When looking at this case study and taking in all the factors that could of contributed to the couples death 3 stand out and play a significant role in the couples fatal hot tub session. The three major players in the couples death was the hot water, wine, and for the husband, his medication Lasix. All three of these things lower your blood pressure and put together can be fatal. Let’s start with the medication Lasix that Mr. Underhill takes to lower his blood pressure. This medication is taken to lower high blood pressure and also used to eliminate excess fluid in the body, so it is very easy to get dehydrated while taking this medication. Mr. Underhill was complaining of urinating frequently so taking this medication and most likely being
How does this history of high blood pressure demonstrate the problem description and etiology components of the P.E.R.I.E. process? What different types of studies were used to establish etiology or contributory cause?
You are launching a ball from the lower-left corner of a pool table at a 45 degree angle. Both the height and the width of the table are whole number dimensions and the pool table is always a rectangle. The only pockets are those in the four corners. Which pocket does the ball hit? How many times does it bounce before it hits the pocket?
A medical examiner would assess the body through several specialized examinations and decide the cause of death. In the autopsy, the examiner will see the excessive dose of pentamite in the patient’s body. Resulting in the cause of death being an overdose due to excessive amount of medication. Furthermore, the plaintiff may support her case by providing medical evidence from health professionals of patients experiencing side effects and risk of pentamite. If Mrs. Parker is able to provide these documents to the judge she may have a strong claim of causation. In regards to the elements of damages, the plaintiff must show that because of the death of her husband she has been experiencing distress and anguish through the process. She will need to be detail orientated about her depression and emotions over the period of time. If all four of these statements can be proven by Mrs. Parker elements, monetary damages may be awarded to compensate the plaintiff for tangible losses, such as medical expenses and lost of wages, as well as for intangible losses, such as pain and suffering (Harris,
Two Paramedics rushed into the house of Mr. and Mrs. Underwood, they were guided towards the patio where they saw a hot tub. Immediately, empty bottles of wine were seen around the ledge surrounding the hot tub. Kavita, one of the paramedics noticed that the bodies of Mr. and Mrs. Underhill were located at the bottom of the hot tub and Mr. Luck was located above the Underhill’s bodies with his head above the water. The paramedic found a pulse on Mr. Luck with a systolic of 80 and a diastolic of 40 mm Hg, but he was still unresponsive. The paramedics noticed that the water was extremely hot, to a point that was abnormal for people to be in. Later on detective Garrison was investigating the scene where the incident had happened. Detective Garrison was aware that the water was above 109 degrees, and he wondered if the hot tub was associated with the death of Mr. and Mrs. Underwood. The detective later found out that Mr. Underhill was taking a diuretic medication called Lasix.
Even the least experienced do-it-yourselfer can build a concrete hot tub. The key is to plan out the size, type and location of the hot tub before purchasing any materials. In addition, learn what materials and steps are necessary to achieve the best result. Often, permits or written permission is required by the city to build concrete hot tubs, so it is vital to make sure that all laws and regulations are being followed before beginning to build.
When you start looking at hot tubs for sale, you may be surprised at all the choices. Hot tubs come in different sizes and designs and they have different features. Here are a few suggestions for picking out the best hot tub for you.
The kidneys, a major organ, are responsible for the control of blood pressure. When the pressure of blood flow is continually high, blood vessels can stretch, scar, weaken, or even harden (citation?). Whether blood pressure hardens or weakens the arteries and vessels is irrelevant because the end result is the same; the kidneys’ ability to filter the blood is tainted and they may stop removing sodium, wastes, and fluid from the body. The toxic substances and the fluid that is retained in the bloodstream may damage the vessels even more, leading to a dangerous downward spiral. In fact, high blood pressure is the second leading cause of kidney failure in the United States after diabetes (citation? NKUDIC). Preventing hypertension, and if present controlling it, is paramount to maintaining the health of our kidneys.
Mr David King is a 71-year-old male who lives at home with his wife Mary. David is retired but remains active. He has no serious past medical history, but his parents died from ‘heart issues’ and remembered that his dad had experienced ‘blood pressure problems’. He self-administers analgesic for his headaches that he has been experiencing in recent months.
This can be attributed to excess vomiting, overuse of diuretics, adrenal disease, a large loss of potassium or sodium in a short amount of time, antacids, accidental ingestion of bicarbonate, laxatives, and alcohol abuse (Khan, Cherney, 2017).
Hypertension or high blood pressure is one of these. Hypertension is a common major illness mainly caused due to factors such as stress, depression or deprivation. Much of the disease burden of high blood pressure is experienced by people who are not labelled as hypertensive, most likely people who can’t afford regular health check-ups. Lifestyle changes have been recommended to lower blood pressure, before starting antihypertensive drug therapy. Illnesses such as these are taking innumerable amounts of innocent lives. Not the lives that we could help but the lives that we must help. A recent survey performed by the University of New South Wales showed the percentage of respondents that agreed with the following
... their mediation regimen closely. Many elderly patients are taking several drugs that can reduce the efficacy and increase the toxicity of one another. In order to avoid complications it is important to always educate the patients on proper usage, side effects and specific drug interactions. If a patient misses a dose they should never double up. This could increase their risk for possible overdose. Certain OTC drugs and herbal supplements can have adverse reactions and reduce the efficacy of these drugs. Patients should be advised to that alcohol or tobacco consumption may alter the absorption of the medication and should be avoided. Lab work should be completed routinely to avoid renal and liver toxicity when taking these two classes of drugs.
Amazon.com, as an e-commerce website has emerged as a leader in the e-business world. Originally, the company began as a website that sold books at discount prices, now Amazon.com has evolved into a marketplace for the world. Jeff Bezos, the founder and CEO, has changed the business model of the company many times. He is focused on expanding the selection of goods and services offered on the website, in an attempt to please customers. However, he is having trouble managing the priorities of his gigantic company, he should give the existing categories priority and worry about expansion at a later time.
First off, the nursing assistant could have doubled checked with their supervisor or the prescribing doctor on specifics for treatment since actual prescribed treatment was unable to be provided at their facility due to not having a whirlpool bath. The assistant could have doubled check on specifics such as if patient should still receive daily baths, what the water temperature should have been, and/or if anything could be added to the bath to help ease pain/discomfort. Another option would have been to take more careful measures such as checking the bath water before putting the patient in the water, whether it is by feeling it personally or with a thermometer. When relating to caring and communication, a safer environment could have been provided by being more empathetic for the patient whom was unable to express their feelings due to the inability to walk, talk, or feed themselves. Like I said before, the quality of patient care is a very important aspect of healthcare. Even though the patient was unable to verbally communicate with the nursing staff, there are always ways to open up the communication, like maybe giving the patient a hand to squeeze if the water was too hot, or if the patient experienced any pain. Taking measures like these could have helped them to not suffer such a terrible injury on top of the already complicated health
Client Profile: Lane Bronson is a 55 year old male with a history of angina, hypertension, Type 2 diabetes, COPD, and sleep apnea. He comes to the physican’s office complaining of worsening shortness of breath. His skin tone is grey, and his angina is worsening. Previously stable, he now does not get relief from rest or nitroglycerin. The physician called 911 and had Mr. Bronson directly admitted to the hospital.
Arrow Electronics is a distributor of electronic parts, including semiconductors and passive components. It was founded in 1935 and has reached number one position among electronics distributors by 1992. Arrow’s North American operations were headquartered in Melville, N.Y. Sales and marketing functions were divided among five operating groups. This case study focuses on the largest of Arrow’s groups, Arrow/Schweber (A/S).