AHHH please help!!!!!

**canoehead, BSN, RN** · Feb 21, 2001

I can't see them, try again.

daz · Feb 21, 2001

ok heres the addy instead

http://www.geocities.com/savage_frost/page1.jpg

and

http://www.geocities.com/savage_frost/page2.jpg

is that better?

el · Feb 21, 2001

I tried, it says the pages are currently unavailable for viewing. Sorry.

daz · Feb 21, 2001

ok i'll do it an easy way i'll type up the situation hehehe... heres the 1st one... the list of sypmtoms:

- mr tom is a 66 year old white male. His WHR is 1.5. he has been DX with Type 2 diabetes and hpertenstion, for which he is taking oral medications. He has been unable to sleep for 3 consecutive nights because he awakens with "feeling i cant get enough air". his sking color is blueish and he occasionally coughs up pinkish sputum. He denies any swelling of his ankles. He states that he has been eating a lot of candy lately to help him stay awake.

Do u guys know any ideas what disease/illness he could be having???

NCNocRN · Feb 21, 2001

With the "I can't sleep at night" scenario, history of hypertension, and coughing up pinkish sputum, the man has left-sided congestive heart failure. The blue-tint to his skin show he has hypoxemia and hypoxia secondary to his lungs shunting blood and not exchanging 02 (pulmonary edema--lungs full of fluid)--frothy pinkish sputum is also a classic sign of this. With the type II DM history, the gentleman may have had a "silent MI" (no classic symptoms, just feeling short of breath and fatigue) also leading to left-sided heart failure. Eating all that candy certainly hasn't helped, probably hyperglycemic as well.

daz · Feb 21, 2001

Originally posted by Joy Shepard:
With the "I can't sleep at night" scenario, history of hypertension, and coughing up pinkish sputum, the man has left-sided congestive heart failure. The blue-tint to his skin show he has hypoxemia and hypoxia secondary to his lungs shunting blood and not exchanging 02 (pulmonary edema--lungs full of fluid)--frothy pinkish sputum is also a classic sign of this. With the type II DM history, the gentleman may have had a "silent MI" (no classic symptoms, just feeling short of breath and fatigue) also leading to left-sided heart failure. Eating all that candy certainly hasn't helped, probably hyperglycemic as well.

ok that sounds right!! =) are u up for another one???