-
- QUESTION
Please read email with this order number for detailed instructions .
Username for Ecampus is Reaves67
Password is Christ7. ( that is a period at the end)This assignment is an ihuman case study . Once you login to the University site , click on classroom tab at top of page in black . Once in classroom scroll down to the course content, then click on the I-human patient access tab . The I-human page will have 3 tabs at the top of page . Click on the assignment tab, it will read current assignments. The 1st case is Ariela Hernandez ,and will look like the example below .The case number is 27312and will appear in front of of Ariela’s name : with a green button to the left of it and a white arrow in the center. Click green button to access. FYI once you click complete on the case study you can not go back an change it . Remember to Create a 350-word summary note explaining how you arrived at AH’s ( ArielaHernandez )problem list this is also part of the assignment.
Provide relevant assessment results (questions and answers).
Cite the lab results that correlate with the assessment findings.Find files attached
| Subject | Nursing | Pages | 2 | Style | APA |
|---|
Answer
Ariela Hernandez Case Study
Ariela Hernandez is a 46-year-old lady who presented to the clinic with an acute onset of dyspnea and near episodes of syncope. She has a positive history of diabetes and arthritis. Currently, Ariela has an 8- pack-year smoking history too. She also has had a cough since she started smoking around 25 years ago. The cough is nonproductive and has timing in the morning.
On physical examination, she is found to have a slight fever, obese, and was also diaphoretic. Her right leg seemed to be edematous and tender. The cardiovascular system was remarkable, with a thready pulse, blood pressure being hypotensive both on siting and standing-98/64, and 88/54, respectively. She also had tachycardia. On respiration examination, tachypnea was present at around 20, and tachypnea was also present. She also had mild hypoxemia. Percussion also pointed out dullness, proving the presence of pleural effusion.
X-ray Tests presented indicated that she had left pleural effusion, with an abnormal ECG. Her BNP- levels also ruled out heart failure. Conclusively, Dimer tests were done and were positive indicators of high F-DPS. A pulmonary angiogram also indicated pulmonary embolism, causing an infarct in the left lung. Her x-rays also showed haziness in the same area, indicating pleural effusion.
For the hypoxemia, admission is immediately required. Oxygen therapy should be issued immediately after admission to prevent acidosis. For the pulmonary embolism, low molecular heparin should be given to ensure that the body doesn’t activate the coagulation system and induce a thrombus (Aday & Beckman, 2019). Smoking should be stopped since it is a major cause of DVT and pulmonary embolism (Demir et al., 2017). This explains why the clot formed in her right calf, and then traveled to her lung, causing the infarction. This later led to reduced lung space, and hence the dyspnea. For the fever, acetaminophen should be issued (Chiumello & Gotti, & Vergani 2017). For Areiels’s hypotension, normal saline should be initiated immediately to increase the preload. Bed rest should be initiated, and heavy tasks should also be stopped in her case. Finally, medications on diabetes (metformin) and arthritis (ibuprofen) should continue.
References
|
Aday, A. W., & Beckman, J. A. (2019). Pulmonary Embolism and Unfractionated Heparin: Time to End the Roller Coaster Ride. Academic Emergency Medicine. Chiumello, D., Gotti, M., & Vergani, G. (2017). Paracetamol in fever in critically ill patients—an update. Journal of critical care, 38, 245-252. Demir, B., Oguzturk, H., Turtay, M. G., Çolak, C., Demir, N. K., & Gürbüz, Ş. (2017). Pulmonary embolism: single and multiple risk factors. Biomedical Research, 28(9), 4213-4218.
Appendix
|
|