Reference no: EM132719642
Case Study: Gastrointestinal Disorders.
T.H., a 57-year-old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood-streaked stool. You are the registered nurse doing his initial workup. Your findings include a mildly obese man who demonstrates moderate guarding of his abdomen with both direct and rebound tenderness, especially in the left lower quadrant (LLQ). His vital signs are 168/98, 110, 24, 100.4° F (38° C); he is slightly diaphoretic. T.H. reports that he has periodic constipation. He has had previous episodes of abdominal cramping, but this time the pain is getting worse. Past medical history reveals that T.H. has a "sedentary job with lots of emotional moments," he has smoked a pack of cigarettes a day for 30 years, and he had "two or three mixed drinks in the evening" until 2 months ago. He states, "I haven't had anything to drink in 2 months." He denies having regular exercise: "just no time." His diet consists mostly of "white bread, meat, potatoes, and ice cream with fruit and nuts over it." He denies having a history of cardiac or pulmonary problems and has no personal history of cancer, although his father and older brother died of colon cancer. He takes no medications and denies the use of any other drugs or herbal products.
1. Identify four general health risk problems that T.H. exhibits. Identify a key factor in his family history that might have profound implications for his health and present state of mind.
2. The physician ordered a KUB (x-ray study of the kidneys, ureters, and bladder), complete blood count (CBC), and complete metabolic profile. Based on x-ray and laboratory findings, physical examination findings, and history, the physician diagnoses T.H. as having acute diverticulitis and discusses an outpatient treatment plan with him.What is diverticulitis? What are the consequences of untreated diverticulitis?
3. While the patient is experiencing the severe crampy pain of acute diverticulitis, what interventions would you perform to help him feel more comfortable?
4. What is the rationale for ordering bed rest?
T.H. is being sent home with prescriptions for metronidazole (Flagyl) 500mg PO q6h, ciprofloxacin (Cipro) 500mg PO q12h, and dicyclomine (Bentyl) 20mg 4 tomes per day for 5 days.
5. For each medication, state the drug class and the purpose for T.H.
6. Given his history, what questions must you ask T.H. before he takes the initial dose of metronidazole? State your rationale
7. What is a disulfiram reaction?
8. What are the signs and symptoms of an allergic reaction
How do determine the cost recovery deduction
: May 17, 2017, for $2,000,000, and continued to operate it with the existing tenants. Determine the cost recovery deduction for 2019.
|
Communication between early childhood professionals
: Communication between early childhood professionals and families may be complicated by differences in values, beliefs, traditions, expectations, and languages.
|
Reflection about the potential effectiveness of the websites
: Bullying has become a major issue that has become headline news. With the escalating incidences of bullying, please share an internet resource that may be.
|
Find what is the eps for each plan
: If EBIT is $350,000, what is the EPS for each plan? (Do not round intermediate calculations and round your answers to 2 decimal places, e.g., 32.16.)
|
What is the rationale for ordering bed rest
: While the patient is experiencing the severe crampy pain of acute diverticulitis, what interventions would you perform to help him feel more comfortable?
|
Discuss how to communicate effectively with others
: This topic discusses the importance of communicating. One of the goals of GCU is to help you effectively communicate throughout your life.
|
What is Ali outside basis in his partnership interest
: The fair market value of Ali's partnership interest is estimated at $500,000. What is Ali's outside basis in his partnership interest
|
Make a bank reconciliation for candace co for may
: Create a bank reconciliation for Candace Co. for May 31. Outstanding checks amounted to $649. The bank statement balance is $4,135.
|
What is holding period return from this investment
: You buy a bond today. The bond has a face value of $1000, will mature in 10 years, What is holding period return from this investment
|