2024 Nursing Concept Map
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Create an Imaginary patient in the Medical Surgical floor and fill in all of the information regarding the patients current condition. I have attached below the word document which should be used as a template. Do not delete any of the information currently on there.Attach a page with 3 APA formatted references
2024 Chronic health
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A 36-year old male presents to the clinic with symptoms of increasing abdominal pain that recently started radiating to his back, nausea and unintentional weight loss (20 pounds) over the past 4 months. He has recently been having oily diarrhea like stools. PMH includes HTN. Surgical Hx: None. Medications: HCTZ 25mg daily. Allergies: None. Family: Father deceased colon cancer at 70 years old, Mother living with HTN. Social: Smokes tobacco-1PPD for 35 years, admits to alcohol use daily- at least 2-3 beers every night for the past 10 years, and prior history of marijuana and IV drug use as a young adult. He is employed full-time as a supervisor at a local construction company. He is divorced and has 2 adult children. He does not exercise regularly.Diagnostics: CBC, CMP, UA wnl. Abdominal ultrasound reveals enlarged pancreas with calcification.After thorough evaluation the diagnosis Pancreatitis was made.1. Discuss Pancreatitis and 3 other differential diagnosis. Provide pertinent positives and negatives.2. What further history would you like to obtain to inform the diagnosis of pancreatitis? Provide rationale.3. What additional labs would you order?4. Discuss risk factors associated with Pancreatitis.5. Discuss clinical relevance of diagnostics revealed above and discuss additional diagnostics you would like to obtain to establish a diagnosis of pancreatitis?6. Consider likely stage of the pancreatitis as well as prognosis with and without appropriate treatment.7. Discuss management options of pancreatitis, along with rationale.8. Incorporate the Christian worldview in answering this assignment.Document this assignment in a 3 pages word document, include 4 references published in the last five years.
2024 Discussion- Pulmonary Function/Fluid,Electrolyte, and acid-base homeostasis
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Pulmonary Function:D.R. is a 27-year-old man, who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage—all of which began four days ago. Three days ago, he began monitoring his peak flow rates several times a day. His peak flow rates have ranged from 65-70% of his regular baseline with nighttime symptoms for 3 nights on the last week and often have been at the lower limit of that range in the morning. Three days ago, he also began to self-treat with frequent albuterol nebulizer therapy. He reports that usually his albuterol inhaler provides him with relief from his asthma symptoms, but this is no longer enough treatment for this asthmatic episode.Case Study QuestionsAccording to the case study information, how would you classify the severity of D.R. asthma attack?Name the most common triggers for asthma in any given patients and specify in your answer which ones you consider applied to D.R. on the case study.Based on your knowledge and your research, please explain the factors that might be the etiology of D.R. being an asthmatic patient.Fluid, Electrolyte and Acid-Base Homeostasis:Ms. Brown is a 70-year-old woman with type 2 diabetes mellitus who has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission, her laboratory values show the following:Serum glucose 412 mg/dLSerum sodium (Na+) 156 mEq/LSerum potassium (K+) 5.6 mEq/LSerum chloride (Cl–) 115 mEq/LArterial blood gases (ABGs): pH 7.30; PaCO2 32 mmHg; PaO2 70 mmHg; HCO3– 20 mEq/LCase Study QuestionsBased on Ms. Brown admission’s laboratory values, could you determine what type of water and electrolyte imbalance does she has?Describe the signs and symptoms to the different types of water imbalance and described clinical manifestation she might exhibit with the potassium level she has.In the specific case presented which would be the most appropriate treatment for Ms. Brown and why?What the ABGs from Ms. Brown indicate regarding her acid-base imbalance?Based on your readings and your research define and describe Anion Gaps and its clinical significance.Post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources
2024 Mental health
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Write a paragraph describing your possible reactions to your patient who misuses substances.a. Would your response be different depending on the substance (e.g., alcohol versus heroin or marijuana versus cocaine)? Give reasons for your answers.b. Would your response be different if the person were a professional colleague? How?