PHYSICAL ASSESSMENT.(NURSING)

Physical Assessment is the physical examination of a patient to collect objective data.Use your stethoscope. You will look or observe ,and assess your patient from head to toes.This will help you to determine patient conditions, help you to determine the nursing Diagnosis and help the nurse in the Plan of care. For example you admitted […]

26TH CASE SCENARIO. (NURSING) Rheumatoid Arthritis.

Age/Sex 52years woman. Patient name:Ignorez,Maggi. Doctor: Dr.Garcia, Nonyez. MR :Q00000005. Chief Complaint: Rheumatoid arthritis. A 52years old woman with Rheumatoid arthritis comes to the clinic with her husband for a routine visit. The wife ask the nurse to explain Rheumatoid arthritis to her husband. The nurse answer should be based on the knowledge that rheumatoid […]

18TH CASE SCENARIO. (NURSING)APPENDICITIS.

Age/Sex 37years Male. Unit : Q00000071 Admitted. 07/19/2007 MR:Q0008242624. Diagnosis Acute Appendicitis. Secondary Diagnosis : Hx ESRD HD Monday/Wednesday/Friday. Left kidney removal 06 /01/2004. Left permacatheter for Hemodialysis. General Surgery consult: Dr. Not Nice. On 07/19/2007 S/P Laparoscopic Appendectomy. Allergy: NKDA. Lungs clear on RA(Room air) DIET: Renal diet. Patient on dialysis = 90g protein, […]

12TH CASE SCENARIO.(Nursing)Pyelonephritis.

Mr Lomos Davico Medical # Q000099932 Admitted: 02/25/2006. Unit : Medical/ Surgical floor. CODE STATUS: Full Code. Alert and Oriented x 4. Patient came to the emergency room, complain of back pain(Right flank pain) Admitting Diagnosis: Pyelonephritis, UTI. PMH:Diabetes, Antibiotics resistant, kidney stones, ESBL in urine,right eye cataract, fever of unknown origin, depression. Hand held […]

9TH CASE SCENARIO(Nursing).TRAUMA FELL AT HOME.

09/7/2004. Medical Record:Q0000089654 Mrs D.V.D 74years old female fell at home and hit her head on the floor, witnessed by her daughter. Diagnosis: Altered Mental Status,Seizures disorder. Attending doctor: Dr.Don’t Hate. CODE STATUS: Full code. PMH: Left sided weakness resolved Daughter is a Poor historian.No English. Consults: Neurology consult. General surgery consult. Keppra 1000mg given […]

8TH CASE SCENARIO.(Nursing)MCA/ TRAUMA.

Mr B.B 35years old Male. Brought in by ambulance to emergency room. English Speaking. Full Code. Medical record number: 0001111222245 Admitting date 09/06/2004. Status :Inpatient Admission. Attending doctor: Dr. Too Much. Room 502211. Admitting Diagnosis: Motorcycle Accident. Right Distal Humerus Fracture. Right Acetabular fracture. Past Medical History: Right knee Surgery. Patient was splitting up lanes […]

BREATHING.

Breathing is respiration. Not breathing is dyspnea.(air hunger, shortness of breath) What is Normal respiratory rate?. Adult is 12 to 20 breath per minute at rest. Less than 12 per minute is not good. Also above 25 breath per minute is not good either. Ineffective breathing pattern is when the inhalation and exhalation does not […]

PROCEDURES. WHY?

Why do we undergo surgeries or procedures? So many people undergo surgery or procedure without asking questions. Surgery is the use of instrument to create incisions so that injuries or disorders in the body is treated.It is usually done under general anesthesia. Some people ask questions before the procedure or surgery. But some people don’t […]

PERSISTENT/SCD/LOVENOX.(My little poem)

I like to stick to what I believe in. I persisted on my speech. I must persist To persist you must know He said NO. But I persisted . Where is NO? I t does not fit. I have no time to waste. Push ,push on. In Nursing School you persist. No is not an […]

BLOOD TRANSFUSION PROCESS.

Blood transfusion is the procedure in which you receive blood through intravenous iv line.Blood transfusion is usually safe but there some risk , which are clearly explained below.But why do we need blood? WWW.nhlbi.gov/health-topics/blood-transfusion You might need blood due to the following reasons: Lost of blood during surgery Serious injuries such as accidents,stab wound. Fibriod. […]