A 48 year old male is admitted to the interventional holding area after having a cardiac cath. The patient received a cardiac stent in the right coronary artery (RCA) and the insertion site was angiosealed. The insertion site is soft, no bruising noted, or active bleeding. Pulses are palpable in bilateral lower extremities. A sandbag in on the site which has to stay for another 1.5 hours per md orders. The patient is complaining of discomfort in the groin area and rate is pain 8 on 1-10 scale. In addition ,the patient and his wife have verbalized they desire (but feel they will not be able to) to manage the new medication regime and post op care and are having difficulty understanding why it is so important to take these new medications and quit smoking since he already has his problem fixed with the stent placement.He states he is going to have problems integrating these new rules into his daily life because he works around people who smoke all the time and does not want these medications to interfere with his life. Write a care plan on this resident
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A 48 year old male is admitted to the interventional holding area after having a cardiac...
1. prepare a care plan with the following information below. The care plan details are as follows: Much of the information is given to you. There is one diagnosis listed and you will need to develop a second diagnosis for this patient. Make sure that you have three references in APA format. If the information is included in the case study (example: Nursing diagnosis, interventions, etc.) you can use them in your care plan.? A 48-year-old male is admitted to...
72 Report 100 HISTORY: Mr. Meyer is a 48-year-old, divorced, white male who was admitted after he was found lying on the floor in his apartment. Evidently, he had taken a fall, and he had some bruises on his face and tongue. Later, during the hospitalization, he developed delirium tremens and required to go on the ventilator. Earlier this week, I also came to see this patient, but at that time, he was given a dose of Haldol, and he...
Case Study 5 An 11-year-old boy was brought to a hospital in California after falling; he had extensive bruising on his left side and lacerations on his elbow and knee. His mother said that he loves the outdoors and they live adjacent to a wooded area. He spent much of his free time exploring the woods and climbing tress. His injury resulted from one of these tree-climbing episodes. The boy has no broken bones. His injuries were treated, he was...
AG is a 54-year-old Caucasian male who was referred to your clinic to establish care after a recent hospitalization after having a seizure related to alcohol withdrawal. He has hypertension and a history of alcohol and cocaine abuse. He is homeless and is currently living at a local homeless shelter. He reports that he is out of his amlodipine 10 mg which he takes for hypertension. He reports he is abstaining from alcohol and cocaine but needs to smoke cigarettes...
Case #1. A 48-year-old woman with a past history of recurrent major depression is admitted to a locked ward during a relapse. On the day of admission, she is placed on nortriptyline 50 mg and risperidone 2 mg at bedtime. Ten days later, the patient reports with great concern that her nipples are leaking. 1. Which class of medications is known to cause this condition? Benzodiazepines Neuroleptics Serotonin reuptake inhibitors Beta blockers 2. What mechanism is responsible for this site...
Charles is a 60-year-old male who was discharged from hospital 3 days ago for an acute flare-up of his chronic condition. It is 8:30 pm and he is calling nurse triage with increased dyspnea and orthopnea. He says he hasn’t done anything different since being discharged but is still feeling very tired all day- “more than usual”. He says his shortness of breath is worse when lying flat, so he slept in his recliner last night. Charles says he has...
Practice Differential Diagnosis Assignment Mr. Eric Parker is a 35 year old African American male, is a regular patient of an urban primary care clinic. His last check up [2 years ago], was normal, including cholesterol of 170 mg/dL. He is married with three school age children and is employed as a division sales representative for a national computer network. In addition, he is an avid runner and fisher man. CC: “My stomach has been aching and burning, off and...
Robert Jones is a 45-year-old male who presents for diabetes He has been struggling with blood sugar control. He travels for his job and eats out most days. He walks or goes to the gym when he can at least once a week. Takes metformin but forgets to take the second dose. A.M. BS 200-300, P.M. BS 300-400. Did not go to diabetic education classes. “I could not fit them in to my busy schedule”. Past medical history: Back surgery...
Brief Patient History: Mr. X is a 64-year-old male admitted to the unit with acute myocardial infarction (AMI) after emergent left (L)- sided heart catheterization/percutaneous coronary intervention (PCI). Past history includes diabetes mellitus type 2, heart failure, hypertension, and osteoarthritis. Home medications include furosemide Lasix), digoxin (Lanoxin), captopril (Capoten), carvedilol (Coreg), Byetta (exenatide), Glucophage (metformin), and Motrin (ibuprofen). Clinical Assessment: Twenty-four hours after admission to the unit, Mr. X is alert; oriented to person, place, and time; and pain free....
Case #1 History of Present Illness: The patient is 42 year old Caucasian male with no prior cardiac history. He presented to the emergency room at Green River Hospital complaining of chest pain. This morning he notices some numbness and pain in his left arm. Later in the day he developed pressure in the chest. This gradually worsened throughout the morning until shortly before lunch when he was rating the pain at 8/10 in severity and decided to go to...