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- Mr. X is a 64-year-old male admitted to the unit with acute myocardial infarction (AMI) after emergent left (L)-sided heart catheterization/percutaneous coronary intervention (PCI). Past history includes type 2 diabetes mellitus, heart failure, hypertension, andosteoarthritis. Home medications include furosemide (Lasix), digoxin (Lanoxin), captopril (Capoten), carvedilol (Coreg), Byetta (exenatide), metformin (Glucophage), and ibuprofen (Motrin).Clinical AssessmentTwenty-four hours after admission to the unit, Mr. X is alert; oriented to person, place, and time; and pain free. His only complaint is shortness of breath and swelling in his ankles, feet, and hands. Physical assessment reveals bilateral breath sounds with basilar crackles; dressing at catheter site; right femoral clean, dry, and intact; peripheral pulses 2+ bilaterally; and 2+ edema noted in lower extremities. Mr. X has a body mass index (BMI) of 35 kg/m2 and weighs 100 kg. IV fluids have been discontinued, and saline lock…Mr. Clarke had a heart attack. Which of the following diagnostics is the best option for him? Chest X-ray CT scan Brain scan AngiogramWhat is the patient's religious affiliation (e.g., Judaism, Islam, Pentecostalism, West African voodooism, Seventh- Day Adventism, Catholicism, Mormonism)? How actively involved in the practice of this religion is the patient?
- Patient Ch., 29 y/o, was taken to the cardiology department. Objectively: he has cold cyanotic extremities, infrequent and noisy respiration, of Kussmaul’s type, alternating with shallow breathing, weak pulse, and arterial pressure – 60/35 mm column of mercury. There are clear signs of vascular collapse – flattened veins, especially in the neck. ECG shows ciliary arrhythmia. Glycemia - 23mmol/l, PH – 7.1. The content of ketone bodies is 23mg%. What is your diagnosis?A. Cardiovascular form of ketoacidotic coma B. Renal form of ketoacidotic coma C. Uremic coma. D. Myocardial infarctionE. Hyperlactacidemic comaMrs. A has an IV of 1,000 mL D5W started at 0100. The IV is infusing at 100 mL/hr. The nurse would expect that____ mL would be in the IV bag at 0700. Enter the amount of IV fluid remaining in the IV bag at 0700. Enter only the numeral (not the unit) in your answer.Which vessel is highlighted? gonadal artery gonadal vein uterine artery O liolumbar artery Submit Request Answer
- 73-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.please tell me what is the rhythm for this strip, if there are multiple arrhythmias list all including if there is hypertrophy or infractions include location as well .Donald has a history of DM I. There's an order to administer 10 units.The nurse is using a U-100 syringe. How many units should the nursedraw up in the syringe and administer?
- Mr S. is a 45-year-old man who has just been admitted to the ICU postoperative cardiac surgery. He has had an uneventful coronary artery bypass graft with no complications in the operating room. He is intubated and placed on complete mechanical ventilation. His vital signs are: blood pressure (BP) 150/90 mm Hg, heart rate 86 beats per minute, respiratory rate 12 breaths per minute, and temperature 35.3°C The target systolic BP for Mr S. is less than 130 mm Hg and the surgeon’s postoperative orders include BP medications and intravenous morphine sulfate for pain. In addition, the surgeon prescribes an nonsteroidal anti-inflammatory drug, ketorolac, to be administered to the patient once it has been determined that they are not bleeding excessively and have acceptable renal function. The ICU where Mr S. is admitted has a respiratory therapist (RT) on staff. This RT is aware that mechanical ventilation is very uncomfortable for patients. There is a standing order in the ICU that heart…Ralph , is 5 months post congestive heart failure (CHF), he is... Ralph , is 5 months post congestive heart failure (CHF), he is confined to a wheel chair due to advanced peripheral neuropathy and foot drop. His care is managed at home by a family nurse practitioner (FNP) who visits once a week and as necessary. On one of her visits, the FNP notes that Ralph has developed a Grade 3 sacral decubitus ulcer, lower extremity edema, and dyspnea while sitting. He is also confused and not oriented to person, place or time. Questions 1. 2. What risk factors for tissue break down are present? Explain in detail, the cellular changes that led to the sacral decubitus, now with necrotic dermal tissue. (Hint: the etiology and pathogenesis of the ulcer from injury to cellular death)Among the condition for donating blood the patient must take Aspirin before donating in blood A_worng B_right
