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- Respiratory System SOAP Note "Medical Terminology Systems" (2017). Gylys, Barbara and Wedding, Mary Ellen. FA Davis Date: February 1,20XX Patient: Flowers, Richard Chief Complaint: SOB Time registered: 1345 hours Physician: Samara Batichara, MD Emergency Department Record Medications: Vytorin 10/20 mg daily; Toprol-XL 50 mg daily; Azmacort 2 puffs three times a day; Proventil 2 puffs every 6 hours S: This 49 year old man with Hx of COPD is admitted because of exacerbation of SPB over the past few days. Patient was a heavy smoker and states that he quit smoking for a short time but now smokes 3-4 cigarettes day. He has a Hx of difficult breathing, hypertension, COPD, and peripheral vascular disease. The patient underwent triple bypass surgery in 19XX. O: T: 99.9 F. BP: 180/90. Pulse: 80 and regular. R: 20 and shallow. PE indicates scattered bilateral wheezes and rhonchi heard anteriorly and posteriorly. Compared with a portable chest film taken 22 months earlier, the current study most…Cerritos College Health Occupations Division PHAR 64 Name: Date/Time: /0930 Medication Order Ceftriaxone 50 mg/kg syringe IV Push q24h. Infuse over 5 mins. Start infusion stat. Medical Orders Patient Information Kiera Totah 6 y/o female Wt: 20 kg Pharmacy Copy Pharmacy carries: Ceftriaxone 1 g is to be reconstituted with 9.6 mL of sterile water for a final concentration of 100 mg/mL • Stability: IN 0.9% NaCI: 48 hours 1. Perform Calculations: Volume to be added to given IVP mL 2. Prepare IV & label for one dose 3. Perform hand washing 4. Garb 5. Retrieve necessary materials 6. Clean the hood 7. Prepare IV using sterile technique INTRAVENOUS SOLUTION ADDITIVES Date: Room No: Patient Name: Time Prepared: Drugs Added: IV No. By: BUD: Initials:Hematology Case Studies Case Study 1 Patient: Jane F. Age: 70 Sex: F History: Complains of trouble breathing after mild physical activity and easily fatigued. Denied hemoptysis, GI, or vaginal bleeding. Claimed diet was good, but appetite varied. Physical Exam: Other than pallor, no significant physical findings were noted. Occult blood was negative СВС 3.71 x 1012/L 5.9 g/dL RBC HGB НСТ 20.9% MCV 56.2 fL 15.9 pg 28.3 g/dL МСН МСНС WBC 5.9 x 10/L N seg 82% L 13 1 E В PLT 425 x 10%L Further Laboratory Studies Iron Studies Patient Values <10 ng/mL 24 ug/dL 729 ug/dL RI Serum Ferritin 12-86 Serum Iron 65-175 TIBC 250-410 Saturation 3% 20-55
- Medical History Moderate persistent asthma Allergic rhinitis Albuterol HFA inhaler two puffs every 4-6 hours as needed for symptoms Preparation for Care Activity Recognizing Clinical Relationships Review the medical history and home medications of this patient. For each home medication, identify the pharm. classification and expected outcome for this patient its most common side effect (SE). Finally, draw a line to determine which medication treats what condition. Home Meds Pharm. Classification Expected Outcome Common SE Symbicort 80/4.5 mcg two puffs BID Montelukast 5 mg every evening at bedtime Asthma Loratadine 10 mg 1 po QD KEITH SKINNY Reasoning Simulation Part I: Developing Noticing and Interpreting Skills 1. Which findings from the present problem are most important and noticed by the nurse as clinically significant? Most Important Findings Clinical Significance 2. Which data from the social history is most important and noticed by the nurse as clinically significant? Most…4:24 al a @ ord-4.pearsonvue.com d © Time Remaining 00:14:25 113 of 125 B Calculator The nurse has taught a client with active pulmonary tuberculosis (TB). Which of the following statements by the client would indicate a correct understanding of the teaching? Select all that apply. 図1 回2 3. 4. 05. 6. "I should expectorate secretions into a disposable tissue and dispose of the tissue in a plastic bag. "will keep my dishes and eating utensils separate from those of other family members. "I should have a TB skin test again in 6 months." "I will receive prescribed medication for at least 6 months." "I should take the TB medication as long as the symptoms occur." "I will limit my daily activities until I am no longer feeling so tired.COLLEGE NURSING National Management Office 0es Highland Parkway, Dewnes Greve, IL SIS I SSN 556K6I chamberfain.edu Please viit chamiherlain.edulocations for baton spectie adideess, plee ant fax infirmation NR 302 Analysis of Vital Signs Name, Date Directions: Have the students work in pairs or small groups and provide rationales of why the vital signs are out of range. Jesus Garcia, a 28-year-old Hispanic male, admitted to the medical unit with a diagnosis of dehydration. Mr. Garcia has ulcerative colitis. He reports 8-10 liquid bowel movements a day, decreased appetite, and vomiting twice today. He reports abdominal pain a five on a scale of 0-10. His most recent vital signs are BP 106/56, HR 105, RR 20, and Temperature 98.6 F. Which vital signs are out of range, and why? Vital Sign Rationale Blood pressure Heart Rate Respiratory Rate Temperature Pain Carl Rogers is a 67-year-old African American male with a 20-year history of type Il diabetes mellitus. He was admitted to the medical…
- For each of the following Patient Profiles, determine the most appropriate triage category (red, yellow, green, or black), and why. patient profiles: 1. Profuse bleeding from scalp wound. - talking to you - respirations : 20/min - radial pulse : present 2. Complaining of severe back pain and pelvic pain. - tells you her back hurts - respirations : 20/min - radial pulse : present 3. Nothing obvious problem, covered in debris. - unconsious - respirations : 8/min - radial pulse : present 4. amputation of left arm - talking to you, attempting to stop the bleeding - respirations : 25/min - radial pulse : present 5. impaled object, very pale and sweaty - tells you she feel sick - respirations : 27/min - radial pulse : present6 Mr. Davis has a diagnosis of acute maxillary sinusitis. His licensed prescriber orders Biaxin 500 mg q 12 h × 10 days. How many tablets will the nurse administer per dose? Exp. Lot ⒸAbbott 03-2185-3/R5 0074336860 Store tablets at 15° to 30°C (59° to 86°F). SPECIMEN NDC 0074-3368-60 60 Tablets BIAXINⓇ FILMTABⓇ clarithromycin tablets 250 mg 2 Caution: Federal (U.S.A.) law prohibits dispensing without prescription. 6505-01-354-8582 Do not accept if seal over bottle opening is broken or missing. Dispense in a USP tight, light-resistant container. Each tablet contains: 250 mg clarithromycin. Usual Adult Dose: One or two tablets every twelve hours. See enclosure for full prescribing information. Filmtab-Film-sealed tablets, Abbott Abbott Laboratories North Chicago, IL60064, U.S.A.nurse intervention for Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing. Burns 30% TBSA – Face, hands, bilateral lower limbs. Complaints of severe pain and burning 10/10. Past Medical History: Hypertension, Type II DM Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID.
- A GIPO PU 32 weeks was brought to the ER because of severe headache and blurring of vision. BP was 170/110 mm Hg. Fundic height was 30 cms, FB on the left, FHT 157/min. There was also grade Il bipedal edema, edema of hands and face. The nurse should correctly identify that which of the following should be done first? Do immediate CS Load MgSO4 Give Hydralazine Administer Diazepam IVBackground Patient name: Ngarla Kngwarreye Age: 62 Next of Kin: Son Gwoya and Daughter's Inala and Jenna Consultant: Dr Parry. Diagnosis: End Stage Chronic Obstructive Pulmonary Disease Patient notes Ngarla Kngwarreye is a 62 year old Anmatyerre woman from Urpuntia in Central Australia. 2 years ago Ngarla developed a Hospital Acquired Pneumonia during a hospital stay for exacerbation of her COPD. Since this time her lung function has continued to deteriorate until 6months ago she was admitted to hospital with respiratory failure and her conditioned was critical, at discharge her COPD was categorised as End-Stage. Three days ago Ngarala was again admitted with exacerbation of her COPD requiring extensive oxygen support, multiple antibiotics and high dose steroids to stabilise her. You are the nurse responsible for her care. Since admission, Ngarla's condition has failed to improve, her breathing has progressively worsened and she is now in the deteriorating palliative care phase…Background Patient name: Ngarla Kngwarreye Age: 62 Next of Kin: Son Gwoya and Daughter's Inala and Jenna Consultant: Dr Parry. Diagnosis: End Stage Chronic Obstructive Pulmonary Disease Patient notes Ngarla Kngwarreye is a 62 year old Anmatyerre woman from Urpuntia in Central Australia. 2 years ago Ngarla developed a Hospital Acquired Pneumonia during a hospital stay for exacerbation of her COPD. Since this time her lung function has continued to deteriorate until 6months ago she was admitted to hospital with respiratory failure and her conditioned was critical, at discharge her COPD was categorised as End-Stage. Three days ago Ngarala was again admitted with exacerbation of her COPD requiring extensive oxygen support, multiple antibiotics and high dose steroids to stabilise her. You are the nurse responsible for her care. Since admission, Ngarla's condition has failed to improve, her breathing has progressively worsened and she is now in the deteriorating palliative care phase…