Kngwarreye is a 60 yr old Anmatyerre woman from Urpuntia in Central Australia. She has been referred and admitted to hospital for exacerbation of her COPD. She is currently receiving increased regular salbutamol, oral steroids in addition to her regular medications and intensive respiratory physiotherapy rehabilitation before returning to her community in the next week.  Hx COPD, cor pulmonale  It is 0800 and you attend to undertake her observations. She looks at you vaguely and asks where she is. However, after a moment she seems fine. She seems a bit agitated and says she doesn’t want breakfast because she feels like she needs to vomit.   P: Provoking Factors: coughing and taking a deep breath Palliative Factors: Nothing makes me feel better Q: aching R: Everywhere S: “not too severe, I just don’t feel right”. T: “I woke up during the night feeling hot all over”.     BP: 104/68 mmHg • HR: 112bpm • RR: 26 bpm • Temp: 38.1°C • Sp02: 87% on RA     Cardiac Assessment findings  Pulse – Regular, rapid and palpable  JVP - not visible  Peripheries are warm  Pale  CXR - Nil evidence of enlarged cardiac shadow or lung changes pre- operatively.  ECG – Sinus Tachycardia     Respiratory Assessment • Dyspnoeic • Increased Work of breathing • Generalised Bilateral crackles • Decreased lung sounds L side • Chest Xray – Extensive L sided chest consolidation all fields. Neurological assessment • LOC: A&O x3 • PERRLA • Motor and sensory function intact GCS: 15- but slow to respond BGL: 4.1 mmol/L UA: negative   Her fluid intake is 700 ml since last 7 hours out of which 700 ml completed and commenced another 1000ml commenced at 7am in morning urine out put is 180 ml in last 7 hours Question: Relate and infer

ngarla Kngwarreye is a 60 yr old Anmatyerre woman from Urpuntia inCentral Australia. She has been referred and admitted to hospital forexacerbation of her COPD. She is currently receiving increased regularsalbutamol, oral steroids in addition to her regular medications andintensive respiratory physiotherapy rehabilitation before returning to hercommunity in the next week. Hx COPD, cor pulmonale It is 0800 and you attend to undertake her observations. She looks atyou vaguely and asks where she is. However, after a moment sheseems fine. She seems a bit agitated and says she doesn’t wantbreakfast because she feels like she needs to vomit.   P: Provoking Factors: coughing and taking a deep breathPalliative Factors: Nothing makes me feel betterQ: achingR: EverywhereS: “not too severe, I just don’tfeel right”.T: “I woke up during the nightfeeling hot all over”.     BP: 104/68 mmHg• HR: 112bpm• RR: 26 bpm• Temp: 38.1°C• Sp02: 87% on RA     CardiacAssessmentfindings Pulse –…

ngarla Kngwarreye is a 60 yr old Anmatyerre woman from Urpuntia inCentral Australia. She has been referred and admitted to hospital forexacerbation of her COPD. She is currently receiving increased regularsalbutamol, oral steroids in addition to her regular medications andintensive respiratory physiotherapy rehabilitation before returning to hercommunity in the next week. Hx COPD, cor pulmonale It is 0800 and you attend to undertake her observations. She looks atyou vaguely and asks where she is. However, after a moment sheseems fine. She seems a bit agitated and says she doesn’t wantbreakfast because she feels like she needs to vomit.   P: Provoking Factors: coughing and taking a deep breathPalliative Factors: Nothing makes me feel betterQ: achingR: EverywhereS: “not too severe, I just don’tfeel right”.T: “I woke up during the nightfeeling hot all over”.     BP: 104/68 mmHg• HR: 112bpm• RR: 26 bpm• Temp: 38.1°C• Sp02: 87% on RA     CardiacAssessmentfindings Pulse –…

Ngarla Kngwarreye is a 60 yr old Anmatyerre woman from Urpuntia inCentral Australia. She has been referred and admitted to hospital forexacerbation of her COPD. She is currently receiving increased regularsalbutamol, oral steroids in addition to her regular medications andintensive respiratory physiotherapy rehabilitation before returning to hercommunity in the next week. Hx COPD, cor pulmonale It is 0800 and you attend to undertake her observations. She looks atyou vaguely and asks where she is. However, after a moment sheseems fine. She seems a bit agitated and says she doesn’t wantbreakfast because she feels like she needs to vomit.   P: Provoking Factors: coughing and taking a deep breathPalliative Factors: Nothing makes me feel betterQ: achingR: EverywhereS: “not too severe, I just don’tfeel right”.T: “I woke up during the nightfeeling hot all over”.     BP: 104/68 mmHg• HR: 112bpm• RR: 26 bpm• Temp: 38.1°C• Sp02: 87% on RA     CardiacAssessmentfindings Pulse –…

ngarla Kngwarreye is a 60 yr old Anmatyerre woman from Urpuntia inCentral Australia. She has been referred and admitted to hospital forexacerbation of her COPD. She is currently receiving increased regularsalbutamol, oral steroids in addition to her regular medications andintensive respiratory physiotherapy rehabilitation before returning to hercommunity in the next week. Hx COPD, cor pulmonale It is 0800 and you attend to undertake her observations. She looks atyou vaguely and asks where she is. However, after a moment sheseems fine. She seems a bit agitated and says she doesn’t wantbreakfast because she feels like she needs to vomit.   P: Provoking Factors: coughing and taking a deep breathPalliative Factors: Nothing makes me feel betterQ: achingR: EverywhereS: “not too severe, I just don’tfeel right”.T: “I woke up during the nightfeeling hot all over”.     BP: 104/68 mmHg• HR: 112bpm• RR: 26 bpm• Temp: 38.1°C• Sp02: 87% on RA     CardiacAssessmentfindings Pulse –…

Which of the following lifestyle changes is NOT typically recommended to patient’s with GERD?   Avoid eating several hours before sleeping   Avoid spicy and acidic foods   Weight loss   Monitor blood glucose levels

◄ Mail AA 12:05 s-pdx-prod.inscloudgate.net Case Study Shock and Multiple Organ Dysfunction Syndrome 1. A S, is a 77-year-old male patient admitted from a nursing home to the intensive care unit with septic shock secondary to urosepsis. 2. Patient has Foley catheter in place with cloudy greenish, yellow-colored urine with sediments. The nurse removes the catheter after obtaining a urine culture and replaces it with a condom catheter attached to a drainage bag since the patient has a history of urinary and bowel incontinence. 3. The patient is confused, afebrile, and hypotensive. BP 82/44 mm Hg. RR 28 breaths/min and the pulse oximeter reading is at 88% room air. Physician ordered 2 to 4 L of oxygen per nasal cannula titrated to keep SaO2 greater than 90%. The patient responded to 2 L of oxygen per nasal cannula with a SaO2 of 92%. 4. The patient developed diarrhea. His blood glucose level is elevated at 160 mg/dL. The white blood count is 15,000 and the C-reactive protein, a marker for…

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AaBBCcl AaBbCc AaBbCcl Editing Body Text Heading 7 1 No Spac.. Dictate Sensitivity Paragraph Styles Voice Sensitivit Homework A 14-year-old girl with cystic fibrosis has complained of an increased cough productive of green sputum over the last week. She also complained of being increasingly short of breath, and she is noticeably wheezing on physical examination. Arterial blood was drawn and sampled, revealing the following values: 7.30 pH PCO2 pO2 50 mm Hg 55 mm Hg 45 % Hemoglobin - O2 saturation [HCO3] 24 meg / liter Answer the following Questions: 1 10/hot oucor cuctic fihrosis? Describe the nathonhysiologic mechanisms of the disease. lili

A 48 year old female is admitted with the diagnosis of pancreatitis. She is complaining of nausea, vomiting and severe muscle weakness. The electrocardiogram shows frequent premature ventricular contractions.  Her symptoms are most likely due to