Get Answer: Brief Patient History Question Guide
This question tests key academic concepts commonly covered in coursework.
What This Question Is About
This question relates to brief patient history and requires a structured academic response.
How to Approach This Question
Start by identifying the main issue, then apply relevant academic frameworks.
Key Explanation
This topic involves brief patient history. A strong answer should include explanation, application, and examples.
Original Question
Brief Patient History ( pls put citations) Mr. Z is a 38-year-old construction worker who sustained a liver laceration after falling from a roof. He required an exploratory laparotomy for splenectomy and repair of the liver laceration 4 days ago. His previous medical history reveals no chronic health problems; however, he is a 20-pack-year smoker. Clinical Assessment Mr. Z is admitted to the medical intensive care unit from the telemetry unit with acute respiratory insufficiency and hypotension. He is using his accessory muscles to breathe. Mr. Z’s abdomen is distended, and there are no bowel sounds. Small amounts of dark green drainage are visible in the nasogastric tube. There is no sign of redness or drainage around his surgical wound. Diagnostic Information Vital signs: blood pressure (BP), 78/55; heart rate (HR), 142 (sinus tachycardia); respiratory rate (RR), 35; temperature (T), 100.1° F. Urine output is 120 mL over the last 8 hours. Arterial blood gas (ABG) values on a 100% non-rebreather mask are pH 7.22; PaO2 54; PaCO2 69; HCO3- 18; O2 saturation 88%. Chest x-ray study reveals infiltrates in the right lower lobe. Laboratory data reveal hemoglobin, 9.8 g/dL; hematocrit, 29%; white blood cell (WBC) count, 18,000/mm3. Medical Diagnosis SIRS / Sepsis Questions What is the clinical definition for the diagnosis? What information is present that validates the Diagnosis of SIRS / Sepsis? What information is present that validates the presence of MODS? What are the contributing factors (history and clinical data)? What additional clinical data would you like to see? What signs and symptoms do you expect of this physical presentation? Which ones are present in your patient? Neurological Respiratory Cardiovascular Skin Gastro-intestinal Genito-urinary What major outcomes do you expect to achieve for this patient? What problems or risks must be managed to achieve these outcomes? What interventions must be initiated to monitor, prevent, manage, or eliminate the problems and risks identified? What types of orders would you expect to see? Monitoring Classification of meds (ie, anti-infectives, anti-emetics, etc) Type of IV fluid preferred / rate? Type of oxygen therapy Additional diagnostic studies Treatments What would be your “worst case” complication for this patient? What are the warning signs and symptoms that your patient might be reaching this level? (include clinical and diagnostic findings). What possible learning needs would you anticipate for this patient? What cultural and age-related factors might have a bearing on the patient’s plan of care?
******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."
