN II, Case5, Complex: Cerebral Vascular Accident/Ischemic Stroke:William Edwards

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William Edwards is a 65-year old patient on a medical unit who recently experienced a cerebral vascular accident (CVA) within the past 90 days and is now showing signs of an acute ischemic stroke. Clinical judgment activity: You are the receiving nurse for Mr. Edwards in the emergency department (ED). You receive handoff report from the paramedic. In the report, the paramedic states Mr. Edwards had a stroke three months ago and that he is now showing signs of an ischemic stroke. What types...

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