Case study

A 30-year-old male presents with acute trauma.  The final diagnosis is DIC.

 

  1. Discuss the clotting mechanism.
  2. What do prolonged PT and aPTT tests indicate?
  3. Fibrin degradation and split products are common to DIC patients.  Why?
  4. Identify two additional conditions that can initiate DIC and how?

250 words , at least 2 references less than 5 years  APA.

Case study

A 20-year-old female presents with severe migraines.  She has been treated for the last two years. • What is the pathophysiology involved with the prodrome associated with migraines? • Compare and contrast tension headache and cluster headache.  Use patho principles. • What is the pathophysiologic difference between migraine headache and tension headache?

  1. 250 words, no need for cover page. At least 2 references, APA, less than 5 years. 

Case study

A 70-year-old female presents with dyspnea and cough.  Medical history includes: COPD, DM II, Hypertension and dyslipidemia. The labs are as follows:

T:   102.3

HR:  102

O2: 84% on room air,  90% nasal cannula

Bicarb: 23

X -Ray:  Focal consolidation Left Lower Lobe

 

  1. Compare and contrast hospital vs. community acquired pneumonia
  2. What is the ventilation perfusion matching required for good gas exchange?
  3. Increasing FIO2 will improve hypoxia. Why?
  4. How does Emphysema differ from Pneumonia?

Case study

A  47-year-old female presents with Stage IV breast cancer.  Today, the PET scan reveals brain metastasis.

 

  1. Define proliferation and differentiation and relate these changes to cancer.
  2. Describe invasion, angiogenesis and metastasis.
  3. There are three underlying causes of growth and maturity abnormalities: telomerase, pRB changes and 53 changes.  Discuss these in relation to the patient. 
  4. Discuss tumor suppressor genes, oncogenes and DNA repair genes.

 

250 words , no need for cover page

Case study

Discuss Morphology of cells and the factor it plays in general function and structure. Also, choose a condition from the following case studies: (Week 1 Case Study Details).

 Case study: A 15 year old male presents after ingesting windshield wiper fluid to get high. Explain what will happen to the following: 1. Osmolarity 2. Sodium levels 3. Oncotic pressure

 

  1. 250 words , APA 7th ed 

case study

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

  1. Height: 68 inches; weight 134.5 kg
  2. BP: 172/98, HR 88, RR 26
  3. 3+ pitting edema bilateral feet and ankles
  4. Fasting blood glucose: 146 mg/dL
  5. Total cholesterol: 250 mg/dL
  6. Triglycerides: 312 mg/dL
  7. HDL: 30 mg/dL
  8. Serum creatinine 1.8 mg/dL
  9. BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

  1. Describe the clinical manifestations present in Mr. C.
  2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
  3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
  4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
  5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
  6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.