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Madam Cath comes to the clinic with her 6-month-old baby who has had diarrhea for the last
three days. It was a watery diarrhea several times per day, without blood or mucus. “He cried a
lot, hardly drank milk anymore, I thought he had stomach cramps”, Madam Cath reports. He lost
1 kg weight (from 7 to 6 kg).
His vital signs show temperature of 39.4 °C, respiration and apex beat is normal. ORS was
prescribed.
(a) Identify TWO actual nursing diagnoses and TWO potential nursing diagnoses for the baby
by using PES format.
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- Madam Cath comes to the clinic with her 6-month-old baby who has had diarrhea for the lastthree days. It was a watery diarrhea several times per day, without blood or mucus. “He cried alot, hardly drank milk anymore, I thought he had stomach cramps”, Madam Cath reports. He lost1 kg weight (from 7 to 6 kg).His vital signs show temperature of 39.4 °C, respiration and apex beat is normal. ORS was prescribed. b) Discuss the nursing interventions for ONE actual nursing diagnosis and ONE potentialnursing diagnosis of the baby that you have identified.A 7 years old Italian-born female fell, unconscious, but recovered quickly. This was followed by a week of vomiting. One month later she developed headaches, intermittent drowsiness, and convulsions. She presented to an Emergency Room, where physical examination showed neck stiffness, hyperactive knee jerks, a positive Kernig sign and a Babinski reflex. The patient went into a deep coma with occasional involuntary motions. She died two days later. At autopsy, a 250 gram, 5 by 10 cm white-walled cyst (arrow) bulged out of the cerebrum... a. Define Kernig sign b. Define Babinsky reflex c. In what organs are these cysts usually found? d. How was the infection acquired?Write a one-sentence answer to each question. (a) Why does liver damage cause jaundice? (b) Why do individuals with congenital erythropoietic porphyria become anemic? (c) Why does a genetic deficiency of 5,10-methylenetetrahydrofolate reductase cause homocystinuria?
- Brian goes to the hospital after not feeling well for a week. He has a fever of 38 °C (100.4 degrees * F) and complains of nausea and a constant migraine. Distinguish between the signs and symptoms of disease in Brian's case.Filipina’s 3-year-old daughter, Manila, was brought to a clinic. The doctor diagnosed Manila with a severe dry cough. A mucolytic solution was prescribed and to be administered for seven days. The prescription states, “Mucolytic, XYZ Brand, 60 ml, dosage-1 teaspoon 1 hour before a meal, 3x a day”. Now, Filipina is skeptical of the dosage mentioned in the prescription regarding the proper amount of medicine to be administered to her daughter. If you are Filipina, how are you going to approach the case to make sure that your daughter will not have an overdose or underdose of the medicine prescribed? Apply the principle of accuracy and precision in the problem.Previously healthy 20 year old man, develop shortness of breath and a productive cough after two hours at the summit of a 15,000 foot mountain. He is afebrile. Crackles are heard at both lung bases. Which of the following is the most likely cause of these filings? A) left ventricular failure B) pulmonary hypertension C) right ventricular failure D) sympathetic, nervous system activation E) viral pneumonitis
- Male, 30 years old, who was admitted to the emergency room with abdominal pain for 4 hours The patient felt upper abdominal discomfort after drinking and overeating 5 hours ago, and felt sudden acute pain under xiphoid process 4 hours ago, accompanied by nausea and vomiting of stomach contents for several times, abdominal pain spread to the right middle and lower abdomen 3 hours ago. The patient refused to press the abdomen because of pain, fidgeting坐立不安, cold sweat. PE: flat abdomen, extensive muscle tension, obvious tenderness under xiphoid process, right middle and lower abdomen, most prominent under xiphoid process, bowel sounds occasionally heard. For further diagnosis and treatment, she was admitted to the emergency department. Intermittent epigastric pain for 8 years, apparent hunger, without systematic diagnosis and treatment. PE: T37.6℃, P104 times/min, R24 times/min, BP90/60mmhg. Acute painful appearance, irritability, no obvious changes in cardiopulmonary examination, flat…Jeanette is a 46-year-old woman who has visited her general practitioner (GP) today, brought in by her husband, Steve, with a 5-day history of nausea, mild abdominal pain and constipation. She decided to see the doctor today, as the pain and nausea were much worse when she woke up this morning and she has vomited twice in the past 3 hours. She also reports her abdomen feels distended and bloated. Jeanette says she had tried to drink more water and eat more fruit and was having bran for breakfast for the past 3 days, as she initially thought she was simply constipated. With the increased generalized abdominal pain and vomiting this morning, she thought she should get a medical opinion. Jeanette has a past medical history of hypercholesterolemia, hypertension, atrial fibrillation and type 2 diabetes mellitus (T2DM) and her BMI is 32 kg/m2. She experienced appendicitis 6 months ago,for which she had an appendectomy. Her current medications are simvastatin, warfarin, and metformin. The GP…A 62 year old man was "found down" in his home by a family member earlier this AM. Per the paramedics bring him into the ER, family members state that he's a diabetic and a chronic alcoholic. Additionally, he'd been having bouts of fairly severe diarrhea for about 3 days prior to admission. On presentation to the ER, the gentlemen is nonresponsive and slightly blue. The paramedics tried to intubate but were unsuccessful, so they have been "bagging" him as best as they could en route. Labs taken upon entrance to the ER: ABG: 7.1/49/120/14 135 | 100 | 54 / 265 6 | 14 | 2.4 \ What do you think, by history and by labs and presentation, do you think is happening, at least in reference to his ACID/BASE STATUS; additionally, you may want to think about what underlying processes may be contributing to his overall condition.
- A 27-year-old male of Mediterranean descent presented to his GP complaining of fatigue and some discomfort and pain in his abdomen. During the examination, the GP noted some mild splenomegaly and tenderness. On closer examination, some scleral icterus was noted. Subsequent lab results showed marginally elevated lactate dehydrogenase (LDH) and bilirubin, and a slight decrease in haemoglobin. Describe the likely clinical scenario for this patient.A mother takes her 15-month-old son to the pediatrician for the sixth time since his first birthday for continued cough and wheezing. The mother explains that her child consistently has a runny nose and cough, pulls at his ears, and occasionally wheezes. She is tired and frustrated after months of sleepless nights and multiple visits to the doctor for the same symptoms. Her son is underweight, according to the growth charts. The pediatrician believes that the child suffers from an exaggerated response against environmental antigens or allergies. Hypersensitivity reactions that include allergies are classified by the tYpe of the reaction. Allergies are typically classified as: 1. Type I or IgE-mediated 2. Type Il or tissue-specific 3. Type IIl or immune complex-mediated 4. Type IV or cell-mediatedAs you read on, you note that Vincent was hospitalized again at age 49 with dull pain in the right, upper quadrant of the abdomen, intermittent fever of 3 weeks duration, and a yellowing of the skin and the whites of the eyes. A diagnosis of "alcohol-induced hepatitis" is listed in the chart. 4. Why are Vincent's skin and eyes tinged yellow? What is this condition called?
