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Developmental Psychology: Childhood and (PSYCH-20 )
Chaffey College
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ADN/CURRICULUMBOOK/ADNCAREPL: 2-23-00/MT:klo
Problem #1: Infection Pt. c/o fever, chills and body aches. Pt skin felt warm to touch. Diaphoresis absent. Pt. dx of choledocholithiasis (gall stones) resulted in inflammation of the gall bladder which puts patient going into sepsis and eventually septic shock. Vital Signs: Labs 3/1 3/ Temp (36.6-37) 36 37. BP (120/80) 116/61 132/ HR(60-100) 84 80 SpO2(RA) 96% 95% Pain 6 (abd) 4(abd)
3/1 3/
WBCs (4- thousand)
7 12.
Hct (37- g/dL)
34 34.
Diagnostics: Elevated temperature and WBCs indicates increase of infection and Hx of diabetes adds to that infection Tx/Meds: Amoxicillin - anti-infective, interferes w/ cell replication of susceptible organisms 150mL/hr. Hydrocodone- binds to opiate receptors in the CNS to reduce pain. (I did not get the amt given to pt.)
Inference- Increased temperature, fever, chills, body aches and elevated white blood cells results from inflammation of gall bladder leads to ineffective protection/infection.
Name-Komalpreet Kaur
A 61y/o Hispanic female pt., admitted from home on 2/28. DCF:3/3/22. C/C: epigastric pain, nausea and vomiting. Adm dx: choledocholithiasis. Code status: full code. PMH: Diabetes, hypertension and morbid obesity. PSH: None. Social Hx: denies smoking and drinking. Marital status: lives with husband and 4 kids. Religion: catholic Christian. Occupation: work in a store. A&O X 4. No allergies. Diet- diabetic diet. Height: 5’3” weight: 96 kg. No isolation. No health care disparities Morse score: 15 (low risk for fall). Braden: 21(low risk for pressure sore ulcers). Adm VS: 130/84 (BP), 16(RR), 87(HR), 36 (temp), 97% O2 sat RA. EDD: pending surgery
ADN/CURRICULUMBOOK/ADNCAREPL: 2-23-00/MT:klo
Concept map 1
Course: Developmental Psychology: Childhood and (PSYCH-20 )
University: Chaffey College
