1. Problem
Risk for skin break down related to fluid retention, edema, and cellulitis
2. Subjective
Pt verbalized pain upon walking when bear weight
3. Objective
Pt 3+ pitting edema on bilateral extremities, Cellulitis
Bumetanide 1 mg
Potassium chloride 40MEQ High Reactive protein 7.42 which indicate inflammation
4. Analysis A 55- year-old female at VA admitted to TLC for rehabilitation after her heart endocarditis surgery (tricuspid valve). Pt reported developed edema after surgery due to prolong staying at bed. Currently pt conditions is edematous on her lower bilateral extremity and cellulitis
Pathophysiology Edema occurs when an excessive volume of fluid accumulates in the tissues, either within cells( cellular edema) or within the
The purpose for the stent was to hold the coronary artery open to allow the blood to flow more freely.
After review of the clinical information provided by North Central Bronx Hospital, the Medical Director has denied your admission to North Central Bronx Hospital. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. You are a 56 year old female with complaints of worsening pressure-like chest pain on the left sided that radiated to your left arm and neck. The symptoms began when you were at rest and woke you from your sleep. Based on the Interqual guideline (a decision based program to determine medical need) criteria to for acute coronary syndrome the clinical guidelines were not met because troponins were negative, there was no diagnostic testing such as a stress test, or documentation of ischemia in the clinical information that was submitted.
results in the need for more blood. Since more blood is needed to fill the
Disease: any abnormal functioning of the body, organs, tissues, or cells that create the inability to function normally
During my morning rounds I began my assessment of Mrs. M., and I noted that she had shortness of breath and she was making gurgling sounds. I immediately auscultated her lungs and noted bilateral wheezing throughout all fields, her heart was irregular and rapid and she had 2plus pitting pedal edema. I noticed she had an IV running at 125ml/hr, which I quickly stopped. The patient did not have orders for IV fluid there was only an order to KVO. I raised the head of the bed and paged respiratory to the floor.
As cardiomyopathy worsens, the heart becomes weaker. It 's less able to pump blood through the body and maintain a normal electrical rhythm. This can lead to heart failure and rhythm problems. In turn, heart failure can cause fluid to build up in the lungs, ankles, feet, legs or abdomen.
On admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings. J.P. was positive for dyspnea and a productive cough. She also was positive for dysuria and hematuria, but negative for flank pain. After close examination of her integumentary and musculoskeletal system, the examiner discovered a shiny firm shin on the right lower extremity with +2 edema complemented by severe pain. A set of baseline vitals were also performed revealing a blood pressure of 124/80, pulse of 87 beats per minute, oxygen saturation of 99%, temperature of 97.3 degrees Fahrenheit, and respiration of 12 breaths per minute. The blood and metabolic panel exposed several abnormal labs. A red blood cell count of 3.99, white blood cell count of 22.5, hemoglobin of 10.9, hematocrit of 33.7%, sodium level of 13, potassium level of 3.1, carbon dioxide level of 10, creatinine level of 3.24, glucose level of 200, and a BUN level of 33 were the abnormal labs.
This only keeps the blood moving for a short while. The heart muscle walls weaken and are unable to pump as strongly. This makes the kidneys respond by causing the body to retain fluid and sodium. When the body builds up fluids, it becomes congested. Many conditions can cause heart failure, and they include coronary artery disease, heart attack, cardiomyopathy, and conditions that overwork the heart.
Lymphedema is an abnormal collection of lymphatic fluid and swelling caused by several removal, obstruction, and damage to the lymph nodes which is part of the cancer. The Majority of the swelling happen in the arm or legs may occur in any other body parts. Lymphedema disease can be developed when a lymph vessel is damaged or clogged. Usually the lymph liquid is carried out the body system by a lymph vessel. Although the protein rich fluid is collects in certain areas, they can seduce more liquid and increase swelling. Sometimes the lymphedema commonly confused with lip edema, abnormal fat cells, which can expand onto secondary lymphedema.
Glen Carver is a 56 year old male who was admitted unto the cardiovascular care unit 48 hours ago with the diagnosis of heart failure. Mr. Carver went to see his primary care provider with complaints of dyspnea on exertion, a nonproduction cough, decreased activity intolerance, and general fatigue all of which have been worsening over the past two months. The primary care provider found Mr. Carver to have lower extremity swelling, profound ...
Describe the pathology/condition from a reputable source. Include its etiology (how, when and why it occurs)
Just as breast cancer is killing our African American women, heart disease is also one of the major diseases killing our women. Heart disease is one of the nation’s leading causes of death in both woman and men. About 600,000 people die of heart disease in the United States (Americas heart disease burden, 2013). Some facts about heart disease are every year about 935,000 Americans have a heart attack. Of these, 610,000 are a first heart attack victim. 325,000 happen in people who have already had a heart attack. Also coronary heart disease alone costs the United States $108.9 billion each year. This total includes the cost of health care services, medications, and loss of productivity. Deaths of heart disease in the United States back in 2008 killed about 24.5% of African Americans.
Primarily, cerebral edema occurs in children. Studies show that the largest reported cases are 95% within patient’s younger than 20 years of age. One third of these cases occurs in patient’s younger than 5 years of age. Generally, after the initiation of therapy, within 3-12 hours it occurs in children who seem to be metabolically returning to normal (Pandey). Insulin was discovered in 1922, prior to, “the mortality due to DKA was virtually 100%. With the discovery of insulin, antibiotics, intravenous potassium replacement and use of norepinephrine for blood pressure support, rates ranging from 2....
The patient is a 30 year old male with an active bacterial infection on his right leg attacking his Integumentary system. The patient is from Tanzania, Africa but came back to work in a factory that produces plastic. If he has Cellulitis, it can get bad enough to travel to other organs like the Liver and Kidney and cause failure. If this happens, Edema can form, usually on one half of the body; this is the Urinary system being attacked. The main system being attacked is the Lymphatic system because Cellulitis attacks the lymphatic draining system. For Cellulitis to travel to organs, it had to go through the blood, so the cardiovascular system is also in effect.
It is defined as” an increase in volume of the mass due to suction of water or due to contact of water for a longer