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The patient states, "I have gas after I eat spicy foods." The patient complains of what ? after eating spicy foods
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- Case r/t Thorax and Lungs examination Adela, a market vendor, visits the clinic with a chief complaint of body malaise. She tells the physician, "I just don't feel good." Her vital signs are the following: T 39°C; respirations 25 and shallow; HR 100 bpm; BP 126/87. Past history indicates that she has been a pack-a-day smoker for 20 years. During the patient interview, she states that she has a family history is COPD and her father had lung cancer. Adela is being evaluated for COPD B. Develop a teaching plan for herCase r/t Thorax and Lungs examination Adela, a market vendor, visits the clinic with a chief complaint of body malaise. She tells the physician, "I just don't feel good." Her vital signs are the following: T 39°C; respirations 25 and shallow; HR 100 bpm; BP 126/87. Past history indicates that she has been a pack-a-day smoker for 20 years. During the patient interview, she states that she has a family history is COPD and her father had lung cancer. what would be important when considering further assessment on this patient ?S.R. is a 65- year-old woman who presents to the emergency department complaining of shortness of breath, productive cough, and swelling in both legs. The patient has a past medical history of congestive heart failure (CHF), hypertension, and diabetes. Vital signs are T 97.5, P 85, R 16, and BP 160/90. Physical exam reveals +2 edema bilateral lower extremities, heart rate and rhythm regular, and lungs with rhonchi in the bases. The patient is started on a nebulizer treatment, and an electrocardiogram has been ordered. The nurse is assessing the patient’s pulses. Which locations should the nurse check? What is the most likely cause of this patient’s shortness of breath, productive cough, and swelling in both legs
- S.R. is a 65- year-old woman who presents to the emergency department complaining of shortness of breath, productive cough, and swelling in both legs. The patient has a past medical history of congestive heart failure (CHF), hypertension, and diabetes. Vital signs are T 97.5, P 85, R 16, and BP 160/90. Physical exam reveals +2 edema bilateral lower extremities, heart rate and rhythm regular, and lungs with rhonchi in the bases. The patient is started on a nebulizer treatment, and an electrocardiogram has been ordered. What subjective information should the nurse obtain? The nurse is assessing the patient’s pulses. Which locations should the nurse check? What is the most likely cause of this patient’s shortness of breath, productive cough, and swelling in both legsMr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time, he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years but quit 3 years ago. The ABG analysis of Mr. H suggests uncompensated respiratory alkalosis with mild hypoxemia, with base excess of -1 in her arterial side, whereas -4 in her venous side. Part 1: Her actual arterial-venous oxygen content difference (Ca-vO2) is 5.31 mL/dL. (Normal range considered here is 3.5 to 5 mL/dL) Part 2: Patient's actual oxygen extraction ratio (O2ER) was 29%. (Say normal range is 20-28%) What is clinically happening to the patient?EXAMPLE TERM ΜΑIN ΕNTRY MEANING Hyperglycemia hy-per-gly-ce-mia excess of sugar in the blood Chapter 11 – Cardiovascular System Chapter 12 – Respiratory System TERM Main Entry (Noun-English) Meaning (Definition) systole pericardium phlebitis aneurysm cyanosis endarterecto diastole bronchus mediastinum laryngectomy hypoxemia dyspnea insomnia atelectasis apnea
- The patient says, I take a nitro tab and place it under my tongue when I have severe chest pain." You write: The patient states that he takes nitroglycerin medication for chest pain. A/What is a pneumothorax? Provide a brief definition, no more than one paragraph.Mr. Johnson is a 70-year-old male complaining of shortness of breath for the past three weeks. Mr. Johnson is complaining that he has chest pain, and this pain increases when he coughs. He also reports thick green/yellow sputum for the past week. His current weight was stable at 100 kg from his previous visit six months ago. He admits to occasionally smoking cigarettes. Mr. Johnson’s assessment is as follows: Inspection upper respiratory system: Nasal and mouth mucosa is pink; no bleeding, masses, or deformities are noted in the upper respiratory system. Inspection lower respiratory system: The client has a respiratory rate of 20 with even and unlabored respirations. During the history, the client is speaking freely and does not report any shortness of breath while talking. The client has skin appropriate for his ethnic background, with no skin integrity issues noted during the inspection. Palpation: No masses, deformities, or crepitus are noted. Trachea is midline and nontender. The…
