Background: Mr. A is a 65-year-old male admitted on 3/7 for pacemaker revision and video-assisted thoracic surgery (VATS) epicardial lead placement. He is currently post op day 6. Mr. A has a history of viral cardiomyopathy which was diagnosed 3/2016. His ejection fraction is estimated to be 30%. Following the removal of a cardiac resynchronization therapy (CRT) device in 11/2017‚ Mr. A was required to wear a LifeVest. In the past‚ Mr. A has undergone three implantable cardioverter defibrillator
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Secondary to Uremic Encephalopathy‚ Hypertensive Nephrosclerosis vs. Gouty Neuropathy Attending Physician: Dr. Valdez‚ Dr. Manzon‚ Dr. Ocampo‚ Dr. Concepcion I. CHIEF COMPLAINT - General body weakness - Drowsiness - Pain on knees II. NURSING HISTORY The patient‚ MNM‚ has hypertension for 21 years‚ he’s not taking any medications until year 2008 when he was prescribed Nifedipine and Carvedilol. He also has gouty attacks for 14 years now and he is taking Allopurinol. Four days PTC
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causes various kinds of metabolic problems. The response to low levels of cortisol is increased production of corticotropin (ACTH). Lack of mineralocorticoids‚ primarily aldosterone (steroid hormone)‚ causes sodium and water imbalance which‚ in some cases‚ can be fatal. The various forms of CAH represent defects in the different stages of corticosteroid synthesis‚ usually hydroxylation reactions at certain positions on the original CAH is a family of inherited disorders affecting the adrenal glands
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Predictors of Aspiration Pneumonia: How Important is Dysphagia? The article “Predictors of Aspiration Pneumonia: How Important is Dysphagia?” describes a study conducted to compare the risks of factors in multiple different categories that could potentially lead to aspiration pneumonia. Aspiration pneumonia is a prevalent issue in the elderly generation. Figuring out the risk factors that can cause aspiration pneumonia will enlighten health care providers with what precautions to take in order
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DOI: 2/2/2016. Patient is a 59-year-old female certified nursing assistant who sustained injury to her low back and right knee while transferring a patient. Per OMNI entry‚ she was initially diagnosed with right knee contusion/strain and lumbar sprain. She is status post right knee arthroscopic medial meniscectomy‚ medial condyle abrasion arthroplasty major synovectomy/3 compartments and lateral release on 07/31/16. Per the PT note dated 10/17/16‚ patient is doing well with the exercises. However
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From the ward you are practicing in choose an operation that was done to patient for whom you have given nursing care. From your experience describe the indications and purpose for this operation and the salient post-operative nursing care. Arthritis is one of the leading causes of femoral fractures especially in the elderly. It may also be caused by trauma or injury‚ starting from simple falls to more extensive such as a fall from height. Indeed‚ a femoral fracture affects hip movement as it
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C. Ties to the audience: Weight issues are something that most people deal with at one point in their life‚ be it the fifteen years of age‚ freshmen in college‚ or that tire around your waist that hits in middle age. Although these are minor cases others deal with more severe issues and I would like to inform you on one of the new procedures for weight loss‚ the lap band surgery. D. Thesis: Obesity is a very serious problem in today’s society. The lap band is an inflatable silicone device
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Pneumonia is a lower respiratory problem. It is an acute inflammation of the lung‚ caused by viral‚ chemical‚ bacterial‚ fungal agents. Usually happens in people with compromised immune systems‚ or people who have compromise to the structures that protect the airway (i.e. the nares dry up and can’t humdify air anymore‚ bronchioles shrivel and can’t filter the air) If anything occurs with the mucocilliary system‚ the epiglottis‚ or the nares‚ we are inviting pneumonia into our bodies. Aging also causes
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What is pneumonia? Pneumonia is a lung infection that can make you very sick. You may cough‚ run a fever‚ and have a hard time breathing. For most people‚ pneumonia can be treated at home. It often clears up in two to three weeks‚ but older adults‚ babies‚ and people with other diseases can become very ill. They may need to be in the hospital. You can get pneumonia in your daily life‚ such as at school or work. This is called community-associated pneumonia. You can also get it when you are in a
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Pneumonia refers to a serious type of lung infection. It’s often a complication of the common cold or flu that happens when the infection spreads to the lungs. Pneumonia during pregnancy is called maternal pneumonia. Pneumonia is considered a serious and potentially fatal illness for anyone. Certain groups are at a higher risk of complications. This includes pregnant women. The best way to treat and prevent complications from maternal pneumonia is to see your doctor at the first sign of an illness
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