Patient dignosis

 

 

 

New Admit


• Admit diagnosis: GI bleed
• History: no surgical history
• Medical history: Gastritis & GERD
• Medications: Prilosec 40 mg PO daily, Atenolol 25 mg PO BID, Fiber daily, Alka Seltzer PO – states he takes this at least daily.

Report from physician’s office: Mr. Henderson arrived to the physician’s office today for a complaint of increasing abdominal pain. He states that he is now throwing up coffee-ground emesis. He states that he didn’t take his BP medication this morning because he was dizzy. The physician is admitting him with a diagnosis of GI bleed with an EGD scheduled for tomorrow. He is NPO, and has a 22G IV lock in the left forearm. Last set of vital signs BP 106/60 mm Hg, HR 98 beats/min, RR 20 breaths/min, Temp. 98.8 degrees F, P.O. 90% on room air. He last vomited about 45 minutes ago with a small amount of dark coffee-ground emesis. His pain is 4/10 at present. No pain medication is ordered at this time.
• Lab assessments ordered: CBC and chemistry panel
• CT of the abdomen shows no signs of free air (no perforation)

When he arrives to the floor, he is pale, nauseous, and his skin is cool and clammy. When he is transferred to the bed from the stretcher, he vomits a large amount of coffee-ground emesis and loses consciousness.

Instructions
In the ASSIGNEMENT , address the following:
1. While receiving report, what concerns do you have regarding the client report?
2. What type of shock is occurring?
3. What stage of shock is the client experiencing?
4. What is your next intervention and why?
5. What additional lab assessments would you anticipate?
6. Provide additional thoughts and insights.

Sample Solution

The process of identifying the disease or condition that accounts for a person’s symptoms and signs is known as medical diagnosis (abbreviated Dx,[1] Dx, or Ds). It is most frequently referred to as a diagnostic, with the implied medical context. The history and physical examination of the patient who is seeking medical attention usually yield the data needed for diagnosis. The process frequently includes one or more diagnostic procedures as well, such as medical tests. Posthumous diagnoses are occasionally regarded as a type of medical diagnostic. Due to the vague nature of many indications and symptoms, diagnosis is frequently difficult. For instance, erythema, or redness of the skin, is an indication of

vitable, lastly what further move ought to be made later. To assess this hypothesis, one should take a gander at the presumptions made towards it, for instance, entertainers which scholars forget about and the delay between conventional scholars and pioneers. In particular, there can be no conclusive hypothesis of the simply war, on the grounds that everyone has an alternate translation of this hypothesis, given its normativity. Notwithstanding, the hypothesis gives an unpleasant presentation of how we ought to continue in the midst of pressure and struggle, significantly the point of a simply war: ‘harmony and security of the republic’ (Begby et al, 2006b, Page 310). Generally speaking, this hypothesis is reasonable to utilize yet can’t at any point be viewed as a characteristic aide since it’s normatively guessed. To respond to the inquiry, the article is involved 3 segments.

Jus promotion bellum
The beginning segment covers jus promotion bellum, the circumstances discussing whether an activity is legitimately satisfactory to cause a conflict (Frowe (2011), Page 50). Right off the bat, Vittola talks about one of the worthy motivations of war, in particular, is when mischief is caused however he causes notice the damage doesn’t prompt conflict, it relies upon the degree or proportionality, one more condition to jus promotion bellum (Begby et al (2006b), Page 314). Frowe, notwithstanding, contends the possibility of “admirable motivation” in light of “Power” which alludes to the assurance of political and regional freedoms, alongside basic liberties. In contemporary view, this view is more convoluted to reply, given the ascent of globalization. Essentially, it is hard to quantify proportionality, especially in war, in light of the fact that not just that there is an epistemic issue in working out, however again the present world has created (Frowe (2011), Page 54-6). Besides, Vittola contends war is essential, not just for protective purposes, ‘since it is legal to oppose force with force,’ yet additionally to battle against the low, a hostile conflict, countries which are not rebuffed for acting unreasonably towards its own kin or have unjustifiably taken land from the home country (Begby et al (2006b), Page 310&313); to “show its foes a thing or two,” yet fundamentally to accomplish the point of war. This approves Aristotle’s contention: ‘there should be battle for harmony (Aristotle (1996), Page 187). Notwithstanding, Frowe contends “self-protection” has a majority of depictions, found in Chapter 1, demonstrating the way that self-preservation can’t necessarily in every case legitimize one’s activities. Significantly more tricky, is the situation of self-protection in war, where two clashing perspectives are laid out: The Collectivists, a totally different hypothesis and the Individualists, the continuation of the homegrown hypothesis of self-preservation (Frowe (2011), Page 9& 29-34). All the more significantly, Frowe discredits Vittola’s view on retribution in light of the fact that right off the bat it enables the punisher’s position, yet additionally the present world forestalls this activity between nations through lawful bodies like the UN, since we have modernized into a generally quiet society (Frowe (2011), Page 80-1). In particular, Frowe further discredits Vittola through his case that ‘right expectation can’t be blamed so as to take up arms in light of expected wrong,’ proposing we can’t simply h

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