Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Case study of iron deficiency anemia
Pathophysiology of iron deficiency anemia
Pathophysiology of iron deficiency anemia
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Case study of iron deficiency anemia
Even after that, though, there were problems with my IV. When I was in the pre-op unit, a new needle had to be put in elsewhere because the first one had infiltrated. Also, every time any medication was bloused into my intravenous, it burned because of the condition of my veins.
After being transferred from the ER to my hospital room, I was also told there were deviations in my pre-admittance EKG(s). Blood work had even been done to see if I had suffered a recent heart attack.
I was also barely urinating by that time and was told that my kidney function was declining. When I did go, my urine was the color of dark coffee, and my urine output had to be measured. Just after that, I was told that my electrolytes were low, as well. Particularly,
…show more content…
That considered, they either had to be wrong, or my potassium dropped suddenly and considerably just after I had been put in my hospital room that night.
It had actually gotten low to the point that I had to receive it intravenously almost the entire time that I was in the hospital, and that was five days. I don't know exactly when it was started, but I do know that I was receiving it the night after my hospital admittance.
The surgeon, Dr. Honesto Poblete, was quite concerned about it. He even thought I should continue receiving it during surgery, but the head anesthesiologist did not agree with that. Still, their initial difference of opinion did not concern me because I had total faith in Dr. Poblete and knew whatever their decision, it would be the right one for me.
While in the hospital, I was under the care of 11 physicians. There were two primary care physicians, two surgeons, an endocrinologist, a gastroenterologist and a group of five cardiologists. There was also an anesthesiology team during the surgery and a consult with a
…show more content…
Then, after I had requested it be re-tested, I was told it was 400 and something. Considering there had been no recent change in IV fluids, food eaten, etc., my blood sugar would not have changed by 100 mgs., or more, in just a few minutes. There had obviously been a mistake made because one of those tests results had to have been wrong.
Whether it was in the 400's, or 500's, though, my having such a high blood sugar was totally unnecessary. I hadn't eaten in days, and the infections I was later found to have could not have been to blame for that high blood sugar, either. Apparently, they were not to blame for any of the high blood sugars that I had while in the hospital then.
Being my symptoms did not worsen after I was hospitalized, it appeared I had the gallbladder and liver infections even before going to the hospital. In fact, my symptoms were very much reduced from the time I went for pre-admittance testing and was admitted.
Besides that, over the course of five days, infection would not have caused just a few sporatic spikes in my blood sugar. It would have caused it to be continuously high, or almost so. However, that I know of, I only had high blood sugar a few times, or so, during that
(Main Point 3) After a long period of time, high blood sugar levels can have a serious effect on all the body's organs.
The purpose of this essay is to reflect and critically study an incident from a clinical setting whilst using a model of reflection. This will allow me to analyse and make sense of the incident and draw conclusions relating to personal learning outcomes. The significance of critical analysis and critical incidents will briefly be discussed followed by the process of reflection using the chosen model. The incident will then be described and analysed and the people involved introduced. (The names of the people involved have been changed to protect their privacy) and then I will examine issues raised in light of the recent literature relating to the incident. My essay will include a discussion of communication, interpersonal skills used in the incident, and finally evidence based practice. I will conclude with explaining what I have learned from the experience and how it will change my future actions.
I think you have correctly identified the diagnosis for this patient in having HHS with the symptoms that where present in the scenario. The main difference between DKA and HHS is that the urine contain no ketones. The patient urine is negative for ketones which is a clinical symptom of HHS. “The difference between DKA and HHS is that ketosis and acidosis generally don't occur in HHS, partly because of the different insulin levels"(Hinkle & Cheever, 2014, p.1445). "HHS the insulin level is too low to prevent hyperglycemia and subsequent osmotic diuresis but is high enough to prevent fat breakdown"(Hinkle & Cheever, 2014, p. 1445)."In DKA, no insulin is present and this promotes the breakdown of stored glucose, protein, and fat, which lead to
...in sources of energy. When cells cannot absorb sugar, you can become fatigued or feel exhausted” (Healhline), complain of blurred vision” In the short term, high glucose levels can cause a swelling of the lens in the eye. This leads to blurry vision. Getting your blood sugar under control can help correct vision problems. If blood sugar levels remain high for a long time, other eye problems can occur” (HealthLine), experience nocturia “Elevated glucose levels force fluids from your cells. This increases the amount of fluid delivered to the kidneys. This makes you need to urinate more. It may also eventually make you dehydrated” (Healthline), and have sores and cuts that will not heal “Elevated glucose levels may make it harder for your body to heal. Therefore, injuries like cuts and sores stay open longer. This makes them more susceptible to infection” (HealthLine).
Hypoglycemia is defined as when your blood glucose (sugar) levels are too low, (<70 mg/dL) [1]. It is most common in patients with diabetes when they have a mismatch of medication, food, and/or exercise. Non-diabetic hypoglycemia is rare condition in which patients that do not have diabetes have chronically low blood glucose. Non-diabetic hypoglycemia is broken into two classes: Reactive hypoglycemia (RH), and fasting hypoglycemia (FH), both of which can be determined by laboratory test results [2]. RH is generally caused by a combination of the timing and type of dietary intakes, in combination with the timing of subsequent exercise. Contributing factors of a RH episode include high training status, gender, timing and type of nutritional intake, hydration, previous hypoglycemic events, time of the day, anxiety/stress, blood pressure, and the athlete’s individual sensitivity to low glucose and counter-regulatory hormones of insulin and glucagon [3]. FH commonly happens early in the morning, after strenuous exercise, or an overnight fast [4]. There are three grades of hypoglycemia. Grade 1 is when the patient is able to detect and treat himself/herself. Grade 2 is when the patient is conscious but requires aid to take oral glucose. Grade 3 or severe hypoglycaemia is when the patient is unconscious, or unable to take oral glucose because of extreme disorientation [5]. Treatment for grad 3 hypoglycemia is either glucagon injection or intravenous glucose.
Reflection has its importance in clinical practice; we always seek to be successful and that can be achieved by learning every day of our life through experiences we encounter. In that way we can reconsider and rethink our previous knowledge and add new learning to our knowledge base so as to inform our practice. Learning new skills does not stop upon qualifying; this should become second nature to thinking professionals as they continue their professional development throughout their careers (Jasper, 2006). According to Rolfe et al. (2001), reflection does not merely add to our knowledge, it also challenges the concepts and theories by which we try to make sense of that knowledge. Acquiring knowledge through reflection is modern way of learning from practice that can be traced back at least to the 1930s and the work of John Dewey, an American philosopher and educator who was the instigator of what might be called ''discovery learning'' or learning from experience. He claimed that we learn by doing and that appreciating what results from what we do leads to a process of developing knowledge, the nature and importance of which then we must seek to interpret (Rolfe et al., 2001).
It was expected that the participants who ingested glucose and rested, to have their blood sugars elevate and slowly return to the normal range. Blood sugars will rise because the glucose isn’t being used, the glucose stays stored and makes blood glucose levels elevate.
DATE & TIME: Tuesday, February 2, 2016. Private property accident occurred at approximately 10:47 AM. VENUE: 841 S. State/ Near Rite Aid store/ City of Davison / County of Genesee / State of Michigan. INFORMATION: On the above date and time, I, Officer Stone, while on patrol with the City of Davison Police Department received a dispatch from the my office about a Salvation Army truck that hit the Rite Aid building at 841 S. State .
The urine you used was diluted by a large amount of water you drank before taking the test. If you did not use the first urine in the morning, which is concent...
I learned different kinds of workplace conflicts, and why they happened. Also, how to solve them using different methods of mediation. There are four methods of mediation managerial, self, prevention, and team mediation. Moreover, I learned how the conflict could affect the organization
Practicum Log # _7_ 1. Identify a critical incident in social work practice. This week while I was in the office, another worker and I were called by another worker and asked to respond to housing location we frequent often as a couple that is co-case managed by two of the workers had been involved in a domestic violence satiation. As we drove to the location of this couple we were again contacted and informed that in addition to the domestic violence, one of the couple’s children were struck by the father, and that the mother was being driven to the YWCA for emergency shelter.
If this condition is associated with insulin resistance, the combination of a small amount of insulin and a low level of efficacy leads to a deviation from the proper level of glucose (sugar) in the blood, in which case the person is defined as having diabetes, It is known that the proper level of sugar in the blood after the fasting of eight hours should be less than 108 mg / dl, while the border level is 126 mg / dl. If a person's blood glucose level is 126 mg / dl and above, in two or more tests, he or she is diagnosed with diabetes. Symptoms of diabetes: .Nervousness and high tension. .
2. Detection of Incidents: It cannot succeed in responding to incidents if an organization cannot detect incidents effectively. Therefore, one of the most important aspects of incident response is the detection of incidents phase. It is also one of the most fragmented phases, in which incident response expertise has the least control. Suspected incidents may be detected in innumerable ways.
If the results show an increase in sugar levels above normal (70-120 mg / Dysliter) then the injury may be
This may come on slowly and cautiously but eventually the glucose levels in the blood will rise so high that they would start to spill out of the bloodstream, through the kidneys and then go into the urine. Also this would affect the body’s respiratory system.