Fill a form in 3 easy steps - less than 5 mins.
Posted: February 15th, 2022
S: 56 y/o male patient, presents in the ED with left lower flank pain, nausea and vomiting, blurred vision and headache. States the symptoms started about 3 days ago and have gradually gotten worse.
B: Patient has DM type 2, HTN, HLD. The patient takes aspirin 81 mg daily, Humalog insulin sliding scale with meals, Lantus insulin at bedtime, Losartan 100 mg for HTN, Metformin 500 mg BID, Atorvastatin 80 mg daily for HLD. Patient states his primary care physican started him on a new blood pressure medication last week. Upon checking the nurse discovered that the patient was started on hydrchlorothiazide, a diuretic.
A: Upon assessment, the patient is noted to have 1 + pitting edema in bilateral lower extremeties, BP is 156/100, T 99.9, RR 18, O2 97% RA. Patient is complaining of unilateral lower left flank pain. Patient is complaining of nausea and has stated he has vomited three times since this morning. Patient also complains of a severe headache.
R: I recommend the patients kidney function be checked immediately, and an ultrasound of the kidney be done to check for inflammation. I suspect the patients kidneys might be rejecting the new medication. A IV line should be started and fluids should be started pending lab results. The patient could possibly be experiencing Acute kidney failure.
—
S: A 56-year-old male patient arrives at the emergency department with left lower flank pain, nausea and vomiting, impaired vision, and a headache. The symptoms began around three days ago and have increasingly worsened.
B: The patient has type 2 diabetes, high blood pressure, and heart disease. Aspirin 81 mg daily, Humalog insulin sliding scale with meals, Lantus insulin at bedtime, Losartan 100 mg for HTN, Metformin 500 mg BID, and Atorvastatin 80 mg daily for HLD are all prescribed to the patient. According to the patient, his primary care physician started him on a new blood pressure medicine last week. When the nurse checked the patient, she discovered that hydrchlorothiazide, a diuretic, had been prescribed.
A: Upon examination, the patient is found to have 1+ pitting edema in bilateral lower extremities, a blood pressure of 156/100, and a temperature of 99.9 degrees Celsius.
You Want Quality and That’s What We Deliver
Our writing team is assembled through a rigorous selection process, where we handpick accomplished writers with specialized expertise in distinct subject areas and a proven track record in academic writing. Each writer brings a unique blend of knowledge and skills to the table, ensuring that our content is not only informative but also engaging and accessible to a general college student audience
Competitive pricing is a cornerstone of our service, where we balance affordability with exceptional quality. In offering the best writers at rates that rival other writing services, we ensure that students can access top-notch content without breaking the bank unnecessarily. Our fair and transparent pricing structure is designed to provide value for money, making us a go-to choice for students seeking high-quality writing services at an affordable price.
Academic integrity is paramount to our writing service, which is why we produce original research and writing content for every paper. Each piece of work is carefully written from scratch, ensuring that every sentence, paragraph, and page is authentic and free from plagiarism. Our rigorous quality control process involves thorough scanning of every final draft, guaranteeing that the content meets the highest standards of originality and academic integrity. With keen attention to citation and referencing, we ensure that every source is properly credited, giving you complete peace of mind. We also have the best plagiarism checkers like safeassign and turnitin thus providing similarity score for each paper.
When you decide to place an order with Dissertation Help, here is what happens: