Man with the Swollen Kidneys Mr. Newman is a 49 year old male who has hematuria‚ fever and severe flank pain. He also has bilateral lumbar tenderness‚ bilateral renal enlargement‚ liver enlargement‚ ankle and facial edema‚ skin pallor‚ and lung sounds suggest pulmonary edema. His vital signs are as follows: BP 172/100‚ heart rate 92 beats per minute‚ and a temperature of 102.2 F. There have been some labs done. His red blood count is 3.1 million cells‚ white blood count is 22‚000 cells‚ potassium
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activity Denies pain chest Ankles swollen Objective Data Vital signs: T 37‚ P 112‚ R 18‚ BP 110/54 Lungs: bilateral lower lobe crackles O2 sat: 94% Skin: cool to touch CV: heart rate regular‚ positive peripheral pulses ECG: no changes +2 edema bilateral ankles Medications: metoprolol 20 mg per day‚ aspirin 325 mg per day Answer the questions and submit via Dropbox
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to pump blood. This results in a reduction of blood supply to the kidneys‚ which then begin to lose their ability to excrete salt and water. This lessened function of the kidney causes the body to retain more fluid. The fluid build-up then leads to edema or congestion of tissues (Fundukian‚ 2011). Incidence Congestive heart failure is a serious condition with significant morbidity and mortality. In the United States‚ African Americans significantly have a
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is used to treat high blood pressure. She is also on Lasix (furosemide)‚ which is a loop diuretic that prevents ones body from absorbing too much salt‚ by allowing the salt to pass through the urine instead. Lasix is used to treat fluid retention (edema) in people with congestive heart failure and it also treats
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creatinine which is indicative of his acute kidney injury. He will continue with a fluid restriction and his kidney function will be monitored. He will see wound care regarding the wounds on his extremities. As his fluid imbalance improves the edema will decrease and the weeping will
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came to clinic today complaining of DOE that began 6 months ago. Currently he developed edema on his low extremities‚ and he gained 13 lbs recently. His LVEF is less than 20%. His SOB is worsening in last 4 days‚ which he has a difficulty to breathe after 30 feet of walking. According to the ACC/AHA guidelines‚ his hemodynamic subset is class II‚ which he has a warm and wet due to his sign and symptoms of edema‚ ascites‚ and hypertension. Also‚ he is currently NYHA FC IV‚ as he can’t breathe regularly
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exhibited marked pedal edema bilaterally. She is being treated with digitalis‚ furosemide (Lasix)‚ KCl‚ and sublingual nitroglycerin. Discussion Questions 1. Which type of heart failure (left or right sided) is usually associated with dyspnea? What other clinical findings are likely to be present with left-sided heart failure? 2. What compensatory mechanisms are likely to be operative in A.O. to enhance cardiac output? 3. What is the most likely cause of A.O.’s pedal edema? 4. What is the cause
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parasites‚ and the amount is variable. * Moist‚ no scars‚ free from lice and dandruff. | Black‚ smooth and no presence of parasites. Moist‚ no scars‚ no lice and dandruffs. | NormalNormal | Scalp | * Symmetrical‚ no edema‚ no involuntary movements. | Symmetrical‚ no edema‚ no involuntary movements. | Normal | Face | * Symmentrical or evenly placed and inline with each other. | Symmetrical and nonprotruding. | Normal | Eyes | * Non protruding and equal palpebral fissure. | Symmetrical
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I. ANATOMY AND PHYSIOLOGY OF THE HEART I. LOCATION OF THE HEART The heart is located in the chest between the lungs behind the sternum and above the diaphragm. It is surrounded by the pericardium. Its size is about that of a fist‚ and its weight is about 250-300 g. Its center is located about 1.5 cm to the left of the midsagittal plane. Located above the heart are the great vessels: the superior and inferior vena cava‚ the pulmonary artery and vein‚ as well as the aorta. The aortic arch lies
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Nursing Care: Congestive Heart Failure Beverly Baum‚ Chrysten Brown and Christina Bhowanidan Herzing University Nursing Care: Congestive Heart Failure The general population is living longer than ever before. The Federal Interagency on Aging-Related Statistics (2012) states “The number of older people will increase dramatically during 2010-2030 period. The older population in 2030 is projected to be twice as large as their counterparts in 2000‚ growing from 35 million to 72 million and
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