Dialogue #1
\nAnalysis, Symptom and Sickness Administration
\nMSN5600<\/p>\n
Case #1
\n\u2022 M.R. is a 28-year-old female patient in good well being that visits the clinic for the primary time. She not too long ago moved to Florida
\nfrom New York because of work relocation. She admits not visiting her PCP ceaselessly however requires medical clearance for her
\nnew clerical place. She is sexually lively, unprotected, in a monogamous relationship. ROS and bodily examination are
\nunremarkable. What to do? She says she does not see her physician fairly often, however she wants medical clearance for her
\nnew job within the workplace. She is sexually lively, has no safety, and is in a relationship with just one particular person. ROS and the bodily examination are each
\nunremarkable. Learn how to act?
\ncase #1
\n\u2022 Is there a type to fill? sure or not. If sure, what are the necessities?
\n\u2022 Laboratory work-up:
\n\u00d8Routine: CBC w\/ differential; CMP; U\/A
\n\u00d8Titters?
\n\u2022 Is a 12-Lead EKG required?
\n\u2022 Is a CXR vital?
\n\u2022 Would you do HCG?
\n\u2022 What about different suggestions for screening? Which sort of stage of care is this?
\n\u2014>
\ncase #2
\n\u2022 A 58-year-old male patient with historical past of HTN and T2DM presents to the clinic for a common examine up. He denies present
\nsymptomatology and his final examine up was 2 years in the past. Along with a thorough bodily examination. Which laboratory check would
\ncount on to be ordered? (Choose all that apply)
\nqCBC, BMP, U\/A
\nqCBC, CMP, U\/A
\nqLipid profile
\nqCardiac enzymes
\nqHgbA1c
\nqTSH
\nqCXR
\ncase #2
\n\u2022 The patient\u2019s anti-HTN remedy consists of Lisinopril 10 mg PO each day and Amlodipine 5 mg PO each day. Are there any findings
\nbodily or laboratory anticipated from this drugs?
\ncase #2
\n\u2022 You\u2019d have a look at the degrees of Magnesium and Phosphorus for the alternative of Potassium if relevant. Which of the
\nfollowing checks would come with these two electrolytes?
\n\u00d8BMP
\n\u00d8CMP
\n\u00d8Liver profile
\n\u00d8Lipid profile<\/p>\n
\u2014>
\nM.R is a 68-year-old female, who was admitted to the hospital with\u2026
\nM.R is a 68-year-old female, who was admitted to the hospital with loss of appetite and fatigue and was evaluated to rule out gastrointestinal (GI) bleeding. She states that her stools have been darker than they normally are. patient has a medical history of OA, DM, & HTN. She has no known drug allergies (NKDA) and is a full code. patient says she don\u2019t have the energy to do anything anymore. and don\u2019t know what\u2019s wrong with her.<\/p>\n
Vitals on admission:<\/p>\n
Temp: 98.7 degree oral<\/p>\n
HR: 110<\/p>\n
RR: 26, labored<\/p>\n
BP: 106\/52<\/p>\n
SpO2: 91% on room air<\/p>\n
Abnormal blood work:<\/p>\n
RBCs: 3.8 cells\/mm3<\/p>\n
Hgb: 8.6 g\/Dl<\/p>\n
Hct: 34%<\/p>\n
Glucose: 210 mg\/dL<\/p>\n
During the assessment, M.R. says, she is worried about that test tomorrow. I just know they\u2019re going to find cancer. My father died of stomach cancer, and it was horrible!\u201d She denies being in pain but states she is \u201cVery tired\u201d<\/p>\n
The patient states she takes regular aspirin every day. She says, \u201cI saw on TV that it\u2019s suppose to prevent heart attacks.\u201d<\/p>\n
She is schedule for an esophagogastroduodenoscopy (EGD) tomorrow.<\/p>\n
PHYSICIAN ORDERS<\/p>\n
Sliding scale insulin for Humilin R SQ PRN<\/p>\n
Less than 150 mg\/Dl No insulin needed
\n150-200 mg\/dl 4 units
\n200-249 mg\/dl 6 units
\n250-299 mg\/dl 8 units
\n300 mg\/dl or higher Call provider<\/p>\n
IV 1000 mL D5 0.45% normal saline (NS) at 50 mL\/hr<\/p>\n
Midazolam 2.5 mg IV PRN for EGD<\/p>\n
Vital signs q 4 hr<\/p>\n
2 to 4 L O2 via NC; titrate to keep SpO2 >92%<\/p>\n
Clear liquids; NPO after midnight<\/p>\n
EGD in AM<\/p>\n
AC\/HS BG checks<\/p>\n
Bedrest with bathroom privileges<\/p>\n
CBC q AM<\/p>\n
Stools x3 for occult blood<\/p>\n
CASE STUDY QUESTIONS<\/p>\n
Explain the relationship between M.R.\u2019s abnormal lab results and her vital signs. Provide possible explanations for the abnormal results.<\/p>\n
List at least 3 focused assessments for M.R. before her EGD<\/p>\n
What can the RN do to address her fear statement?<\/p>\n
What does the RN need to ask M.R. about her medications?<\/p>\n
What nursing interventions would you perform for M.R. during her hospital stay?<\/p>\n
What patient education does M.R. require currently?
\nThis is a scenario of a patient visiting a clinic for the first time and requiring medical clearance for her new job. The patient is a 28-year-old female in good health, but has not visited her primary care physician regularly. She is sexually active and in a monogamous relationship. The physical examination and review of symptoms are unremarkable.
\n—>
\nWriting Guide:
\nIn this case, the physician would likely fill out a form for medical clearance and order some routine laboratory tests, such as a Complete Blood Count (CBC) with differential, a Comprehensive Metabolic Panel (CMP), and a urine analysis (U\/A). A 12-Lead EKG and CXR are not typically required for this type of visit. A human chorionic gonadotropin (HCG) test may be ordered if the patient is pregnant or has a reason to suspect pregnancy. Additional screening or recommendations may depend on the patient’s individual risk factors and medical history.<\/p>\n
In the second case, a 58-year-old male patient with a history of hypertension (HTN) and type 2 diabetes (T2DM) presents for a general check-up. The physician would likely order laboratory tests such as a CBC, CMP, and U\/A, a lipid profile, and HgbA1c. TSH and CXR may also be ordered. The patient’s medication regimen of Lisinopril and Amlodipine may be expected to have some physical or laboratory findings. The physician would check the levels of magnesium and phosphorus as part of electrolyte replacement if necessary, which would be included in a Basic Metabolic Panel (BMP) or CMP.<\/p>\n
In the third case, a 68-year-old female patient was admitted to the hospital with symptoms of loss of appetite, fatigue, and darker stools, which may indicate gastrointestinal (GI) bleeding. The patient has a history of Osteoarthritis (OA), diabetes, and hypertension. The abnormal blood work shows low red blood cell count, hemoglobin, and hematocrit levels, and high glucose levels. The patient is concerned about the possibility of stomach cancer, as her father died from it. She is schedule for an esophagogastroduodenoscopy (EGD) and the physician orders sliding scale insulin, IV fluids, and medication for sedation during the procedure, as well as monitoring of vital signs and oxygen therapy.<\/p>\n","protected":false},"excerpt":{"rendered":"
Dialogue #1 Analysis, Symptom and Sickness Administration MSN5600 Case #1 \u2022 M.R. is a 28-year-old female patient in good well being that visits the clinic for the primary time. She not too long ago moved to Florida from New York because of work relocation. She admits not visiting her PCP ceaselessly however requires medical clearance […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[548,271,452],"tags":[1084,1085],"class_list":["post-2113","post","type-post","status-publish","format-standard","hentry","category-case-study-help-writers","category-nursing-assignment-help","category-write-my-nursing-assignment-paper","tag-analysis","tag-symptom-and-sickness-administration-msn5600"],"_links":{"self":[{"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/posts\/2113","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/comments?post=2113"}],"version-history":[{"count":0,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/posts\/2113\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/media?parent=2113"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/categories?post=2113"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.colapapers.com\/us\/wp-json\/wp\/v2\/tags?post=2113"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}