Case Study Pleural effusion NSG/340 Sandra Gilderson, MSN/Ed, RN Case Study Diagnosis and admission A.B. admitting diagnosis pleural effusion, pulmonary infiltrates possible pneumonia based on the result of chest x-ray. Also the presenting signs and symptom provided information that can link to pleural effusion evidenced of his signs and symptoms Pleural effusion Is an abnormal collection of fluid in the pleural space, it is not a disease but an indication of a disease (Lavie et al, 2014)
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A low level of protein in the blood also tends to allow fluid to leak from the blood vessels. For example, cirrhosis of the liver and some kidney diseases may cause a low level of blood proteins that allow the development of a pleural effusion. 3. Heart failure causes a back pressure in the veins (blood vessels) that carry blood to the heart. Some fluids can leak blood vessel. The swelling in the legs with the formation of the fluid, is typical with
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services section of the hospital is used by the Outpatient Clinic, as well as the Dialysis Center. The Outpatient Clinic, which makes up about 80 percent of the outpatient services section, has recently grown in volume and has created a need for 25 percent more space than it currently has. Moving the Dialysis Center to a new building was decide to allow expansion of the Outpatient Clinic. A change and focus on the allocation of costs has some department heads angry and claiming of unfairness; and some
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in the wall of an artery that supplies blood to the brain. In most cases, a brain aneurysm causes no symptoms and goes unnoticed. In rare cases, the brain aneurysm ruptures, releasing blood into the skull and causing a stroke. When a brain aneurysm ruptures, the result is called a subarachnoid hemorrhage. Depending on the severity of the hemorrhage, brain damage or death may result. The most common location for brain aneurysms is in the network of blood vessels at the base of the brain called
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Removal, Split Brain - INFERENCE STUDIES (talk while balancing broom) - FUNCTIONAL IMAGING - PET (positron emission tomography): track blood flow associated w/ brain activity; used to assess physiology, including glucose & oxygen metabolism, and presence of specific neurotransmitters - SPECT (single photon emission computed tomography): measure blood; takes 2 days to eliminate radioactive tracer - MRI: visual imaging; most detailed brain structures; good spatial resolution & images
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In a narrative format, discuss the key facts and critical issues presented in the case. Jessica Santillon was a 17 year old female who was an immigrant from Mexico who was in need of a medical miracle. The Santillon family smuggled themselves and Jesica into the states and resided in North Carolina. At that time they caught the attention of a local builder named Mark Mahoney, who started a charity in Jesica’s name to hopefully get her the medical treatment she needed. Over time enough money was raised
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signs and symptoms, the long process, and the treatment plan. Cardiomyopathy weakens the quality of the cardiac muscle and diminishes its ability to get oxygen-rich blood to the rest of the body. As cardiomyopathy progresses into the life-threatening disease we know it as, the heart begins to weaken. Futile efforts to pump blood through the body deplete other muscles from receiving oxygen. Another effect of the disease is the ability to disrupt the electrical rhythm of the heart. This can lead
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Examination Aids: Non-programmable calculators are allowed Version A SECTION I – MULTIPLE CHOICE (88 marks) The 44 questions are of equal value (2 marks). Select the most correct answer for each question. 1. Which of the following statements is TRUE regarding lipid biomarkers? i. ii. iii. iv. A. B. C. D. E. Total Cholesterol to HDL-C ratio is more sensitive for heart disease than cholesterol alone Elevated triglycerides are a defining criterion in metabolic syndrome Increase in lipoprotein(a)
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Pneumonia Over the years, many people have found new research on Pneumonia. In Latin, “pnemon” means lungs, “-ia” is the pathological condition, and “-itis” means inflammation. Hippocrates was the first person, on record, to discover pneumonia. He lived during the years of 60BC – 370BC. The “Father or Medicine” was one of the names this Greek physician was considered as in history. Pneumonia descriptions was most accurately given from a Jewish philosopher and physician, who goes by the name Moses
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(I&O); arterial blood gases (ABGs) in AM; CBC with differential, basic metabolic panel (BMP), and theophylline (Theo-Dur) level on admission; chest x-ray (CXR) q24h; prednisone 60 mg/day PO; doxycycline 100 mg PO q12h x10 days, azithromycin 500 mg IV piggyback (IVPB) q24h x2 days then 500 mg PO x 7 days; theophylline 300 mg PO bid; heparin 5000 units SC q12h; albuterol 2.5 mg (0.5 ml) in 3 ml normal saline (NS) and ipratropium 500 mg by nebulizer q4-6h; enalapril 10 mg PO q AM. In this case, I will discuss
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