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A blood clot forms in a deep vein, most frequently in the legs or pelvis, in a condition known as deep vein thrombosis (DVT). In rare cases, DVTs develop in the arms. The affected area may experience discomfort, edoema, redness, and swollen veins as symptoms, while other DVTs are asymptomatic. The possibility that a clot will embolize (detach from the veins), move as an embolus through the right side of the heart, and lodge in a pulmonary artery that delivers blood to the lungs is the most frequent life-threatening risk with DVT. A pulmonary embolism is what this is (PE). The cardiovascular condition known as venous thromboembolism includes DVT and PE (VTE).
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- Use the information provided to fill out the table ( Anesthesia surgery log ) 1- They will use the information from the attached case https://www.clinvetpeqanim.com/index.php?pag=articulo&art=230 2- HR data = 100 -110-120-100-127-122-127-127-120-110-120-127. 3- RR data = 14-14-12-8-12-14-18-18-18-12-14-18. 4- temperature data = 100-101-99-99. 5-Choose the start and end time of anesthesia 6- Set the start and end time of surgery. 7- Choose time for intubation and extubation. 8- Set the oxygenation data must be between 97% 98-99-100-100-96-97-97-99-95-100-100% in a period of one hour. 9- EtCO2 = 35-38-30-22-40-32-35-38-45-45-40-45 10- sitstolica :97, 117, 110, 121, 120, 120, 106, 120, 132, 154, 120, 110 11-diastolic :69, 77, 50, 75, 70, 80, 71, 80, 87, 93, 80, 80 12-MAP :79-97-89-89 -87 -92-87-93-96- 96-92-87Mr. KB is a 56-year-old patient with 3 years history of diabetes mellitus. He is currently receiving glibenclamide. His BP during the present visit is 130/85 mm Hg and PR is 82 bpm. Clinician is planning of starting low dose aspirin in the patient. Junior specialist in Department of Medicine would like to know regarding the latest recommendation on the use of aspirin in patients with Diabetes Mellitus? Whether Mr. KB requires low dose aspirin?Please code the E/M code and any other procedures for the following case from your CPT coding book and add modifier if applicable: Location: Family medical center Encounter Date: 9/7/xx Provider: Snow Valley, MD Patient: Heather Williams Gender: F Age: 43-year-old established patient Chief Complaint: Rash, diabetes, HTN and shortness of breath after taking amoxicillin. Patient was placed in observation after an allergic reaction to the antibiotic. The amoxicillin was discontinued. Has severe dermatitis covering arms, stomach and legs. Patient was admitted to observation for further treatment and supervision. Later in the day the dermattis began fading and breathing became normal. Patient was discharged on the same date. Physician performed a detailed exam and a detailed history, and medical decision making was moderate. Diagnosis: Localized dermatitis and shortness of breath due to amoxicillin.
- Mr. Cardia has been admitted to your ward and care is assigned to you. Information from the history you have taken includes reporting 4 days of anorexia, nausea, vomiting, and occasional diarrhoea before he sought medical attention. His wife says he'd started falling asleep frequently, looked pale, and mentioned seeing yellow spots. Current medications: 0.25 mg of digoxin once a day and 20 mg of frusemide twice a day for heart failure. Vital signs: BP 110/60 P 46 RR 26 T 36.5 What may the signs and symptoms indicate? (two words)Discuss a "friendlier way" to present this content to alert people of the risks of hypertension. Summarize your ideas. Review CDC facts regarding hypertension: https://www.cdc.gov/bloodpressure/facts.htmDiscuss, using the text, how you believe this case should be decided. Remember to reference specific ethical principles from the text: "A 13 year old girl, suffering from toxic shock syndrome, is sent directly from school to a local emergency room. Treatment is ordered, including fever-reducing medication and a strong course of intravenous antibiotics. The parents arrive just as the medication and equipment arrive in the emergency room. They announce they are Christian Scientists and wish to take their daughter home." The clinical approach to this case requires the application of the procedure by which medical indications, patient preferences, projected quality of life and contextual features be applied. How would you decide it given our readings so far?
- Miss Josepovic (80 year old) was admitted yesterday following a fall at home. She did not sustain any serious injury but has been kept in for monitoring, medication review and further investigations. Her past medical history is:, Congestive Heart Failure (CHF), mild renal impairment, hypertension, type 2 diabetes. Since admission she has been diagnosed with Atrial Fibrillation (AF) Her medications are: Enalapril 10mg daily, Metformin 1g BD, Paracetamol 1g prn (max dose 4g in 24hors). She has commenced Dabigatran 150mg BD, Metoprolol 50mg BD. Outline the mechanism of action of Dabigatran and Metoprolol and explain the rationale for commencing Miss Josepovic on these drugs.Case #2 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. Blood Gas Arterial Venous pH 7.51 7.40 PaCO2 30 mmHg 45 mmHg PaO2 60 mmHg 30 mmHg HCO3 24 mEq/l 21 mEq/l BE - 1 - 4 SaO2 90 % 60 % Hb 15 g/dl 15 g/dl Interpret his ABGUsing 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: струета
- Based on this information and patient history you have concerns of alcohol use disorder and recommend a liver biopsy. At this time Ella is also referred to cardiology for an EKG and cardiac evaluation. A liver biopsy is performed and the following pathology is illustrated below. Pathology report: Alcohol-related steatosis consistent with small- and large-droplet fat. Fat accumulation is most prominent near the central vein (asterisk) and extends outward toward the portal tract with increasing severity. In this case, the fat extends into acinus zone 2 or the midzone of the hepatic lobule. This diagnosis is discussed with Ella and she wants to schedule a follow up to discuss her alcohol use, life-style modifications and counseling. Describe how alcohol consumption contributes to the pathology presented in the image above. Be sure to address the key terms listed below as part of your discussion; you may address additional etiologies as well. Acetoacetate…Respond to the questions below use between 4-6 sentences in a paragraph form and grammar error free format. The cardiology department of Smithville Community Hospital wants to expand the cardiovascular lab to include additional procedure rooms and equipment. Several cardiologists have mentioned that there seems to be an increase in the number of patients and number of cardiac procedures performed. The hospital CIO was asked to evaluate the request and provide an initial report to the Board of Directors. The CIO worked with the VP of clinical operations to write the report. Using the physician and procedure indices within EHR, the CIO and VP completed a 10-year historical analysis of all cardiac patients and procedures. They identified inpatient and outpatient procedures, documented the number of outpatients who were also cardiac inpatients at some point, and reviewed wait times for scheduling of procedures. Four years of historical data was available in the current EHR for wait-time…The Admitting Diagnosis was Pre-eclampsia with superimposed chronic hypertension, and the final diagnosis was Pre-eclampsia with severe features. Monitoring of V/S and FHT q 4hrs was ordered and done. At 9:45 pm, delivered to a baby boy with AS of 8, 9. Several hours after delivery, the mother was ordered to undergo laboratory tests. The findings are normal results in CBC with typing, platelet count, and creatinine. Non-reactive HBsAg and high levels of BUN and oliguria in urinalysis. Upon checking the mother, she exhibited edema around her hands, has severe dehydration, decreased urine output, and her uterus is still boggy. The V/S of the mother is BP: 140/90 mmHg, T: 37.0ºC, RR: 15 breaths/min, PR: 65 beats/min, and the mother verbalize pain and discomfort. Monitor V/S every 2 hours and record. what are the possible nursing diagnosis based on this situation?
