2 Patient Profile: A 46-year-old patient tells you he’s been vomiting blood, but he does not bring any in for you to see.
DIFFERENTIAL DIAGNOSIS:

QUESTION SHOULD BE ASKED:

LAB TEST:

APPROPRIATE NURSING DIAGNOSIS:

EDUCATION SHOULD BE PROVIDED:

2 Patient Profile: A 46-year-old patient tells you he’s been vomiting blood, but he does not...
GI CASE STUDY: #1 Patient Profile: A 56-year-ld male patient tells you that he has been having abdominal pain about 3 hours after he eats. It feels like burning and is mostly in the upper abdomen. He gets some relief with over-the-counter antacids. Critical Thinking Questions: Answer each question completely and thoroughly. What is the differential diagnosis? An endoscopy is ordered on this patient, and he is found to have multiple scattered duodenal ulcers. Now what do you think Suppose...
A 80 year old patient is hospitalized for vomiting and diarrhea that developed 2 days prior to admission. The patients home medications include furosemide. Current vital signs are temperature 100.9, sinus tachycardia at127 bpm, blood pressure 100/57, respirations 24 per min, regular and non-labored. A Foley catheter is placed and returns with 110 mL of dark amber urine over the last 5 hours. Tenting of skin is noted when pinched over the sternum. Patient mucous membranes are dry with deep...
Case #2 Patient Profile: A 75 year old male is admitted with nausea and vomiting as well as colicky abdominal pain. He has been on bedrest after breaking his hip and has not had a bowel movement in 1 week. On exam you find his abdomen to be distended, diffusely tender and bowel sounds are high pitched and tinkle. After being admitted, his BP starts to drop and he becomes tachycardic. His urinary output has decreased. Critical Thinking Questions: 1....
Patient Profile: C. S., a 60-year-old truck driver, has been diabetic and has required insulin therapy for the past 12 years. Diabetic neuropathy has led to several complications, including end-stage renal disease, which he developed two years ago. He now receives hemodialysis three times a week and has an AV fistula in his left forearm. Yesterday, C. S. presented in the ED with a respiratory infection and was hospitalized with pneumonia, hypertension, and fluid overload. He will receive dialysis while...
A 50 year old male patient presented to the emergency department at 2AM with vomiting and abdominal pain. He had a 2 week history of polyuria and polydipsia, accompanied by a 20 pound weight loss and blurred vision. His medical history was unremarkable, except for being treated with hypertension with lisinopril 40 mg daily, which provided good control. His blood pressure on admission was 135/80. He is a smoker and smokes ½ pack of cigarettes per day. Results of hospital...
Patient Profile: C. S., a 60-year-old truck driver, has been diabetic and has required insulin therapy for the past 12 years. Diabetic neuropathy has led to several complications, including end-stage renal disease, which he developed two years ago. He now receives hemodialysis three times a week and has an AV fistula in his left forearm. Yesterday, C. S. presented in the ED with a respiratory infection and was hospitalized with pneumonia, hypertension, and fluid overload. He will receive dialysis while...
A 80 year old patient is hospitalized for vomiting and diarrhea that developed 2 days prior to admission. The patients home medications include furosemide. Current vital signs are temperature 100.9, sinus tachycardia at127 bpm, blood pressure 100/57, respirations 24 per min, regular and non-labored. A Foley catheter is placed and returns with 110 mL of dark amber urine over the last 5 hours. Tenting of skin is noted when pinched over the sternum. Patient mucous membranes are dry with deep...
A 50-year-old male patient presented to the emergency department at 2 AM with vomiting and abdominal pain. He had a 2-week history of polyuria and polydipsia, accompanied by a 20-pound weight loss and blurred vision. His medical history was unremarkable, except for being treated for hypertension with amlodipine 10 mg daily, which provided good control. Results of hospital laboratory studies revealed that the patient's initial blood glucose level was 1192 mg/dL. VS 97.0 HR98, B/P 168/98 Resp 20. O2stat 95%...
Edit question 80 year old patient is hospitalized for vomiting and diarrhea that developed 2 days prior to admission. The patients home medications include furosemide. Current vital signs are temperature 100.9, sinus tachycardia at127 bpm, blood pressure 100/57, respirations 24 per min, regular and non-labored. A Foley catheter is placed and returns with 110 mL of dark amber urine over the last 5 hours. Tenting of skin is noted when pinched over the sternum. Patient mucous membranes are dry with...
A 45-year-old lab technician complains of pain and “electrical shock” sensations in his left hand at night. He also notices increasing clumsiness and weakness of his left hand. On physician exam you note decreased sensation to light touch, pinprick, and temperature, on the palmar surfaces of the thumb and first two fingers on the left hand. The thumb is weak and its muscle is atrophied. Tapping the palmar surface of the left wrist sends “electrical shocks” through the first two...