JR is a 47-year-old Native American male that came into the emergency medical system via helicopter in critical condition. The situation arose after he was found in the bathtub unresponsive. He was intubated on scene and taken to the local hospital but due to the severity of his condition; he was then flown to a larger and more prepared hospital for the type of care that would be needed to save his life. He was placed in the Intensive Care Unit (ICU) and remained under sedation until he was extubated and transferred to the post-critical floor. It is postulated that JR’s history of alcoholic hepatic failure, cirrhosis, and end-stage liver disease could have lead to high circulating ammonia levels. High ammonia levels then could have lead to JR to become unresponsive, although the actual proven cause was never noted. Another theory could have been the use of illegal substances that showed positive on his toxicology report…levels were not indicated as critical though.
Even though the cause was not proven as to why JR ended up unresponsive, his liver is severely compromised and likely plays a part of that reason. End-stage liver disease with cirrhosis ranks in the top ten in the United States as
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In this study the injury sustained by the liver was attributed to excessive alcohol consumptions. Alcoholic Liver Disease (ALD) covers a wide gamut of manifestations including hepatic inflammation, necrosis, and end-stage cirrhosis (Altamirano, & Bataller, 2011). Large amounts of alcohol consumption causes infiltration of leukocytes and hepatocellar damage occur then leading to fibrosis deposits in the liver and cirrhosis. The damage acquired during this chronic consumption of alcohol puts the body at high risk of acquiring ascites, varices, hepatic encephalopathy, infections, and renal failure (Altamirano, & Bataller,
Symptoms/Focus: Dr. Andrew Bourgeois at Simi Valley Emergency Room requested an evaluation of client by the Crisis Team for Suicidal Ideation and Grave Disability. Client placed a call to EMS on his own behalf on the evening of 05/14/2017. Client requested to be picked up from in front of a restaurant and taken to Simi Valley Emergency Room due to suicidal ideation with a plan to "cut head with a saw". Client stated to Dr. Bourgeois that his depression had increased over the last 3 days. Client denied drug or alcohol use, but was positive for amphetamine in the hospital toxicology screen. Client had been seen at Simi Valley ER and
When alcohol is consumed, an enzyme called alcohol dehydrogenase metabolizes the alcohol to acetaldehyde at a rate of one standard drink per hour (Schuckit, 2009). After repeat exposures, tolerance may develop as a result of adaptational changes in the cells of the central nervous system (Merck, 1999). The increased tolerance may cause the patient to consume alcohol in greater quantities than before to achieve the same intoxicating effects. Alcoholics suffer dramatic long-term health damage. The most common forms of specific organ damage in alcoholics are cirrhosis, peripheral neuropathy, brain damage, a...
Christopher death could have been avoided if the Doctor had been able to identify the cause of his desaturation on time. Due to lack of nursing care and many human errors from both the medical team and nurses, it leads to his death as per the inquest. Patient safety was compromised. It was found that Dr. Wooller the anesthetist and Dr. Young the surgeon who operated on Mr. Hammett didn’t investigate on the significant oxygen desaturation event that occurred in PACU while he was transferred from Operation Theater. DR. young assumed it was due to obstructed airway. As Mr. Hammett had Guedels inserted. The inquest stated that the anesthetist was supposed to review the arterial blood gas and transferred Mr. Hammett to High dependency unit due to his desaturation event for more than 20min. The nurses looking after MR. Hammett in PACU was RN Turrell and RN Proud. RN Proud notified Dr. Woller about the desaturation event for which doctor paid the visit but didn’t physically examine Mr. Hammett and left with short conversation. If Dr. Woller had investigated the cause of desaturation event at that time probably they could have prevented the rest desaturation event but unfortunately, none of them were implemented, which lead to additional complication Following the event the deceased was administered bolus morphine for his pain, which was scored 4/10. The nurses working in PACU RN Proud notified the anesthetist about the oxygen stat
Liver disease resulting from alcohol affects more than two million Americans and is one of the primary causes of illness and death. The liver frees the body of harmful substances, such as alcohol. While the liver breaks down alcohol, it produces toxins that can be even more dangerous than the alcohol consumed (“Beyond Hangovers: Understanding Alcohol's Impact on Your Health” 13). “These by-products damage liver cells, promote inflammation, and weaken the body’s natural defenses. Eventually, these problems can disrupt the body’s metabolism and impair the function of other organs” (“Beyond Hangovers: Understanding Alcohol’s Impact on Your Health” 13).
Hepatitis A is a usually short acting virus that occurs in humans and monkeys. It is caused by the Hepatovirus and the species is Hepatitis A Virus. There are two major ways in which Hepatitis A can be transmitted. One way is from person to person. This transmission occurs when the fecal matter of an infected person gets ingested by another person. Other ways Hepatitis A can be transmitted from person to person are through direct contact with an infected person, such as sexual contact, and sharing of needles for intravenous drug use. Hepatitis A can also be transmitted through coming in contact with contaminated food or water. Also foods that are uncooked or undercooked and have been contaminated with Hepatitis A can transmit the virus. (Bennett,
Hepatitis A is a virus or an infection that causes liver disease and inflammation of the liver. According to Centers for Disease and Prevention, hepatitis A is a self- limited disease that does not cause a chronic infection and it is rarely fatal. The virus is an infectious disease of the liver which cannot be transmitted by sneezing and coughing. It is usually transmitted from person to person through the feces or the mouth, from consuming contaminated food or water. Many people do not experience any symptoms of hepatitis A, but if someone was to get it, then the symptoms could last from 2 weeks to 6 weeks. The blood is tested to determine how the liver is functioning. The blood is usually taken from the vein in the arm and
Hepatitis A is an acute infection of the liver that travels through your bloodstream and gastrointestinal tract (2). It is transmitted person to person through fecal contamination. Ingesting contaminated food and water is the main source, this usually occurs when an infected food handler prepares food without appropriate hand hygiene (3). Outbreaks are fairly common in institutions, prisons and military forces. An early infection of Hepatitis A can mimic the flu with symptoms such as being febrile, lethargy, nausea, anorexia, abdominal discomfort and eventually causing severe jaundice (1). This virus can progress and cause liver failure and even death if not treated promptly (3).
Blackwell, Wiley. "Alcoholic Cirrhosis Patients Had High Prevalence of Complications at Diagnosis." ScienceDaily. ScienceDaily LLC, Apr. 27,2010. Web. 4 Nov 2011. .
This case study is about Abdul Chidiac, a 51 year old male, married with 4 children. He had a medical history of hypertension, hypercholesterolaemia and cirrhosis with two admissions in the last six months. He is a smoker and drinks beer, 5-6 bottles per day. As Carithers & McClain (2010) explained the patient’s medical history is another indicator of the risk for cirrhosis; the progression to cirrhosis is adaptable and may take time over weeks or many years. Cirrhosis is a liver disease characterized by permanent scarring of the liver that interferes with its normal functions including alcoholism. Most people who drink large amounts of alcohol cause harm to the liver in some way (Heidelbaugh & Bruderly, 2006). The cause of cirrhosis is not yet known, but the connection between cirrhosis and excessive alcohol ingestion is established (Jenkins & Johnson, 2010). Common causes of cirrhosis include: alcohol abuse, hepatitis B infection, hepatitis C infection and non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (Schuppan & Afdhal, 2008).
My colleague and I received an emergency call to reports of a female on the ground. Once on scene an intoxicated male stated that his wife is under investigation for “passing out episodes”. She was lying supine on the kitchen floor and did not respond to A.V.P.U. I measured and inserted a nasopharyngeal airway which was initially accepted by my patient. She then regained consciousness and stated, “Oh it’s happened again has it?” I removed the airway and asked my colleague to complete base line observations and ECG which were all within the normal range. During history taking my patient stated that she did not wish to travel to hospital. However each time my patient stood up she collapsed and we would have to intervene to protect her safety and dignity, whilst also trying to ascertain what was going on. During the unresponsive episodes we returned the patient to the stretcher where she spontaneously recovered and refused hospital treatment. I completed my patient report form to reflect the patient's decision and highlighted my concerns. The patient’s intoxicated husband then carried his wife back into the house.
Douglas Anthony in one of the hospital in Orlando Florida on July, 2015 this patient brought to the hospital. Patient was having severe pain in the upper part of the body and was crying in the waiting room. Receptionist and other hospital members were busy in dealing with other patients. Mr. Douglas had to wait for long time to get register in electronic record of the hospital. He was sent to the emergency room where doctor examined him for stomach pain. While checking Mr. Douglas Doctor asked him about the medical history of the stomach pain. Due to language and communication problem doctor referred him to physician with his case history. Physician checked him and send him for the Lab tests. After reading the test reports physician diagnosed him for cardiovascular
Liver cancer is abnormal cell growth on or within the liver. Liver cancer is either starts in the liver (called primary liver cancer) or it spreads to the liver (called metastatic liver cancer). Metastatic liver cancer is more common in United States and Western Europe, while primary liver cancer is common in third world nations. Liver cancer is the third most commonly diagnosed cancer in the world. In the United States, it affects twice as many men as women; the average diagnosis age for liver cancer is 67.
Increased abuse of alcohol leads to physical damage to the body. Alcohol is absorbed directly into the brain, dulling one’s senses and weakling one's will power. According to the article from the Mayo Clinic Health Information, “Excessive use of alcohol can produce several harmful effects on your brain and nervous system. It also can severely damage your liver, pancreas and cardiovascular system. Alcohol use in pregnant women can damage the fetus” (Mayo 1). Continued ingestion of alcohol affects every organ in the body. Every organ in the body is affected. The liver has serious effects that may lead to cirrhosis and death.. At first the liver adapts and tolerates alcohol. It works harder and finally damages itself in time. Alcohol leads the liver to the inability to metabolize facts. Furthermore, it leads to increase in cholesterol and triglycerides leading to clogged arteries. Red blood cells are also affected leading the individual to become anemic.
The treatment priorities of the registered nurse upon admission to the emergency department are as follows; within the first 10 minutes of Mr. Bronson’s arrival to the emergency department begin a 12 lead ECG. Assess Mr. Bronson’s vitals heart rate, blood pressure, respiratory rate, oxygen saturation, and administer oxygen 2-4 liters via nasal cannula (Sen, B., McNab, A., & Burdess, C., 2009, p. 19). Assess any pre hospital medications, and if he has done cocaine in the last 24 hours. At this time, the nurse should assess Mr. Bronson’s pain quality, location, duration, radiation, and intensity. Timing of onset of current episode that brought him to the emergency room, any precipitating factors, and what relieves his chest pain.
Alcohol in the form of alcoholic beverages has been consumed by humans since pre-historic times, for a variety of hygiene dietary, medicinal, religions and recreational reasons. According to the NIH Senior Health, drinking too much alcohol affects many parts of the body. It can be especially harmful to the liver, the organ that metabolizes (breaks down) alcohol and other harmful substances. People who drink heavily for a long time can develop diseases such as liver inflammation (alcoholic hepatitis) or severe liver scarring (cirrhosis). Alcohol-related liver disease can cause death. According to the statistics in the year 2010 by the CDC (Centers for Disease Control and prevention) the number of discharges with chronic liver disease and cirrhosis as the first-listed diagnosis was 101,000 persons, while the number of deaths has been 31,903 persons.