Youbin Jo (Jay) Clinical Scenario: 3A Clinical Scenario #1 How would you answer the question? A vaginal exam can increase the risk of infection. Whenever a vaginal exam is done, bacteria can be pushed up the vagina and the cervix. In your case, you are having active vaginal bleeding. I assessed your peri-pad 10 minutes after placing it on you and the pad was fully soaked. You cannot have a vaginal exam because the exam makes more prone to have infection. Nursing diagnoses #1 Deficient fluid volume related to excessive blood loss manifested by soaked full pad in 10 minutes, cool and diaphoretic skin, and decreased blood pressure = 100/60. This patient has been lost a large amount of blood. The patient started …show more content…
Start an IV with 16-18 gauge of needle and administer fluid replacement as an order. Rationale: Signs and symptoms of hypovolemia are cool skin, increased pulse rate, decreased blood pressure, poor muscle tone and oliguria. The patient’s blood pressure drops from 140/80 to 100/60. Also, her skin is cool, pulse rate is 108. In order to correct hypovolemia, rapid fluid replacement may be needed. I also need to use a large bore needle for blood replacement if it is ordered. 2. Obtain blood for type, crossmatch, hemoglobin and hematocrit level test for blood transfusion. Rationale: The patient may need blood transfusion because she shows symptoms of hypovolemic shock. Her pulse is 108, blood pressure drops from baseline 140/80 to 100/60, and cool and clammy skin. She is losing a large amount blood because her peri-pad is fully soaked in 10 minutes. Also, sudden decreased blood pressure indicates a large amount blood loss. Before I transfuse blood to the patient as ordered, I need to know her blood type and crossmatch. Also, hemoglobin and hematocrit levels show if she needs blood transfusion or not. For example, hemoglobin and hematocrit levels will be lower than normal range if she lost a large amount of blood. Normal range of hemoglobin is >11, hematocrit is …show more content…
Monitor the patient’s vital signs and the fetal heart rate tracing to determine side effects of pain medications. Also, evaluate the patient’s pain, including quality, frequency, location and intensity to know if the pain medications work. Rationale: Opioids analgesics are used to manage severe pain. The common side effects of opioid analgesics are respiratory depression in mom and fetus. Symptoms of respiratory depression are decreased respiratory rate, decreased oxygenation saturation, and abnormal fetal heart rate taraicng. It is important to monitor the patient’s vital sign and the fetal heart rate tracing to determine respiratory depression. Also, I would reassess the patient’s pain to know if she needs more pain medications. 3. Provide nonpharmacological pain managements, including, massage, music, and meditation. Rationale: If she can cope with her pain after taking pain medications, I would provide nonpharmacological pain managements. For example, I would ask what relaxation methods she wants. The methods can be reading a book, watching TV, listening to music, applying heat compresses, or massaging the patient.
these are at minimising risks. (P2) Task 2 2a. Write a discussion which indicates what complementary therapies are available on the NHS, where these can be accessed, how they are used to complement orthodox medical treatments (M1). Task 3 3a. Write a report which explains the principles and practices of complementary therapies. This report should cover the range of therapies that you discussed in your booklet. It should explain the ideas upon which the therapies are based (P3). 3b. The
The use of simulation as a tool for developing and assessing surgical competencies in different fields of medicine has extensively been studied. By incorporating the use of virtual reality simulation (VRS), cataract surgery training has moved from the traditional Halstedian method1 to a more holistic method that facilitates the process of learning.2 The significant effects of using a VRS method in the improvement of different microsurgical skills, especially in ophthalmology, have been widely reported
due to continuous active and passive forces. Rotator cuff pathology includes tendinopathy, tendinosis and bursitis, as well as rotator cuff tears. Most common indication for rotator cuff tears include increasing age and traumatic shoulder injury. Clinical symptoms for rotator cuff injuries include shoulder pain, weakness and loss of range of motion. However, these symptoms are common in various diseases; differential diagnosis includes labral tears, glenohumeral ligament tears or sprains, coracoacromial
Abstract: Enzymes are specific-type proteins that act as a catalyst by lowering the activation energy of a reaction. Each enzyme binds closely to the substrate; this greatly increases the reaction rate of the bounded substrate. Amylase enzyme, just like any other enzyme, has an optimum PH and temperature range in which it is most active, and in which the substrate binds most easily. The purpose of this experiment was to determine (1) the reaction rate of an amylase enzyme in starch and (2)
Introduction Health and social care is one of the most basic right of the people of a country and it the duty of the government to make sure that this right is well served. For this reason the government of a country usually establish health care institution of its own effort in throughout nationally as well as for ensuring local health care, government usually establish local health promoter agencies. However in present world there are a lots of organization are there those are working for the improvement
Introduction For over 75 years the profession of physical therapy has required it's members to adhere to a standard of ethical behavior.1 The first Code of Ethics adopted by the American Physiotherapy Association in 1935 focused mainly on the relationship between the physical therapist (PT), referring physician, and the disciplinary actions of violating that relationship.2(p.4) Since then the Code of Ethics has evolved into what the American Physical Therapy Association (APTA) refers to as the
Case Scenario of Natural Disaster The Privacy and security of patient’s health information is a important challenge and responsibility for every health care organization and a concern for every U.S. citizen. To receive healthcare patients must reveal information that is very personal and often sensitive. Most the patient-physician relationship depends on very high levels of trust at the same time they also trust health care organization, to protect their confidential healthcare information with
Epidemiology Evaluation of the Outcomes of a National Screening Program: Usually the national screening program begins with evaluating available national data so that a suitable sample representing the population which is intended to be tested should be identified. Once the sample has been identified, the targeted audience is then, invited to take part in the national screening program in which the purpose of this national testing is shared with them. The participants are usually encouraged to
across 24 locations in India and an international hospital in Dhaka. It has more than 2,000 pharmacies, over 100 primary care and diagnostic clinics, 115 telemedicine units across 9 countries. Presently, more than 18,500 doctors, paramedics, nurses, clinical staff and management professionals are engaged with the Apollo group. The group also provides health insurance services, global projects consultancy, 15 academic institutions and a research foundation. Some of Apollo’s
MPC's International Organization MPC was a major supplier of diagnostics systems and disposable medical devices to health care institutions such as hospitals, physician's offices, clinical laboratories, and pharmacies. In 1990 the combined sales of its two product sectors, Disposable and Diagnostics, were slightly over $2 billion (Exhibit 1 provides a summary of financial information). After a decade of rapid growth, MPC's sales
2006 National Institute of Sta nda rds a nd Technolog y Technolog y Administration • De pa rtment of Commerce Baldrige National Quality Prog ra m Arroyo Fresco Community Health Center Case Study 2006 National Institute of Standards and Technology Technology Administration • Department of Commerce Baldrige National Quality Program Arroyo Fresco Community Health Center Case Study The Arroyo Fresco Community Health Center Case Study was prepared for use in the 2006 Malcolm
2006 National Institute of Sta nda rds a nd Technolog y Technolog y Administration • De pa rtment of Commerce Baldrige National Quality Prog ra m Arroyo Fresco Community Health Center Case Study 2006 National Institute of Standards and Technology Technology Administration • Department of Commerce Baldrige National Quality Program Arroyo Fresco Community Health Center Case Study The Arroyo Fresco Community Health Center Case Study was prepared for use in the 2006 Malcolm Baldrige National Quality
(Wyss-Coray et al., 2003). As a source of inflammatory factors in CNS, astrocytes may lead to neurotoxic damage by generating chronic self-sustaining inflammatory reactions (Griffin et al., 1998; Paradisi et al., 2004). However, a recent randomized clinical trial found inhibiting the inflammatory responses with anti-inflammatory drugs failed to improve cognitive function in elderly individuals with a family history of AD (Group et al., 2008), which implies inflammation may not be the only mechanism
ACADEMIC INTEGRITY RESEARCH LIBRARY KNOWLEDGE SKILLS COMMUNICATION EXPECTATIONS CAREER PATH IMPRINT Title Mastering Graduate Studies EDITION 1 CONTRIBUTORS Editor: Alexis DiVincenzo Consulting Editors: Mark Alexander, Nicole Quow-Thomason Art Direction Senior Art Director: Miranda Hildebrand Art Development and Design: Jo DeSnyder-Rolfe Permissions contact Grand Canyon University 3300 W Camelback Rd Phoenix, AZ 85017 602.639.7500 Copyright Information Grand Canyon University. All
Scott, Financial Accounting Theory, 6th Edition Instructor’s Manual Chapter 2 Suggested Solutions to Questions and Problems 1. P.V. Ltd. Income Statement for Year 2 Accretion of discount (10% × 286.36) $28.64 P.V. Ltd. Balance Sheet As at Time 2 Financial Asset Cash Shareholders’ Equity $315.00 Opening balance Net income $286.36 28.64 Capital Asset Present value 0.00 $315.00 $315.00 Note that cash includes interest at 10% on opening cash balance of $150