datamini

I just found out frm my lecturer that there is no need to give nitroglycerin, but need to give morphine and aspirin.. anyway.. i'll still try to research on it.. anyone with more information?

Thanks.. but i still need more help.. anyone have any more good website? cos i still don't understand whether or not i need to give IV nitroglycerin or IV morphine. then do i need to give aspirin? if yes, when do i give? Oo...o.. this is so complicated..!!

I need to do a presentation for my schoolwork on immediate management (first 4 hrs) of AMI (acute myocardial infarction) patient. These are what I've prepared, is there anything to add on or any correction? Thanks for your help! 1. Relief chest pain Assess for verbal and nonverbal signs of pain. Document pain score and characteristics of pain. Give oxygen therapy to decrease ischaemia and pain. Promote rest to decrease cardiac workload and decrease sympathetic nervous system stimulation, and promote comfort. Give IV morphine 2-4mgThe case is that patient's BP is 90/60, so is it right that i don't give IV nitroglycerin? Then that's why i give IV morphine instead. But i see in wikipedia, morphine can also cause hypotension. So how? I haven't study this topic, so this is what i know at the moment from my research. Need help!

I think I understand what you mean. The patient is probably having GI or intestinal problem which causes bleeding. Thus he's passing melana stool. This causes blood loss and loss of fluid & electrolytes, which made the patient faint and have cracked mouth. The doctor ordered ferrous fumarate is to replace the blood loss. Gastroscopy and colonoscopy is to investigate for any abnormalities which cause melana stool. Thank you Daytonite, you've been a great help:nurse:

Sorry. And thanks for all ur suggestions. I think I've type wrongly. He complained of "sore tongue" not "sore throat".

Do u know what haematological condition he is having? And by the way what is Ferritin for?

The patient has been passing melena stool for the pass 3 months.He has laceration on his forehead, fainted, looking pale and tired and the corners of his mouth cracked. He also complained of sore throat. Haemoglobin level is 8.1g/dl. Iron & Ferritin level were low. Doctor has ordered ferrous fumarate 200mgm OM, 1U packed cells to be transfused.The patient also need to go for gastroscopy & colonoscopy. I need to identify the haematological condition he is having. Am I right?: He is either having nutritional anemia or iron deficiency anemia. Excessive iron loss is either due to bleeding because of the laceration, or because he may have occult blood loss from slowly bleeding peptic ulcer, GI inflammation, hemorrhoids & cancer, that's why doctor has ordered him to go for gastroscopy and colonscopy. I don't understand what is ferritin for. Ferrous fumarate is to replace iron loss. 1unit packed cells is to replace the blood loss.

The patient has been passing melena stool for the pass 3 months.He has laceration on his forehead, fainted, looking pale and tired and the corners of his mouth cracked. He also complained of sore throat. Haemoglobin level is 8.1g/dl. Iron & Ferritin level were low. Doctor has ordered ferrous fumarate 200mgm OM, 1U packed cells to be transfused.The patient also need to go for gastroscopy & colonoscopy. I need to identify the haematological condition he is having. Am I right?: He is either having nutritional anemia or iron deficiency anemia. Excessive iron loss is either due to bleeding because of the laceration, or because he may have occult blood loss from slowly bleeding peptic ulcer, GI inflammation, hemorrhoids & cancer, that's why doctor has ordered him to go for gastroscopy and colonscopy. I don't understand what is ferritin for. Ferrous fumarate is to replace iron loss. 1unit packed cells is to replace the blood loss.

Thanks for providing me the info i needed. It has been a great help to me. I'll work on the guidelines u've given and see if i have anything else to add on to it. :smilecoffeecup:

Case: A 65yr old male had a mild sorethroat, runny nose & fever for 2days. Since last night, he c/o difficulty in breathing, chest tightness & cough with productive whitish sputum. He was treated & stabilized before admission to your ward for acute excerbation of COPD. Temp: 37degrees Pulse: 105bpm Respiration: 24bpm SAO2: 96% on room air General condition: fair, able to speak in short sentences Inspection: Looks breathless with use of accessory muscles, Audible wheezing heard. Barrel-chested. Productive cough. BMI 16. Percussion: Hyperresonance throughout both lung fields. Palpation: No significant findings. Auscultation: Wheezing heard upon expiration. Pt has h/o "breathing problem" for the past 8yrs.He has been on regular "puffing medicine". He has been smoking since he was 16yrs old.The physician ordered salbutamol & ipratropium bromide nebuliser & oral prednisolone for him. This is what i've come up with my discharge plan: 1) Sit up (prop-up) when feeling breathless ...currently i'm still thinking for more plans..hope to get ur help out there..thanks

I need to explain why diabetic people will feel lethargy for my nursing group project, but I can't seems to find any pathophysiology for it. From what I've search, most of the sources only tell me that lethargy is a symtom of diabetes, but provides no further explaination. I need help!