Entries by Munene david

T. is a 39-year-old male who presents to the hospital emergency room

April 7, 2020 in /by

T. is a 39-year-old male who presents to the hospital emergency room with a chief complaint of profound substernal chest pain. Results of the 12-lead ECG and cardiac enzymes test are normal. Vital signs are as follows: temperature 101.9°F, pulse 129 bpm, respirations 26 breaths per minute, and blood pressure 90/60 mm Hg. The patient […]

 

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Mrs. Van Doern is being examined on postop day 3 following surgical resection

April 7, 2020 in /by

Mrs. Van Doern is being examined on postop day 3 following surgical resection following a bowel obstruction. The postoperative course been unremarkable. Upon removal of the dressing, the incision is dry with staples intact. There is an approximately 0.5 cm erythema around the incision. There is no exudate. The patient demonstrates some discomfort on palpation […]

 

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K.T. is a 38-year-old female with a BMI of 39 kg/m2 who needs surgical

April 7, 2020 in /by

K.T. is a 38-year-old female with a BMI of 39 kg/m2 who needs surgical reduction of a hiatal hernia. She is asking about the recovery process and says that she has read about something called the obesity paradox. She wants to know what that means with respect to her healing. The AGACNP explains that the […]

 

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Kelly T. is a 49-year-old female who is being admitted for aortic valve

April 7, 2020 in /by

Kelly T. is a 49-year-old female who is being admitted for aortic valve replacement. Her preoperative evaluation revealed an ascending thoracic aneurysm of 4.8 cm in diameter. Kelly has not had any aneurysm symptoms and is generally considered a very strong surgical candidate. The AGACNP knows that the standard of care dictates: A. Postponing her […]

 

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