Case 1: Olivia, 18 years old student who has never exercised as she was exempted in physical activities in her senior high including PE as she is the only child of the owner of the school claims to have not experience in her lifetime difficulty of breathing chest pain, palpitation, dizziness, edema. Her vital signs: BP 120/80 mmHG, PR 88/m; RR 20/m; T 37 degree Centigrade. Height= 4'8" Weight = 80kg She claims her parents have no medical problem. Is she Low risk, Moderate risk or High risk to do exercise? Give at least 2-3 sentences why?
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- a 53 year old man is brought to the emergency department because of a 2 hour history of loss of speech and paralysis . he is right handed. he has a 10 year history of hypertension , his pulse is 70/min and blood pressure is 170/106 mm hg. he cannot speak . Physical examination shows paralysis of the right side of the face. there is weakness of the right extremities, the upper extremity is weaker than the lower extremity . Deep tendon reflexes are absent on the right and normal on the left. A thrombus in which of the following arteries is the most likely cause of these findings . A) left anterior, B) right anterior cerebral , C)left middle cerebral , D) right middle cerebral , E) left posterior cerebral , F) right posterior cerebralA nurse on a medical-surgical unit is caring for a client who is postoperative following an emergency appendectomy. Exhibit 1 Vital Signs Temperature 37.7° C(99.8°F) . Heart rate 82/min . Respiratory rate 16/min . Blood pressure 127/80 mm Hg . Oxygen saturation 99% on room air Exhibit 2 Assessment Height 157.5 cm (62 in) Weight 90 kg(198 lb) Bilateral lower extremities warm to touch, pedal pulses 2+ bilaterally. Spider veins noted on bilateral lower extremities. Distended veins noted on right lower extremity. Exhibit 3 Nurses' Notes Client reports pain at abdominal incision site as 4 on a 0 to 10 scale. Client also reports right lower extremity pain as 5 on a 0 to 10 scale, and itching. Reports that right lower extremity pain has been intermittent for about the last 2 months. Denies current left lower extremity pain.Ben, 59 is an employee who works in a post office. He is 5ft. Tall and weighs 150 pounds. His vital signs are the following : T 36.3°C; HR 94;BP 135/85; pain level 0. At the clinic, he presents himself with a major complaint of "just not feeling well" How would you assess Ben for hypertensive risks?
- Case: JM, a 51 y/o banker was brought to the ED due to passage of dark-colored stools. Symptoms started 3 weeks prior to consult when patient experienced on and off epigastric pain, temporarily relieved by intake of OTC antacids. No consult was made until a few hours PTC when patient experienced gnawing abdominal pain associated with passage of black-tarry stools. PMH: smoker 30 pack years; drinks alcohol and coffee (4 cups/ day). Discuss the following: 1. Impression and Differential Diagnosis 2. Basis for your impression 3. Laboratory examinations to be requested 4. Pathophysiology of the problem (contributing factors, complications, etc) 5. Therapeutic Objectives 6. Pharmacologic and Non-pharmacologic Management 7. Write a prescription for the case 2:08 PMCase: JM, a 51 y/o banker was brought to the ED due to passage of dark-colored stools. Symptoms started 3 weeks prior to consult when patient experienced on and off epigastric pain, temporarily relieved by intake of OTC antacids. No consult was made until a few hours PTC when patient experienced gnawing abdominal pain associated with passage of black-tarry stools. PMH: smoker 30 pack years; drinks alcohol and coffee (4 cups/ day). Discuss the following: 5. Therapeutic Objectives 6. Pharmacologic and Non-pharmacologic Management 7. Write a prescription for the case 2:08 PMCase: JM, a 51 y/o banker was brought to the ED due to passage of dark-colored stools. Symptoms started 3 weeks prior to consult when patient experienced on and off epigastric pain, temporarily relieved by intake of OTC antacids. No consult was made until a few hours PTC when patient experienced gnawing abdominal pain associated with passage of black-tarry stools. PMH: smoker 30 pack years; drinks alcohol and coffee (4 cups/ day). Discuss the following: 3. Laboratory examinations to be requested 4. Pathophysiology of the problem (contributing factors, complications, etc) 2:08 PM
- Case Scenario: Mrs. Chu is a 76-year-old widow who lives alone. She slipped and fell in the bathroom and broke her right hip. She had undergone a TOTAL RIGHT HIP Replacement 2 weeks ago. Now she is home and the CLHIN has ordered a PSW to assist Mrs. CHU's daily activities. The PSW is ordered 3 hours daily for 4 weeks. Ques- PSW Role in the care of a client following hip replacement surgery. DIPPS must be mentioned and how this can be shown in the care.A 53-year-old man is brought to the emergency department by ambulance because he is having difficulty speaking. The patient tried to explain to his wife that something was wrong, but he was unable to speak clearly. He is, however, able to communicate in writing. He has been on beta blockers to control hypertension and has type 2 diabetes that is being managed with diet and exercise. PHYSICAL EXAMINATION VS: T 36.5°C, P 85/min, R 18/min, BP 134/88 mm Hg, BMI 31 PE: The patient is anxious but able to respond to spoken commands. Reflexes are intact. LABORATORY STUDIES CT: Occlusion in the left hemisphere of a branch of the anterior main division of the middle cerebral artery supplying the frontal cortex. Based on that information, answer Identify current medication and for how long must they take the medication.A 53-year-old man is brought to the emergency department by ambulance because he is having difficulty speaking. The patient tried to explain to his wife that something was wrong, but he was unable to speak clearly. He is, however, able to communicate in writing. He has been on beta blockers to control hypertension and has type 2 diabetes that is being managed with diet and exercise. PHYSICAL EXAMINATION VS: T 36.5°C, P 85/min, R 18/min, BP 134/88 mm Hg, BMI 31 PE: The patient is anxious but able to respond to spoken commands. Reflexes are intact. LABORATORY STUDIES CT: Occlusion in the left hemisphere of a branch of the anterior main division of the middle cerebral artery supplying the frontal cortex. Based on that information, answer What does the physical tests results imply and why? Describe how the feedback loop/s involved were disrupted; What is the cause of this condition? What glands/organs are defective? What happened to this man that would explain his condition (summary)?…
- A 53-year-old man is brought to the emergency department by ambulance because he is having difficulty speaking. The patient tried to explain to his wife that something was wrong, but he was unable to speak clearly. He is, however, able to communicate in writing. He has been on beta blockers to control hypertension and has type 2 diabetes that is being managed with diet and exercise. PHYSICAL EXAMINATION VS: T 36.5°C, P 85/min, R 18/min, BP 134/88 mm Hg, BMI 31 PE: The patient is anxious but able to respond to spoken commands. Reflexes are intact. LABORATORY STUDIES CT: Occlusion in the left hemisphere of a branch of the anterior main division of the middle cerebral artery supplying the frontal cortex. Based on that information, answer What glands/organs are defective?A 53-year-old man is brought to the emergency department by ambulance because he is having difficulty speaking. The patient tried to explain to his wife that something was wrong, but he was unable to speak clearly. He is, however, able to communicate in writing. He has been on beta blockers to control hypertension and has type 2 diabetes that is being managed with diet and exercise. PHYSICAL EXAMINATION VS: T 36.5°C, P 85/min, R 18/min, BP 134/88 mm Hg, BMI 31 PE: The patient is anxious but able to respond to spoken commands. Reflexes are intact. LABORATORY STUDIES CT: Occlusion in the left hemisphere of a branch of the anterior main division of the middle cerebral artery supplying the frontal cortex. Based on that information, answer these questions: What does the physical tests results imply and why? Describe how the feedback loop/s involved were disrupted; What is the cause of this condition? What glands/organs are defective? What happened to this man that would explain his…A 53-year-old man is brought to the emergency department by ambulance because he is having difficulty speaking. The patient tried to explain to his wife that something was wrong, but he was unable to speak clearly. He is, however, able to communicate in writing. He has been on beta blockers to control hypertension and has type 2 diabetes that is being managed with diet and exercise. PHYSICAL EXAMINATION VS: T 36.5°C, P 85/min, R 18/min, BP 134/88 mm Hg, BMI 31 PE: The patient is anxious but able to respond to spoken commands. Reflexes are intact. LABORATORY STUDIES CT: Occlusion in the left hemisphere of a branch of the anterior main division of the middle cerebral artery supplying the frontal cortex. Based on that information, answer What is the long-term prognosis? What is the name of this disorder?