Our Services

Get 15% Discount on your First Order

Science homework help

Case 4 Work on a two SOAP notes. One SOAP note per day.Day 1:Patient Details: · Age: 79 years and 65 kg

November 24, 2024

Case 4

Work on a two SOAP notes. One SOAP note per day.

Day 1:

Patient Details:

·
Age: 79 years and 65 kg

·
Gender: Male

·
Medical History:

· Hypertension (well-controlled)

· History of smoking (20 pack-years)

·
Home medications:

· Lisinopril 40 mg PO QD

Presenting Symptoms:

The patient presented to the emergency department with severe chest pain (rated 9/10 on the pain scale), radiating to the left arm, associated with shortness of breath and nausea. He appeared anxious and diaphoretic.

Initial Examination:

·
BP: 85/50 mmHg

·
HR: 112 bpm

·
RR: 28 breaths/min

·
Oxygen saturation: 92% on room air

·
Temperature: 37.2°C

·
Heart Sounds: S1, S2 normal; no murmurs

·
Lung Sounds: clear

·
Extremities: Cool, clammy, and edematous with peripheral cyanosis

ECG Findings:

·
ST Elevation in leads II, III, aVF, and V1-V4, consistent with
Inferior + Anterior STEMI.

Significant Labs:

·
Troponin I: > 1000 ng/L

·
Creatinine: 1.8 mg/dL

Day 4:

The patient became progressively hypotensive. ECG showed rapid atrial fibrillation with a ventricular rate of 140 bpm. Patient has been having orthopnea and difficulty breathing since day 2. Increased jugular venous distension (JVD) was noted.

Vital signs:

·
BP: 124/90 mmHg

·
HR: 135 bpm

·
RR: 26 breaths/min

Significant Labs:

·
Creatinine: 2.4 mg/dL

·
BNP: 1324 pg/mL (elevated, suggestive of heart failure)

Chest X-Ray:

· Lungs: Bilateral rales at the bases

CT pulmonary angiogram:

· was performed after the patient developed sudden hypoxemia, and it revealed a pulmonary embolism (PE) affecting the right lung

>Science homework help

Share This Post

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Format· Create an infographic that visually represents your care coordination plan. · Create the infographic

Format · Create an infographic that visually represents your care coordination plan. · Create the infographic using a PowerPoint infographic template. · Use clear and concise language. · Include relevant icons, graphics, and colors to enhance readability. 1. Select one health concern and a patient population that aligns with your

Performance Improvement and Quality Management in HealthcareThis week, you have learned about the six dimensions of quality

Performance Improvement and Quality Management in Healthcare This week, you have learned about the six dimensions of quality in healthcare: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. Explore how the six dimensions of healthcare quality—safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity—relate to your own experiences. You will have the opportunity

The cheapest day to book flights on Expedia is typically Sunday , as airline prices tend to be lower [+1877254*9014OR +1||877||254||9014]. Booking

The cheapest day to book flights on Expedia is typically Sunday , as airline prices tend to be lower [+1*877*254*9014OR +1||877||254||9014]. Booking early in the week can help you score the best deals for your trip.

The cheapest day to book flights on Expedia is typically Sunday, as airline prices tend to be lower [+????-????????????-????????????-????????????????

The cheapest day to book flights on Expedia is typically Sunday, as airline prices tend to be lower [+????-????????????-????????????-???????????????? ???????? +????||????????????||????????????||????????????????]. Booking early in the week can help you score the best deals for your trip.

see attachedUnit VIIIAssignment InstructionsDescribe the issues and challenges that

see attached Unit VIII Assignment Instructions Describe the issues and challenges that are raised by privatization and competition in health care services. Your journal entry must be at least 200 words in length. No references or citations are necessary.

see attachedSelect an article from the Library that addresses the subject of “child health care in Cuba, Singapore, Taiwan, Netherlands, or Costa

see attached Select an article from the Library that addresses the subject of “child health care in Cuba, Singapore, Taiwan, Netherlands, or Costa Rica.” Consult the article review grading rubric for requirements. In your own words, summarize the article, and include the following elements: · What is the author’s main

It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word

It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must

see attachmentUnit V DiscussionDiscuss how political instability and conflict in neighboring countries has affected the

see attachment Unit V Discussion Discuss how political instability and conflict in neighboring countries has affected the health care systems in the Middle East. Do you have any personal experience with any of these issues? Please explain. At least 200 words

see attachmentUnit IV JournalThis unit introduces and explores risk and return. In successful business ventures, balancing risk and maximizing

see attachment Unit IV Journal This unit introduces and explores risk and return. In successful business ventures, balancing risk and maximizing the opportunity for return on investments is an essential managerial responsibility. What analyses would you prefer to use to interpret the risk and return characteristics of a company’s asset

see attachmentUnit IV JournalExamine and summarize the factors that influence the role of the private sector in the national health care

see attachment Unit IV Journal Examine and summarize the factors that influence the role of the private sector in the national health care delivery system. How do the factors differ from major issues in the national health care delivery system? How does it differ from the countries in the European

Hello, need a second pair of eyes to look over my assignment.

see attachmentCreating a Business Plan Project: Part 1 A business plan provides a business with a vision for the future and

see attachment Creating a Business Plan Project: Part 1 A business plan provides a business with a vision for the future and a clear strategy for expanding the business. Understanding the components of a business plan can help identify the needed resources, timeline, and steps to achieve the business’s goals,

see attachmentIn this assignment, you are asked to prepare a matrix . You will need to work a bit to

see attachment In this assignment, you are asked to prepare a matrix . You will need to work a bit to mine the data from the textbook chapters and outside sources. The purpose of this assignment is to allow students to use the foundational skills they have learned so far

Please see attached document. I will need at least two responses to any of the discussion posts. 100-150 works per response will work.Thank

Please see attached document. I will need at least two responses to any of the discussion posts. 100-150 works per response will work. Thank you

Please look at the attached assignments and read the directions. While doing the charts and graphs for the discussion, you can make up poll/survey

Please look at the attached assignments and read the directions. While doing the charts and graphs for the discussion, you can make up poll/survey answers.

Hello, please review my assignment and provide feedback for my graduate class.

the kingdoms are Eubacteria, archaebacteria, protista, fungi, plate, and animalia. the options are heterotroph, autotroph, multicellular, unicellular,

the kingdoms are Eubacteria, archaebacteria, protista, fungi, plate, and animalia. the options are heterotroph, autotroph, multicellular, unicellular, no nucleus, has nucleus, most complex, simple organisms, and extreme/harsh environment. help with sort pls

Which of the following are ways humans in Florida are affected by natural disasters such as hurricanes? Humans have to evacuate at the first sign that

Which of the following are ways humans in Florida are affected by natural disasters such as hurricanes? Humans have to evacuate at the first sign that a hurricane is approaching. Hurricanes rarely hit Florida, so only a few people feel they should prepare. Humans have to construct their houses to