Mrs. Abu, a Primigravida was admitted with severe pre-eclampsia of 29 weeks gestation and complained of a headache. A Junior house officer prescribed co-proxamol over the telephone, failing to appreciate the significance of a rise in Blood pressure. The Blood pressure was checked later to be 150/100mm Hg What is the common forms of hypertension during pregnancy?
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- Patient M., 36 y/o, was found in the street unconscious. The patient has a medical history of diabetes. There is a smell of alcohol from the mouth. The skin is moist, warm, arterial pressure -145/90 mm column of mercury, convulsive twitching of muscles. Breathing is shallow, eye ball tone is retained, pupils are dilated, hyperflexion. How would you treat this patients?A. Intravenous introduction of 40-80-100 ml 40% glucose solution B. Injecting 20 units of insulin subcutaneouslyC. Injecting 20 units of insulin intravenouslyD. Injecting 500 ml 5% glucose solution intravenouslyE. Injecting 500 ml 0.9% sodium chloride intravenouslyPatient’s Profile: A 22-year old woman in her 2nd pregnancy has arrived in the labour ward at 38 weeks 3 days. She had a normal delivery 18 months ago. This pregnancy has been complicated by persistent vomiting until 20 weeks and more recently by anemia. She reports contractions commencing approximately 4 hours ago. She took paracetamol at home and tried to relieve the pain with a bath, but now she feels she cannot cope with the pain. She had a show 2 days ago but has had no bleeding since then and has not noticed any vaginal leak. She has felt the baby moving normally all day. Physical Examination: BP is 110/58 mmhg, heart rate is 98/min. The presentation is cephalic with 2/5 palpable abdominally. Uterine contractions are palpable and the uterus is non-irritable. On vaginal examination, the cervix is 5 cm dilated and the head is 1 cm above the ischial spines. The fetus is right occipitotransverse with mild caput and molding. The membranes are intact but rupture…NEED ASAP PLS. I WILL UPVOTE The Reid family was found to have 2 adult members who have uncontrolled Hypertension James (45 y/o) and Nadine (42 y/o). James Reid, the head of the family, mentioned "Yes, me and my wife were diagnosed of Hypertension last month in the health center because we both complained of headache . We were prescribed medication but we don't take it because think we feel okay. I know of a neighbour who has Hypertension and think he is also doing okay without the medication." The nurse and the family in the plan of care agreed that the objective would be that the family will be able to provide care to the hypertensive members of the family. Which of the following will be the appropriate intervention ? a. Assist the family in understanding proper management and its impact on control of hypertension b. Offer health center services c. Give a BP apparatus. d. Teach about the nature of Hypertensionach about the nature of Hypertension e. Assist the family in…
- RON is suspected of DKA. Formulate a plan of education for Ron's wife, so she will better understand his condition and be able to assist him to manage those days when is unwell. What areas would you cover? How would you ascertain her understanding?Case Study, Cardiovascular Disorders Gloria Gonzales is a 56-year-old Hispanic female with a history of type 2 diabetes mellitus, obesity, and hypertension. She was admitted to the medical unit 2 days ago with chest pain that was unrelieved with three nitroglycerin sublingual. She has had the following lab work: CK, LDH, AST, troponin, lipid levels, and an ECG stress test. She is scheduled to have a cardiac catheterization in the morning 1.Explain the rationales for the laboratory tests and ECG stress test. 2. What should the nurse do to prepare for the cardiac catheterization that is scheduled?Case Study, Cardiovascular Disorders Gloria Gonzales is a 56-year-old Hispanic female with a history of type 2 diabetes mellitus, obesity, and hypertension. She was admitted to the medical unit 2 days ago with chest pain that was unrelieved with three nitroglycerin sublingual. She has had the following lab work: CK, LDH, AST, troponin, lipid levels, and an ECG stress test. She is scheduled to have a cardiac catheterization in the morning 3. According to Mrs. Gonzales’ medical history, what has contributed to her myocardial infarction? 4. What should the nurse anticipate doing to prepare Mrs. Gonzales to be discharged?
- Eosinophilia Magnification:Z6at 2. Which chamber of the heart - left or right ventricle- has thicker walls? How does this difference reflect the functions of these two chambers? 3. After observing the models, identify one structural difference that you could use to differentiate between the anterior and posterior surfaces of the heart. 4. Identify one structural difference that you could use to differentiate the right and left sides of the heart. 44 Blood Pathologies and Heart Anatomy Laboratory 2b. Compute for the following: 1.000 EDC bedid 2. AOG (salfnabling barmavile 2. A pregnant woman came to the hospital with complaints of labor pain and profuse vagina bleeding. Upon admission, in acquiring her OB Score, She told the nurse that she has delivered 8 female babies. Her last menstrual period is September 28, 2022 and her checkup date is December 3, 2022. a. Obtain the OB Score b. Compute for the following: 1. EDC 2. AOG 3. A pregnant woman came to the hospital with complaints of labor pain and profuse vagina bleeding. Upon admission, in acquiring her OB Score, She told the nurse that its her third pregnancy and has history of abortion 2 times. Her last menstrual period is January 7, 2022 and her check up date is November 4, 2022. a. Obtain the OB Score b. Compute for the following: 1. EDC 2. AOG erigilasus-onivolicl ar as lo i 10 lutegu tom sl niew 26 Aven Doy ob teleb 4. A pregnant woman came to the hospital with complaints of labor pain and vaginal bleeding. Upon…CASE STUDY - SHOCKYou and your partner are dispatched for a report of an unresponsive 77-year-old male in asenior’s apartment complex. The time of the call is 08:36 am.Upon arrival, a home health aide greets you at the apartment door and informs you thepatient is in the bedroom. As she leads you towards the bedroom, the aide begins to tellyou she arrived for work about an hour ago and found the patient in his bed. “He normallyis awake when I get here, but today I found him still in his bed. I thought he was onlywanting to sleep in so I decided I would give him a little time, but he didn’t respond when Itried to wake him a few minutes ago.”She tells you she routinely visits Mr. Oliveira twice a week to help with cleaning andcooking. She says, “The last time I saw him was 3 days ago and he was sick at the time. Ithought he might have come down with a bad cold because he was coughing a lot and Itried to encourage him to see his physician.”As you approach the patient’s bedside, you observe…
- Heart Failure Case Study James is a 70-year-old male brought to the emergency department (ED) by ambulance with complaints of shortness of breath. The patient's medical record shows a past history of hypertension, diabetes, MI X 2, congestive heart failure (CHF), and chronic renal insufficiency. Upon assessment, James has labored breathing at 36 breaths/min and tachycardia at 112 beats/min. His pulse oximetry is 90% on 40% oxygen via a face mask. Crackles are heard throughout his lungs. 1. List potential causes and risk factors for his condition. 2. Identify the typical symptoms of left-sided heart failure vs. right-sided heart failure with an "L" or an "R" or "B" for both. Cough Blood-tinged sputum Tachycardia Fatigue Nocturnal polyuria Exertional dyspnea Peripheral edema Crackles or wheezes Jugular venous distension Ascites and GI distress Orthopnea Cyanosis Paroxysmal nocturnal dyspnea The physician orders a chest x-ray, ECG, arterial blood gases (ABGS), and lab work to be done.…Multiple Choice. Answer the following questions. 1. During the isovolumic contraction (early ventricular systole) phase of the cardiac cycle: A. The tricuspid and bicuspid valves are closed. B. The mitral and aortic valves are open. C. The tricuspid valve is closed and pulmonic valve is open. D. The mitral valve is open and aortic valve is closed. 2. Pathway of blood circulation in adult. A. Superior vena cava - right atrium - tricuspid valve - right ventricle B. Pulmonary vein - left atrium - mitral valve - left ventricle C. Left ventricle - aortic valve - ascending aorta - brachiocephalic D. Right ventricle - pulmonary valve - pulmonary trunk - pulmonary artery E. All pathways are correct.3.Which period of the heart cycle is completely occupied by the ventricles relaxing? A. atrial systole B. atrial diastole C. ventricular systole D. ventricular diastolection Section 1: Hem 17 of 145. 17. A 50-year-old man is brought to the emergency department because of a 2-hour history of severe confusion and trel cs of conec the past year. He is otherwise healthy. Physical examination shows no abnormalities except for confusion. His serum gjuse concertation S intravenous infusion of glucose. A CT scan of the abdomen shows a 4-cm lesion in the head of the pancreas. Which of the bowing the d OA) Carcinoma of the head of the pancreas B) Islet a cell adenoma OC) Islet 3 cell adenoma OD) Islet o cell adenoma تھے E) Pancreatic tumor and abscess