1. What major outcomes do you expect to achieve for this patient?
2. What problems or risks must be managed to achieve these outcomes
1. The major outcomes we expect to achieve for this patient like any other is maintenace of homestasis in the patient. All the vitals should be brought to normal.
2. The problems and risks that need to be managed to overcome these obstacles include: provision of acess to healthcare and making healthcare cost effective i.e. affordable.
1. What major outcomes do you expect to achieve for this patient? 2. What problems or...
Patient with Hematologic Disorders and Oncologic Emergencies Brief Patient History Mr. L is an otherwise healthy, 23-year-old African American man who presents with a week-long history of diarrhea, nausea, and vomiting after attending a barbecue last weekend. Clinical Assessment Mr. L is admitted to the critical care unit from the emergency department with hypotension, fever, and leukocytosis. Diagnostic Procedures His vital signs are as follows: blood pressure of 65/42 mm Hg, heart rate of 145 beats/min (sinus tachycardia), respiratory rate...
Brief Patient History Mrs. G is a 54-year-old African American woman who has been having intermittent indigestion for the past month. She has a history of hypertension and hyperlipidemia. She was admitted as an inpatient on a medical floor for management of her blood pressure and is scheduled to undergo endoscopy tomorrow. Mrs. G suddenly becomes diaphoretic and complains of nausea and epigastric pain. Clinical Assessment The rapid response team is called to evaluate Mrs. G. When the team arrives...
Ms. T is a 17-year-old woman who took an acetaminophen overdose after her boyfriend broke up with her. She states that she did not want to kill herself but just wanted to scare her boyfriend. Ms. T is having difficulty facing the need for a psychiatric evaluation and the potential for severe liver damage. Clinical Assessment Ms. T was admitted to the critical care unit from the emergency department in stable condition. She is awake; alert; and oriented to person,...
Brief Patient History Mr. Z is a 38-year old Hispanic construction worker who sustained a liver laceration after falling from a roof. He acquired an exploratory laparotomy for splenectomy and repair of the liver laceration 4 days earlier. His medical history reveals no chronic health problems, although he smokes 20 packs of cigarettes per year. Clinical Assessment Mr. Z is admitted to the medical intensive care unit from the telemetry unit with acute respiratory insufficiency and hypotension. He is using...
Brief Patient History Ms. J is a 40-year-old victim of a car crash. She was found conscious at the scene and pulled out of a burning car to safety by a passerby. The paramedics at the scene reported her as awake but disoriented and anxious. She is otherwise healthy and is the mother of a 5-year-old child, who was also rescued at the scene with no injuries. Clinical Assessment Ms. J is sent from the emergency department to the trauma...
Brief Patient History Mr. P is a 24-year-old man who was water-skiing when he was hit by a boat. He was rescued from the water by friends. He was immobilized and transported to the hospital by paramedics called to the scene. Clinical Assessment Mr. P is admitted to the emergency department with abrasions and bruising to his head and shoulders. He is having difficulty breathing and is unable to move his extremities. He is complaining of neck pain and has...
Mr. Z is a 38-year old Hispanic construction worker who sustained a liver laceration after falling from a roof. He acquired an exploratory laparotomy for splenectomy and repair of the liver laceration 4 days earlier. His medical history reveals no chronic health problems, although he smokes 20 packs of cigarettes per year. Clinical Assessment Mr. Z is admitted to the medical intensive care unit from the telemetry unit with acute respiratory insufficiency and hypotension. He is using his accessory muscles...
Mr. A is a 58-year-old Japanese-American admitted to the unit from the emergency department with complaints of paresthesias, lower extremity weakness (onset 2 days ago), and difficulty walking today. Mr. A reports to being in “good health” except for having the flu 3 weeks ago. Mr. A is married and the manager of a local restaurant. Clinical Assessment Mr. A is awake, follows commands, and is oriented to person, place, and time. Mr. A is quiet, shows no emotion, avoids...
Discuss the intricacies of the doctor- patient relationship, and 4 of the major problems/issues that do or could arise.
Brief Patient History Mr. V is a 42-year-old man with chronic viral hepatitis C. He has a Model for End-Stage Liver Disease (MELD) score greater than 25. Mr. V is in acute fulminant liver failure and is on the waiting list to receive a liver transplant. Mr. V was hospitalized 2 weeks ago with ascites, hepatorenal syndrome, and hepatic encephalopathy. He has been treated with diuretics, antibiotics, and laxatives. Before transplantation, he remained in the intermediate care unit and was...