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It was because of them that an abdominal ultrasound was done that night, that detected a very small amount of gallbladder sludge. In the months following that, my digestive symptoms increased and worsened, till they got to the point of being debilitating. It was because of them that an abdominal ultrasound was done that night, that detected a very small amount of gallbladder sludge. That diagnosis just happened to coincide with my digestive symptoms increasing and worsening, till they got to the point of being debilitating. Particularly, since for several months, I had been losing nutrients through vomiting and diarrhea. It had gotten so severe, that my husband had even offered to take me to the emergency room for it, but I did not go. Although it definitely could have been cause for a visit to the ER, I worried about the bills that would follow. …show more content…
The nurses serious delays in giving it were actually nothing, but detrimental. First, there was the nurse that had told me why my blood sugar wasn't being tested more. Then there was the nurse that had told me why I wasn't being given the one insulin (Lantus) in the mornings and the other insulin (Humalog) with my meals. She said, the reason for both was because my blood sugar had been running low. Yet, she knew I was fully aware of my surgery having to be canceled, due to a very high blood sugar. She also knew that I was fully aware of my blood sugar being high again on the day of my surgery, (I think it was about 250). Just before surgery, one of the surgeons and the head anesthesiologist had even come to talk to me about it. They told me, they didn't want to delay surgery anymore, and that I would be given insulin intravenously during it, if thought necessary. As a consequence, that led to problem after problem with my blood
Acute pancreatitis following endoscopic retrograde cholangiopancreatography (ERCP) appears to be the most frequent major complication, occurring in 1-10% of patients overall, with a mortality rate ranging from 0.2-0.6% and an annual healthcare expenditure cost reaching $150 million in USA alone (1) (2). Several risk factors have been reported to play a role in ERCP-induced pancreatitis; some are patient-related (i.e. sphincter of Oddi dysfunction (SOD), female gender, history of pancreatitis, pancreatic acinar opacification), while others are procedure-related (i.e. precut or needle-knife endoscopic sphincterotomy, repeated pancreatic duct injection, difficult cannulation), and this may be useful in stratifying patients into low-risk or and high-risk categories (3).
A 55 year old patient was admitted to the inpatient unit from a hospice facility at 4:00 in the afternoon on April 1st, 2015. The patient has end stage pancreatic cancer with liver and bone metastasis. The unit nurse noted foul smelling loose stools upon the patient’s arrival. After 24 hours and three loose stools, a Clostridium toxin assay test was performed and the patient has tested positive for Clostridium difficile toxin (Elsevier, 2015). Today,
To conclude, holistic assessment should be performed on admission to reduce perioperative and post-operative complications, for successful outcome of surgery and to prevent delay in discharge. Patients with diabetes undergoing surgery present a great challenge for health care providers. It is important to carefully monitor and control diabetes before, during and after the surgery to eliminate complications. Post thyroidectomy, there are many complications and patients should be monitor carefully for them as early detection can save life. Discharging a patient is a complex procedure and should include clinical care, social care, making appropriate referrals and it should involve the patient and the family.
On Friday, I was tasked to carry out nasal tube feeding after having been taught how to do so earlier on. During a canine orchiectomy plus dental and canine mastectomy, I monitored the parameters of the anaesthetized patient throughout the entire procedure, ensuring that it was stable and on the right plane of anaesthesia. After which, I was assigned to take care of the patient recovering from general anaesthetic. The remainder of the day was then spent doing basic housekeeping around the
...tic patients with jaundice.” The authors concluded that their study demonstrated that supplemental enteral feedings provided no additional benefit to patients being treated for cirrhosis. Additionally, the authors argued that the risk of associated complications (e.g. infection, encephalopathy, bleeding) outweighed any benefit patients may receive through supplemental enteral feedings.
Journal of Continuing Education in Nursing, 44(9), 406. doi:10.3928/00220124-20130617-38. Torpy, J. M. (2011). The 'Standard' Diabetes. Jama, 305(24), 2592 pp.
After several days of working with me the patient’s states “I know I haven’t taken very good care of my body, but I would like to start doing that now. I have not even tried to manage my diabetes
Possible benefits are if a patient eats his or her breakfast and his or her blood sugar returns to normal. However, there are applications in the computer where a diabetic educator is able to view when a patient had low blood sugar and it was not rechecked in a timely manner to ensure that the blood glucose returned to normal. Managers are often being talked to by diabetic educators, because nursing staff at times decide to use their own judgment when treating low blood sugars rather than following the hospital protocol, and then nurses are forced to explain their decisions. Thus, the importance of documenting and ensuring a patient’s blood glucose has returned to normal, even though the flow chart was not implemented, is often emphasized. Discussion B Describe an ethical dilemma that could occur in your organization.
It was a quiet and pleasant Saturday afternoon when I was doing my rotation at the surgical medical unit at Holy Cross Hospital. It’s time to get blood sugar levels from MM, a COPD patient. His BiPAP was scheduled to be removed before his discharge tomorrow. When I was checking the ID badge and gave brief explanation what I needed to do. The patient was relaxed, oriented and her monitor showed his SPO2 was 91, respiratory rate was 20. His grandchildren knocked the door and came in for a visit. I expected a good family time, however, the patient started constant breath-holding coughing and his SPO2 dropped to 76 quickly. With a pounding chest, the patient lost the consciousness. His grandchildren were scared and screaming,
The patient in question was admitted with suspected pancreatitis. This piece of reflection will pay particular attention to the care I gave the patient in the form of instigating admission documentation, assessing their condition, instigating care plans and administration of any medications required. The patient in question had complex needs and as a staff nurse and according to the NMC (2009) I should be able to provide the care he/she required.
Etminan, Mahyar, Joseph A.C Delaney, Brian Bressler, and James M. Brophy. "Oral Contraceptives and the Risk of Gallbladder Disease: A Comparative Safety Study." EBSCO Host. EBSCO, 18 Apr. 2011. Web. 2 Mar. 2014. .
much meat. I was literally killing myself, one bite at a time. After my diagnoses with
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).
about it till then. When I got to work the following morning I had the
I was taken into the operating room where I seen five or six nurses and two of them had strange objects in their hands. I was told to lay back on these cold white sheets; when I looked up I saw the most intense light ever! After looking at the light for a minute it almost blinded me. One of the nurses put a tube in my nose, yet I quickly tugged it out because it was a foreign object to me. I was informed it would help me breath while the doctors were performing the surgery. The anesthesiologist gave me anesthesia, a medicine that is induced before surgical operations so you will have insensitivity to pain. The entire surgery took about one hour to