Mr. Gregg is a 65-year-old African-American male who was admitted with complaints of increased fatigue, shortness of breath, and headache. He states that he retired 9 months ago after 45 years as a construction worker. He now leads a sedentary lifestyle, and doesn't have as much energy as he used to have. He has gained 50 pounds since retirement. Upon assessment, Mr. Gregg weighs 255 pounds and is 5' 11" tall. Vital signs are temperature 98.8°F, pulse 88 beats per minute, respirations 20 breaths per minute, and blood pressure 150/90. Assessment findings are documented in the patient's record and reported to the physician. The following laboratory studies are ordered to determine the diagnosis of HHS. Serum electrolytes, Na+ 128, K+ 5.8, chloride 98, glucose 940, BUN 62, CREAT 2.4, and HCO3 21. Hemoglobin A1C 12.2.
What problem is evident based on Mr. Gregg's lab values? How will this affect the care that you provide?
Mr. Gregg has diabetes mellitus and kidney failure. Hyponatremia and hyperkalemia and high creatine are because of kidney failure. Diabetes is the main problem of kidney failure thats why blood values are elevated. Because of kidney failure he gained weight. Patient need dialysis and insulin therapy.
Mr. Gregg is a 65-year-old African-American male who was admitted with complaints of increased fatigue, shortness of bre...
Mr. Gregg is a 65-year-old African-American male who was admitted with complaints of increased fatigue, shortness of breath, and headache. He states that he retired 9 months ago after 45 years as a construction worker. He now leads a sedentary lifestyle, and doesn't have as much energy as he used to have. He has gained 50 pounds since retirement. Upon assessment, Mr. Gregg weighs 255 pounds and is 5' 11" tall. Vital signs are temperature 98.8°F, pulse 88 beats per...
History: Mr. Dan Griffith is a 65 year old male who presented to the emergency department with shortness of breath and chest tightness of recent onset. He has a 7 year history of COPD and is on oxygen at home. Physical assessment reveals a respiratory rate of 32 and slightly labored, temperature of 98.9, and SpO2 of 86% while on oxygen via nasal cannula at 2 L/min. Question: Mr. Griffith is admitted to the pulmonary unit with acute exacerbation of...
Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment Within 24 hours...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Mr. Charles Lamont is a 64-year-old patient who is visiting his primary care physician with complaints of vomiting x 3 days and inability to keep anything down. His wife is waiting for him in the lobby. She is hoping that Mr. Lamont will tell the physician about his recent bout of coughing and shortness of breath. He smokes 1½ packs of cigarettes per day. His wife has been encouraging him to stop, but he has not shown any interest in...
Vital Signs Case Study Mr. Charles Lamont is a 64-year-old patient who is visiting his primary care physician with complaints of vomiting x 3 days and inability to keep anything down. His wife is waiting for him in the lobby. She is hoping that Mr. Lamont will tell the physician about his recent bout of coughing and shortness of breath. He smokes 1½ packs of cigarettes per day. His wife has been encouraging him to stop, but he has not...