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Case 1 Hello, I am doing a concept map about sepsis but I would like to understand a littler better this topic. I have a case and I would like to identify the cues. Can you help me please? Assessment (Recognizing Cues): Which client information is relevant? What client data is most important? Which client information is of immediate concern? Consider signs and symptoms, lab work, client statements, H & P, and others. Consider subjective and objective data. Case: A 77-year-old man is admitted to the intensive care unit (ICU) of a university hospital from the operating room. Earlier the same day, he had presented to the emergency department with abdominal pain. His medical history included treated hypertension and hypercholesterolemia, previous heavy alcohol intake, and mild cognitive impairment. In the emergency department, he was drowsy and confused when roused and was peripherally cold with cyanosis. The systemic arterial blood pressure was 75/50 mm Hg, and the heart rate was 125…

A 52-year-old female data entry worker complained of bilateral wrist pain. Her physician prescribed a non-steroidal anti-inflammatory drug. Her wrist pain improved; however, over the next 3 months, she noted increasing fatigue and scattered bruises. Past medical history was normal. She was taking no other medications and had no recent chemical exposure. Physical examination revealed pallor and scattered ecchymoses (skin coloration) with petechiae on her chest and shoulders with no other abnormalities. Complete blood count results were as follows: WBC 2 X10/L MCV 104FL 8 g/dl 27 X10/L Hb Platelets Reticulocytes Reticulocytes Neutrophils Lymphocytes Serum B12 and folate levels were normal 0.6% 16 X 10/L 1.1 X 10/1 0.4 X 10/L Bone marrow aspirate was normocellular with dyserthropoiesis but, normal myelopoiesis and Megakaryopoiesis. Iron stain shows normal stores. However, the bone marrow biopsy was moderately Hypocellular (30%) with a reduction in all three-cell lines. There are no…

Give typing answer with explanation and conclusion Considering the pathophysiology of HIV/AIDS, it is known that the general health and nutritional status of the person plays a role in disease progression. Nutritional assessments are therefore conducted at first and follow-up visits at the clinic. Nutritional assessment includes anthropometrical measurements. Discuss the importance of monitoring anthropometric measurements in persons living with HIV. Make sure to also indicate what anthropometrical results would be a cause for concern.

Is the following statement true or false? Standard Precautions are used for all patient care. They’re based on a risk assessment and make use of common sense practices and personal protective equipment use that protect healthcare providers from infection and prevent the spread of infection from patient to patient.   Question options: A)True B) False

Using the techniques described in this chapter carefully read through the case study and determine the most accurate ICD-10-CM code(s) and external cause code(s) if appropriate. Remember, check the chapter specific, sub-chapter specific and category specific notations within the Tabular list. Patient: Winston Waller Physician: Morris Johnston, MD August 1, 2018 History This patient is a 73-year-old male nonsmoker with type 2 diabetes mellitus and hypertension. He presented to this ED with shortness of breath and was found to have had an acute myocardial infarction of the anterior wall of his heart showing an ST elevation that had previously been left untreated. He developed several complications, including renal failure from a combination of cardiogenic shock and toxicity from the dye used for emergency catheterization of his heart. Hemodialysis was started during this hospitalization because of his renal failure. After spending almost a month in the hospital and…

The country is Nepal (apply sources used and information used from source) 1) Communicable Disease: Research a communicable disease that presents significant threat in your country of interest. The following information must be included in your submission. 1. Name of the disease or condition 2. Disease burden, including morbidity and mortality both locally and globally 3. Availability and access to treatment in the selected country 4. Ethnic or cultural beliefs and practices relative to the disease and/or treatment 5. Current efforts to treat/eradicate the disease including availability of nursing care 6. If there is not a significant nursing presence, who provides the care? 2) Noncommunicable Disease or Health Threat: Research a noncommunicable disease or condition (e.g. mental illness, injuries, cardiovascular disease, cancer etc.) that presents a significant threat in your country of interest. 3) Nursing and/or Multidisciplinary Interventions In a final paragraph, discuss what…

Mr. Hooke a 35 y/o male presented himself in the clinic complaining of shortness of breath and having fevers for the past few weeks. He is known to be infected with HIV for almost 2 years already. He returns to HIV clinic at different intervals for follow-up. He has been on stable antiretroviral therapy consisting on didanosine, stavudine, and indinavir for the past year. Patient history revealed that he is unsure about his immunization status, and thinks he got them as a child. Physical Examination as follows: General: thin, anxious, acutely ill-appearing, young white man with tachypnea Neck/LN: slight cervical lymphadenopathy, thyroid normal Lungs/Thorax: CTA, slight axillary lymphadenopathy Labs Chest X-ray: Bilateral subtle infiltrates Bronchoscopy with BAL: positive for the presence of a unicellular eukaryote, a yeast-like fungus Assessment: breakthrough opportunistic infection   question: What drug, dosage form, schedule, and duration of therapy are best for treating this…

Mr. Hooke a 35 y/o male presented himself in the clinic complaining of shortness of breath and having fevers for the past few weeks. He is known to be infected with HIV for almost 2 years already. He returns to HIV clinic at different intervals for follow-up. He has been on stable antiretroviral therapy consisting on didanosine, stavudine, and indinavir for the past year. Patient history revealed that he is unsure about his immunization status, and thinks he got them as a child. Physical Examination as follows: General: thin, anxious, acutely ill-appearing, young white man with tachypnea Neck/LN: slight cervical lymphadenopathy, thyroid normal Lungs/Thorax: CTA, slight axillary lymphadenopathy Labs Chest X-ray: Bilateral subtle infiltrates Bronchoscopy with BAL: positive for the presence of a unicellular eukaryote, a yeast-like fungus Assessment: breakthrough opportunistic infection   question: Could any of the patient’s problems have been caused by drug therapy?

Mr. Hooke a 35 y/o male presented himself in the clinic complaining of shortness of breath and having fevers for the past few weeks. He is known to be infected with HIV for almost 2 years already. He returns to HIV clinic at different intervals for follow-up. He has been on stable antiretroviral therapy consisting on didanosine, stavudine, and indinavir for the past year. Patient history revealed that he is unsure about his immunization status, and thinks he got them as a child. Physical Examination as follows: General: thin, anxious, acutely ill-appearing, young white man with tachypnea Neck/LN: slight cervical lymphadenopathy, thyroid normal Lungs/Thorax: CTA, slight axillary lymphadenopathy Labs Chest X-ray: Bilateral subtle infiltrates Bronchoscopy with BAL: positive for the presence of a unicellular eukaryote, a yeast-like fungus Assessment: breakthrough opportunistic infection Case Study Questions: Aside from HIV, what is your diagnosis? Support your clinical diagnosis.  Could…