How do delusions differ from hallucinations

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Reference no: EM133253692

Assignment -

Part 1 - Please, answers these questions

Q1. An alteration in which of the neurotransmitters is most closely associated with the symptoms of schizophrenia?

Q2. What is schizoaffective disorder, how does it differ from schizophrenia?

Q3. How do delusions differ from hallucinations?

Part 2 - Acute Pancreatitis

Patient Profile - K.Z. is a 39-year-old male who presents to the emergency department complaining of severe pain in his abdomen that started after he went to bed last night. He has a history of hypertension. He is currently taking hydrochlorothiazide and lisinopril.

Subjective Data - Has severe, sharp pain in his abdomen and points to his left upper quadrant

Pain got worse after he ate breakfast this morning; he vomited, but the pain did not improve

Has a 21 pack-year smoking history (½ pack)

Drinks about two cases of beer a week

Objective Data

Physical Examination

Temperature 100.9° F, pulse 110, respirations 26, blood pressure 110/62

Height 5'11", weight 180 lb

Oxygen saturation 93% on room air

Diminished breath sounds and crackles in left lower lobe

Bowel sounds hypoactive in all quadrants

Abdomen slightly distended with left upper quadrant tenderness and guarding

Diagnostic Studies - Chest X-ray: small pleural effusion in left lower lobe

Lab values -

WBC 14,000/µL

Hematocrit 45%

Hemoglobin 14 g/dL

Platelets 190,000/µL

Sodium 135 mEq/L

Potassium 3.9 mEq/L

HCO3 25.4 mEq/L

Chloride 99.5 mEq/L

Calcium 7.9 mg/dL

Amylase 188 U/L

Lipase 400 U/L

Discussion Questions -

These questions are internet- just paraphrase your ideas. No copy and paste

Based on K.Z.'s presentation, what medical diagnosis do you suspect? What clinical manifestations led you to this conclusion?

What are the primary causes for this medical condition and, based on the data, which of these does K.Z. have?

Identify interventions you need to implement for K.Z., based on the findings of the low oxygen saturation reading, diminished lung sounds with crackles in the left lower lobe, and chest X-ray results.

What are the overall goals of care for K.Z.?

Explain why K.Z.'s calcium is low. Based on K.Z.'s low calcium, what symptoms should you observe for and how are these treated?

What additional nursing interventions are indicated for K.Z. and what is the rationale for each?

Reference no: EM133253692

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