Jonelle, 60-year-old man is brought to the ER complaining of acute chest pain. He was mowing his lawn when he suddenly felt ill. He went indoors to tell his wife, and she called 911. The patient is breathing rapidly while breathing supplemental oxygen through a nasal cannula. Questions: 1. What other symptoms should the interviewer ask the patient about? Why?2. What clinical problems may explain the chest pain?
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- Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing. Burns 30% TBSA – Face, hands, bilateral lower limbs. Complaints of severe pain and burning 10/10. Past Medical History: Hypertension, Type II DM Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID. Airway. - Patent, superficial burns to right side of face Breathing. - Spontaneous, RR-22mt, SPO2-92% RA, air-entry equal Circulation- Lower limb odema, cap refill 3 seconds, bilateral dorsal pedis pulses weak. BP- 88/50 mmHg, HR- 127/mt, sinus tachycardia, Disability - GCS-15 E4V5M6, PEARL- 3mm, Exposure - Temperature 35.9 deg Celsius. Full thickness burns to right lower limb and right arm, partial thickness burns to left lower limb, bilateral hands.…A 58-years man with acute chest pain, dyspnea, diaphoresis, and fear of death just brought to the Emergency Department. You, as a nurse, are responsible for his care. In ECG, there is ST elevation in Anterior leads and PVCs. Answer the following questions… 7.a- what is the medical diagnosis of the patient? 7.b- what is the best drug for controlling chest pain of the patient? 7.c- while transferring to the hospital by Ambulance, which drug may improve his prognosis noticeably? 7.d- After controlling of acute chest pain, which drug (s) may help to relieve chest pain in the long run?The nurse is caring for a patient admitted with pancytopenia with complaints of dyspnea upon exertion. This symptom would be most directly related to which condition? 1. Pain 2. Thrombocytopenia 3. Anemia 4. Neutropenia
- The patient states, "I have gas after I eat spicy foods." The patient complains of what ? after eating spicy foodsBen, 59 is an employee who works in a post office. He is 5ft. Tall and weighs 150 pounds. His vital signs are the following : T 36.3°C; HR 94;BP 135/85; pain level 0. At the clinic, he presents himself with a major complaint of "just not feeling well" Dusting ascultation, you hear a heart murmur. How would you identify Ben's heart murmur?Mr. 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?
- Liza Perez, 25-years-old, presents to the health clinic complaining of a "sinus headache." She states that there is a "feeling of heaviness" behind her nose and eyes. Minimal clear nasal discharge is also noted. The following questions will assist the nursing student in the assessment of this client suspected for sinusitis. 1. How do you check for nasal patency? 2. Describe the methods Of transilluminating the frontal and maxillary sinuses 3. What are common or usual findings in transillumination tests of the frontal and maxillary sinuses?Using the following word parts, build or complete medical terms from the definitions below: hem/o hyper- tachy- py/o -ptysis a- -osmia -sphyxia an- -pnea -thorax dys- 1. Increase in depth of breathing: 2. Excessive or rapid breathing: 3. Blood in the chest (pleural space): hemo 4. Not breathing: 5. Pus in the chest (pleural space): __empy 6. Spitting up blood: 7. Abnormal breathing (shortness of breath): 8. No sense of smell: 9. Lack of pulse: струетаCase 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 her
- A 54-year-old male patient arrives in the emergency department complaining of severe chest pain that radiates to his mid-back along with dyspnea. He is morbidly obese, has smoked two packs of cigarettes a day for the past 20 years, and has two immediate family members who have died of heart disease. 1. Will surgical intervention be necessary, and if so, what procedure? 2. What does the ED physician suspect is causing the patient’s symptoms? 3. What tests should the ED physician order? 4. What procedure is typically attempted before surgery, where is that procedure performed, and by what type of physician specialist?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. what would be important when considering further assessment on this patient ?Pathophysiology Ron Strauss has smoked for many years and has developed chronic bronchitis. He also has a history of pulmonary hypertension and secondary polycythemia vera. His arterial blood gas (ABG) reveals respiratory acidosis with a PaO2, at 50 mm Hg and a PaCO2, at 60 mm Hg; At this clinic visit, it is noted on his chest x-ray, RS has an enlarged heart and diaphragm flattening. Why has RS developed secondary polycythemia vera?