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Personal practice of case study: Pathophysiology and diagnosis of 27 patients

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Added on  2020-07-22

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Pneumonia Pathogen reaches alveoli Inflammation of air sacs 3.Fall-Not coping Risk factors provide opportunity to fall Age-associated changes in strength and balance 4. Pneumonia: Causes for pneumonia can be intrinsic or extrinsic exposure to causative agent,pulmonary irritants etc. Pneumonia: Causes for pneumonia can be intrinsic or extrinsic exposure to causative agent,pulmonary irritants etc. Type 2 diabetes mellitus: Heterogeneous disorder Insulin resistance Imapired regulation of hepatic

Personal practice of case study: Pathophysiology and diagnosis of 27 patients

   Added on 2020-07-22

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Personal practiceof case study
Personal practice of case study: Pathophysiology and diagnosis of 27 patients_1
Table of ContentsA. Pathophysiology of each primary diagnosis...........................................................................3B. Interventions and assessment of 27 patients .........................................................................7C. Diagnosis of 27 patients.......................................................................................................12D. What types of medications will be given to each diagnosis?...............................................15E. What nursing care should be provided when certain medications are given?......................16F. What pathology/laboratory test results should be monitored and checked when certainmedications are given?..............................................................................................................19G. Identify three most relevant complications of each diagnosis?............................................19
Personal practice of case study: Pathophysiology and diagnosis of 27 patients_2
A. Pathophysiology of each primary diagnosis1. THR d/t recurrent dislocation-Humerus separates from scapula2. PneumoniaPathogen reaches alveoliInflammation of air sacs3.Fall-Not copingRisk factors provide opportunity to fallAge-associated changes in strength and balance4. COPD-Production of more mucusInflammation of bronchioles and their subsequent narrowing Less oxygen reaches capillaries Exhalation of less carbon dioxide 5. Diabetic ketoacidosisBlood Tests·Insulin deficiency Increase in counter regulatory hormone Hormonal imbalance leading to hepatic glucogenesis and lipolysis Hyperglycemia Accumulation of acidic intermediates and end metabolites.Ketones overflow in urine when they exceed the body’s capacity to extract Chest X-ray6. Functional decline:Changes at the tissue level is identifiedChronic low-grade inflammatory activityMalnutrition,aging and immobilization7. Diarrhoea:Increase in the volume stoolgastrointestinal disease reflect primary disordersincrease use of methotrexate1
Personal practice of case study: Pathophysiology and diagnosis of 27 patients_3
Raynaud's disease:Intense vasospasm with associated color change Most susceptible to cold injury.Commonly affect nose,toes and ears.8. SclerodermaChange in the expression of DNA and micrRNA.Severe fibroproliferative vascular lesions of small arteriesAlterations of humoral and cellular immunity.9. COP:Influenza: Chronic inflammation of the airways,lung tissuesCauses inflammatory cells such as neutrophilis ,B-cells.Lead to damage of tissues and a range of other effects.Influenza:All avian influnza infections Hemagglutinin and neuraminidase are crtical for virulenceAllowing cellular infections10. Pneumonia:Causes for pneumonia can be intrinsic or extrinsicExposure to causative agent,pulmonary irritants etc.Altered mental status due to intoxization11. Hypercholestrolaemia:Consequences of abnormal lipoprotein metabolismReduction of LDL receptor expression or activitiesRisk factor for the development of atherosclerosis.12. Type 2 diabetes mellitus: Heterogeneous disorderInsulin resistanceImapired regulation of hepatic glucose productiondeclining b-cell 13. Acute haemorrhagic stroke:Occurrence of bleeding directly into the brain parenchyma2
Personal practice of case study: Pathophysiology and diagnosis of 27 patients_4
Leakages from small intracerbral arteries damaged by chronic hypertensionCerebral amyloidosis and cocain abuse14. Glaucoma: Level of intraocular pressure is related to retinal ganglion cell deathDetermination of intra-ocular pressureIncreased resistance to aqueous outflow15. Delirium:Based on level of psychomotor activityhyperactive delirium is observedPresent with lethargy,drowsiness ,apathy16. Dysphagia:Associated with respiratory disorderIncreased risk of aspiration pneumonia.17. NSTEMI (Non ST segment elevation myocardial infraction): A persistent occlusion of a large epicardial cronary arteryrisk to area of myocardium and severe chest pain18. EXAC COPD: Increase number of macrophages and CD8 T lymphocytesViral and bacterial infections19. Type 2 diabetes mellitus: Heterogeneous disorderInsulin resistanceImpaired regulation of hepatic glucose productiondeclining b-cell 20. COAD:Mantle Cell Lymphoma: Lymphoproliferative disorderAssociated with chromosome translocation .Involvement of immunoglobulin heavy chain gene.21. Mantle Cell Lymphoma: Lymphoproliferative disorderAssociated with chromosome translocation .3
Personal practice of case study: Pathophysiology and diagnosis of 27 patients_5
Involvement of immunoglobulin heavy chain gene.22. Decompensated cardiac failure: Not copying 23. Delirium: Based on level of psychomotor activityhyperactive delirium is observedPresent with lethargy,drowsiness ,apathy24. Influenza A: All avian influnza infections Hemagglutinin and neuraminidase are crtical for virulenceAllowing cellular infections25. Pneumonia: Causes for pneumonia can be intrinsic or extrinsicExposure to causative agent,pulmonary irritants etc.26. EXAC COPD: Increase number of macrophages and CD8 T lymphocytesViral and bacterial infections27.Nausea : A threshold for nauseaDepends on the interaction of certain factors Stimuli giving rise to nausea4
Personal practice of case study: Pathophysiology and diagnosis of 27 patients_6

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