Cystic Fibrosis Case Study Paula and David Baker bring their 3-year-old adopted Caucasian daughter, Debbie, to the pediatrician reporting that she has recently been having large, greasy-looking stools. The pediatrician notes that Debbie has fallen below the 10th percentile in height and weight. Debbie appears to be unhealthy and is very listless. Which statement by the mother supports the diagnosis of CF? A) "My daughter went to bed feeling fine last night and woke up with a high fever and a sore throat."
CASE STUDY SYNTHESIS PAPER GREG BOIVIE NURS 221 MAY 24th, 2011 Case Study Synthesis Paper Tami is a 56-year old woman, 5’6” tall and weighs 136 kg. She came in for an ERCP to remove gallstones at 0800. The surgery went well and she woke up at 1130 denying any pain. At 1300 she had abdominal pain of 9/10 and received Toradol 60mg IVP. By 1350 she was complaining of back pain of 9/10 and she was given Morphine 2mg IVP and denied any pain 10 minutes later.
Cardiac specific. CK-MB CRP Chest X-ray (as time allows – shows cardiac and aortic arch silhouette, pulmonary edema) Echocardiogram (as time allows – will show movement abnormalities and ejection fraction) From a brief history, the nurse learns that Mr Walters is a 52 year old engineer who began experiencing chest discomfort about an hour ago. He would not allow his wife to call 911, but allowed her to drive him to the hospital. He has not taken any medication for his chest discomfort. He has a history of hypertension, hyperlipidemia, and non-insulin dependent diabetes but is
1. Which statement by the mother supports the diagnosis of CF? A) "My daughter went to bed feeling fine last night and woke up with a high fever and a sore throat." B) "Lately Debbie's eyes appear to have a yellow discoloration." C) "When I kiss my daughter, her skin tastes like salt."
Family Health History Patient states that grandparents on each side of her family passed away because of cancer. (see genogram on next page) Review of Systems General Symptoms – Patient complains of swollen/painful tongue and a rash on the inside of her thighs. Says pain in tongue is a 7 out of 10 when talking or eating. Integumentary – Patient describes skin as dry. Uses lotion and baby oil.
Patient was status post right knee replacement two weeks ago. Intravenous fluid was administered in the emergency room for hypotension, and orthopedic surgeon consulted. On arrival to the unit, the patient’s blood pressure was 90/ 50, temperature 101.9-degree Fahrenheit. On assessment, patient‘s right leg was red, swollen and warm to touch, pain level was 8/10 pain scale on numeric pain scale. Two hours after admitting her to the unit, her B/P started dropping, temperature elevated.
1. Which statement by the mother supports the diagnosis of CF? A) "My daughter went to bed feeling fine last night and woke up with a high fever and a sore throat." B) "Lately Debbie's eyes appear to have a yellow discoloration." C) "When I kiss my daughter, her skin tastes like salt."
Three weeks later we went for her next chemo treatment. After another long five hours sitting in the chemo chair, longer for my mother then for me, we go home. The next day she comes to me and she has a handful of hair. As she combed her fingers through her hair, it was just falling out like it was no longer even attached, weirdest thing I have ever seen. Well, she came outside where I was with the Wahl clippers and said “shave it off”.
unit 5 3.3 report serious failures to protect from abuse an example of this is Peter Connelly he was born to Tracey Connelly on 1 March 2006. In November, Connelly's new boyfriend, Steven Barker, moved in with her. In December, a GP noticed bruises on Peter's face and chest. His mother was arrested and Peter was put into the care of a family friend, but returned home to his mother's care in January 2007. Over the next few months, Peter was admitted to hospital on two occasions suffering from injuries including bruising, scratches and swelling on the side of the head.
Throughout most of her pregnancy, she had terrible pains on her right side pelvic area and heavy menstrual cycles. She also found out that she had fibroids on her uterus and cysts on her fallopian tubes. She had weekly visits to North Shore University Hospital in Long Island, New York, which is a special facility for high risk pregnancies. Her doctor, Dr. Kohanian, put her on bed rest for her last four months because she started to get Braxton Hicks contractions: because the baby was always resting on her right side, where the fibroids and cysts were. The morning of May 27, 2004, my mother arrived at North Shore University Hospital because she was having contractions.