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patient one, patient 6, patient 8:, patient 10, patient 5, patient 7,…
patient one
medical procedure:LEKG, Echo cardiogram stress test, angioplasty
recovery was going very well, however, the last 2 days he has had significant trouble breathing and has developed severe chest congestion with a cough. It is suspected that this is a nosocomial infection, since he has been in the hospital for 7 days and is only now showing signs of an infection. If left untreated, the patient could develop pneumonia.
who came to the ER with severe chest pains radiating through his back and left arm, nausea, difficulty breathing, and headache. These symptoms had persisted for 2 days. He was tachycardia and his EKG showed abnormal electrical conductivity. The patient was administered oral nitroglycerine and put on a saline IV while a cardiologist was called.
patient 2
Current Issue Patient 2 developed pneumonia 9 days into his therapy session. He has a severe cough and has to have nebulizer treatments with albuterol to maintain a normal blood oxygen saturation.
Health Condition Leukemia, compromised immune system
patient 3
Medical Procedures colonoscopy, surgery--partial colon and polyp removal
Current Issue Patient 3 has been having pain while urinating and has been producing cloudy urine specimens. This indicates that she has developed a urinary tract infection (UTI) while in the hospital.
patient 4-
Medical Procedures X-Ray, MRI, laminectomy
Current Issue Patient 4 was recovering well, but has developed a cough and wheeze to her breathing in the last several days. She appears to be developing bronchitis or another respiratory tract infection as she is coughing up thick phlegm with a greenish-brown color.
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patient 6
Medical Procedures Physiotherapy, nebulizer treatments
Current Issue Patient 6 has come back to the hospital and been admitted with pulmonary exacerbation. She is receiving large doses of the antibiotic ciprofloxacin along with physiotherapy and nebulizer treatments. She has developed a respiratory infection since her first trip to the ER.
patient 8:
Current Issue Five days after her surgery, Patient 8 develops a hacking cough with dark green phlem and wheeze from the lungs when she is in a prone position. She has developed a respiratory tract infection that does not appear connected to her appendix rupture.
History Patient 8 was on a school trip with her teacher and classmates. She tells her teacher that she has had severe stomach pain on the right lower abdomen and can't stop vomiting. Her teacher takes her to the ER. Along with the severe pain and nausea, she is also dehydrated and has a fever of 103. The ER nurse starts IV saline to help with the dehydration while the ER doctor calls for an ultrasound and CT scan of the area along with blood tests. The imaging results show a ruptured appendix and she is taken to emergency surgery. After the successful appendectomy, she needs to remain in the hospital, closely monitored for 5–7 days for abdominal and blood infections.
patient 10
Medical Procedures Chemotherapy, Radiation
Current Issue After six days, Patient 10 develops a severe cough with phlegm, a wheeze when in the prone position, and a severe shortness of breath that requires nebulizer treatments to maintain an appropriate blood oxygen saturation.
History Patient 10 is a 59-year-old female recently diagnosed with lung cancer. She was a smoker, but started vaping 10 years ago as a replacement. She has been admitted for her first Chemotherapy and Radiation session, which is an aggressive approach and will take 10–14 days to complete. She will be monitored continuously during this first session in the Oncology Unit. She receives IV saline during the evening to help prevent dehydration and to reduce nausea.
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patient 5
Medical Procedures MRI, X-Ray, orthopedic surgical procedure
Current Issue Patient 5 has developed a red rash and pus-filled pimples on the skin around his tibial fracture and surgical incision. Additionally, in the soft tissue under the skin of the incision, there is a green pus with a sweet, fruity smell. These factors indicate an infection, most likely aquired in the hospital since the rash is only at the wound site.
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patient 7
Health Condition morbidly obese, hypertension
Medical Procedures bariatric surgery, low salt, fat, carbohydrate diet
Current Issue Six days after surgery, Patient 7 developed a skin irritation at her wound site with green pus that had a fruity odor oozing from the wound. It was both itchy and painful to the touch.
patient 9
Current Issue After 5 days, Patient 9 has developed a red rash at the site of his incision that has white, pus filled pimples within it. It is warm to the touch, itches, and is painful.
History Patient 9 is an active 65-year-old male who has had cartilage loss in several joints, including his left knee and has elected to have a knee arthroplasty (total knee replacement). He is administered anesthesia and saline intravenously throughout the two hour surgery. He will need to spend 7–10 days in the hospital to receive physical and occupational therapy. (Normally this would be done in a rehabilitation unit, but the local one is full, so GNMHl has planned accordingly to help this patient on a Regular Floor Unit).
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