Spirometry results include FEV1/FVC of 75%. Eddie states that he has been a little more tired these days but seems to think that is because he no longer goes to art class in the village and has slowed down on his daily walk because his left knee is ‘starting to cause him grief’. Blackmores Glucosamine tablets 1500mg OD. Bronchovesicular breath sounds can be heard with an I:E (Inspiratory/expiratory) ratio of 1:2. Relax, look at the Case Study Questions below. Nursing Case Studies is Nurse inspired and is Nurse driven. Palpation: Chest expansion is symmetrical. Percussion: Lung fields clear, resonant sounds. Calves are soft and non-tender. There is limited mobility of the diaphragm and diminished vocal fremitus. Her mother suffered a stroke at age 67 and lived in high care for her remaining 4 years. CARDIOVASCULAR Inspection: The patient is centrally pink; however lower limb peripheral blanching is present. Good Luck, Chief complaint: A 70 year old female patient [Kim] is admitted with a history of chronic, productive cough, breathlessness, and generalised malaise over the past year. Answer questions. There is no murmur. Cardiovascular Inspection: The patient is centrally pink; however peripheral cyanosis is present without clubbing. The abdominal wall is moving symmetrically with respirations. RESPIRATORY Inspection: The patient displays comfortable breathing, slight cough. Skin is pink and warm, patient is sweating. stream INTEGUMENTARY: inspection Non-blanching purple spots over torso, blanchable raised red rash over hands-itchy. An ECG shows atrial fibrillation and a portable chest radiograph showed clear lung fields. The pain may last for a few hours or ease on rest. Personal history: The patient is a retired teacher. – Share the study plan on your screen. For each question answered, cite the page number(s) of your reference(s). %��������� His speech was slurred on scene and his breath smelt acidic. There is slight tenderness on lower midline area. Current medication Glucosamine 1500 mg. VITAL SIGNS: • Respiratory rate 24 breaths per minute • Sp02 94% on room air • Heart rate is 110 beats per minute • Blood pressure is 150/ 90 mm Hg • Temperature is 36.3°C. He presented to the ED as the pain was more severe and prolonged, was radiating down his back and associated with nausea. Eddie was found on the floor by paramedics after pressing his vita-call button. He also describes an increase of epigastric pain over the past few months, which he believes to be heartburn and takes over the counter antacids when required. Auscultation: Heart sounds of S1 & S2 are heard. Percussion: Abdomen is resonant to percuss. Past history: -Asthma with previous ICU admission when he was three. There is no murmur. RESPIRATORY Inspection: The patient displays comfortable breathing, nil cough. She has two adult children, only one who lives in the same city. 4 0 obj Percussion: Abdomen is resonant to percuss. NEUROLOGICAL: GCS is 15/15 with pupils equal and reactive to light (PEARL). An ECG confirmed sinus tachycardia and a portable chest radiograph showed shading in lower Left lung fields and midline area. There are no abnormal thoracic landmarks or scars. He is on a range of medications: Anginine prn, Metoprolol 50mg BD, aspirin 100mg OD, Atorvastatin 40mg Nocte, Esomeprazole 40 mg BD, mylanta PO, Pulmicort Turbuhaler 400mcg BD, Ventolin 2 puffs prn, panadeine forte 2 tabs prn, Zoloft 50mg mane. The pain has been mainly around his lower back area, at times radiates to shoulders. The patient denies any other history of cardiovascular disease, diabetes or hypercholesterolaemia. Fundamentals of Nursing Case Study 5 Evaluation Read the case study. When asked to provide several answers, they should be listed in order of priority or significance. CARDIOVASCULAR Inspection: The patient is pale; slight peripheral cyanosis is present. Auscultation: There is air entry into all lung fields, however diminished in the lower bases. VITAL SIGNS: • Respiratory Rate: 22 • Blood Pressure: 168/97 • Temperature: 36.5 • Heart Rate: 107 • SP 02: 95% on RA, NEUROLOGICAL: GCS is 14/15 with pupils equal and reactive to light (PEARL). She is having difficulty with activities of daily living (ADL) due to weakness, exhaustion and breathlessness. He tells you that he has an alcohol intake of 1-2 standards drinks per day and occasionally binge drinks on the weekend. The patient has recently commenced on a low dose thiazide diuretic for hypertension. Eddie admits to being generally healthly ‘apart from the occasional flu’. If all of the clients are apparently stable, then the client who has the greatest risk for a … Contusion to back of his head. Abdomen not distended visible pulsations midline. Coarse crackles can be auscultated on inspiration and a wheeze is present on expiration. Palpation: Chest expansion is symmetrical and there is no tracheal deviation. Calves are soft and non-tender. Case studies remain one of the most effective tools to teach a practice-based profession because it contextualizes abstract textbook content to the bedside and … She has been fairly healthy for most of her working life. There are no abnormal thoracic landmarks or scars. Learn nursing case studies with free interactive flashcards. Auscultation: Heart sounds of S1 & S2 are heard. Chief complaint: The 48 year old male explains they have a six month history of intermittent back pain. Palpation: Peripheral pulses are palpable at +1. Fine crackles can be auscultated on inspiration. Palpation: Chest expansion is symmetrical. Past medical/ surgical history: The patient had a R knee arthroscopy in 2011. All questions apply to this case study. An arterial blood gas shows a pH 7.30, Pa02 68 mm Hg, PCO2 58 mm Hg, HCO3 27 mEq/L, and Lactate 2.1 mm Hg. Coughing started 1hr ago mum gave 12xpuffs Ventolin with no relief. Bronchovesicular breath sounds can be heard with an I:E (Inspiratory/expiratory) ratio of 1:2. She has been widowed for the last five years. He has noted trouble passing urine at times. You can buy a fresh copy of the solution for this assignment question. Palpation: Peripheral pulses are palpable at +1. Patient is confused at times and verbally abusive. If you are worried about your Nursing Project/Assignment. Mother medication history of diabetes, 23 surgeries throughout her life-artificial arteries in upper extremities and legs due to atherosclerosis. R���/�_ް�3�}�&�FE�� ��yRՀ��r>d��<7�� �-F��9�Vy6Ã#VN��Y����O�'C�JS0��Z�B�=0׍JY]Wy��Uڎ���X����a���R圍uC0�ٱ��^[�a��%Nl����#����T�!�B��B� B����K? Personal history: The patient is a 48 year old married administration officer. Palpation: The patient has moderate midline and back pain, increases when lying flat. KeithRN COVID-19 Case Study answers are found in the Learning Center – Nursing Central powered by Unbound Medicine. Palpation: Peripheral pulses are palpable at +3. Spirometry results include FEV1/FVC (ratio of forced expiratory volume in 1 second over forced vital capacity) of 62%. Vital Signs: • Respiratory rate 28 breaths per minute • Sp02 90% on 3L via nasal prongs • Heart rate is 90 beats per minute • Blood pressure is 150/ 83 mm Hg • Temperature is 37.9°C. Percussion: Lung fields clear, resonant sounds. Eddie admits to recently being started on Tramadol for his knee pain which is currently under investigation by his local GP. Bowels not opened regularly Auscultation: Bowel sounds are present. ABDOMINAL Inspection: The patient is sitting up, signs of distress with pained facial expression. Eddie admits to indulging in a few drinks lately because his friends don’t talk to him anymore and his children are too busy. Slight wheeze is present on expiration. Our Nursing subject matter experts have worked on this assignment already in the recent past. Jugular venous pressure (JVP) is less than 4cm. An case study examples on nursing is a prosaic composition of a small volume and free composition, expressing individual impressions and thoughts on a specific occasion or issue and obviously not claiming a definitive or exhaustive interpretation of the subject. Noticed red rash on hands two days ago thought it was a reaction to grass as child had been spending a lot of time outside recently; itching profusely today with lack of sleep child has started to stress. Palpitation: slight tenderness lower abdomen, ExpertAssignmentHelp Pty Ltd, Suite 3, Level 27, Governor Macquarie Tower, 1 Farrer Place, Sydney NSW 2000, Australia. She has the occasional drink. An arterial blood gas shows a pH 7.30, Pa02 78 mm Hg, PCO2 58 mm Hg, HCO3 27 mEq/L, and Lactate 2.1 mm Hg. Your response should be brief and to the point. Percussion: Dull sounds can be heard over lower lung fields. No bruising, striae, surgical scares or lesions. Medical History: History of angina, hypertension, GORD, appendectomy at age 13. Mum states child has been tired in the last week and irritable. He has 2 dependent children and his wife works as child care assistance. An ECG confirmed sinus tachycardia and a portable chest radiograph showed shading in lower Left lung fields, with evidence of pneumonia. He describes the pain as a dull throb which at times gives him a sense of dread. Presenting Complaint: 4 year old male [Ryan] presents with difficulty breathing.

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