ICD10-CM CODE Cerebral infarction due to occlusion of right carotid artery admitted to the hospital as a transfer from hospital B where the patient had received TPA 8 hours before, stroke scale of 15 with hemiplegia current acute left side. (multiple codes needed 4)
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ICD10-CM CODE Cerebral infarction due to occlusion of right carotid artery admitted to the hospital as a transfer from hospital B where the patient had received TPA 8 hours before, stroke scale of 15 with hemiplegia current acute left side. (multiple codes needed 4)
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- Case r/t Peripheral Vascular examination Mr. Santos, a 60-year-old senior citizen, is admitted to the hospital. His diagnosis is carotid insufficiency, and he is scheduled for surgery the following morning. While the physician is conducting the physical assessment, he told him, "I can't walk a couple of blocks without feeling pain in my legs." a. What additional assessments would you perform on this patient? b. What clinical tests would you do on this patient?Case study: Mr. James McDougal, age 68 years old was admitted on July 1st, 2020 with a diagnosis of congestive heart failure, diabetes type 2, hyperlipidemia, hypertension, and cellulitis of his left calf. A central line was placed based on Mr. McDougal’s poor vascular status. Current Medications: Allergies: Aspirin 325 mg po daily Penicillin & Sulfa Digoxin (Lanoxin®) 0.125 mg po daily Carvedilol (Coreg®) 25 mg bid Furosemide (Lasix®) 40 mg bid Lisinopril (Zestril®) 5 mg po bid Simvastatin (Zocor®) 40 mg qhs Glyburide (Micronase®) 2.5 mg daily The physician orders are as follows: Admit patient to service of Dr. Monka and cardiac telemetry floor for cardiac monitoring. Out of bed with assistance Oxygen via nasal canula @ 2 L 2000-gram ADA diet Central line dressing as per hospital protocol Lactated Ringers 1000 cc to run over 8 hours via central…What 3 signs would the nurse expect if the IV needle was accidently inserted into an artery?
- Electrocardiogram D J .F В H. C Using the Electrocardiogram above, which line best represents the P-R interval? O A O B O C OD O E O F OG Он OK OL O M EPatient M., 36 y/o, was found in the street unconscious. The patient has a medical history of diabetes. There is a smell of alcohol from the mouth. The skin is moist, warm, arterial pressure -145/90 mm column of mercury, convulsive twitching of muscles. Breathing is shallow, eye ball tone is retained, pupils are dilated, hyperflexion. How would you treat this patients?A. Intravenous introduction of 40-80-100 ml 40% glucose solution B. Injecting 20 units of insulin subcutaneouslyC. Injecting 20 units of insulin intravenouslyD. Injecting 500 ml 5% glucose solution intravenouslyE. Injecting 500 ml 0.9% sodium chloride intravenouslyPatient B., 60 years old, was hospitalized with the diagnosis "Myocardial infarction". On examination: cold and cyanotic skin. Respiration is frequent, superficial, arterial pressure 90/60 mm Hg, pulse - 110 beats / min (normal 60-90 beats per minute). The patient is transferred to the intensive care unit. Questions: 1. What kind of typical pathological process (TPP) develops with myocardial infarction? 2. Define this TPP. 3. Describe the TPP, developed in the patient, according to the speed of its development, prevalence, cause of occurrence.
- Patient B., 60 years old, was hospitalized with the diagnosis "Myocardial infarction". On examination: cold and cyanotic skin. Respiration is frequent, superficial, arterial pressure 90/60 mm Hg, pulse - 110 beats / min (normal 60-90 beats per minute). The patient is transferred to the intensive care unit. 4. What other causes except myocardial infarction can cause this type of TPP? 5. Describe the mechanism of development of this TPP in the patient. STDDOCase study: Acute Coronary Syndrome non ST elevation MI Possible diagnoses (differential diagnosis) (50 points). After analyzing the patient’s case, you need to make 3 (minimum) to 4 (maximum) possible diagnoses (rank by the most possible to the least possible). You need to be specific: e.g. a diagnoses of anemia is not specific enough, you need to elaborate: which type of anemia. If you make less than 3 differential diagnosis, your points will bededucted. Explanation of Pathophysiology of each of differential diagnoses (30 points). You need to write all of the pathophysiology thoroughlyof each of your differential diagnoses you write on the first part. This has to be detail enough so that you can explain all the signs, symptoms, patient’s history and all diagnostic tests results. There are no minimum or maximum number of pages you need to write, but comprehensive pathophysiology shouldsuffice. Your suggestions of what extra work-up/laboratory/diagnostic tests/information needed to…6- Need help with following
- what are the nursing responsibilities for cardiac catheterization for a child with tetralogy of fallot73-year-old male, post-op day 1, status post-carotid endarterectomy on the surgical unit, demonstrating signs of stroke. Suggest two interdisciplinary team members to assist with caring for the patient and provide a rationale for the importance of including them in the care of this patient.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. Airway. - Patent, superficial burns to right side of face Breathing. - Spontaneous, RR-22mt, SPO2-92% RA, air-entry equal Circulation- Lower limb odema, cap refill 3 seconds, bilateral dorsal pedis pulses weak. BP- 88/50 mmHg, HR- 127/mt, sinus tachycardia, Disability - GCS-15 E4V5M6, PEARL- 3mm, Exposure - Temperature 35.9 deg Celsius. Full thickness burns to right lower limb and right arm, partial thickness burns to left lower limb, bilateral hands.…