Sunday, March 1, 2009

Hodge-podge

Since my epigastric pain pt was D/C'd on. So, I got someone /c MRSA (methicillin resistant staphylococcus aureus). Med Dx: aspiration pneumonia. Also presenting /c hypotension & tachycardia probably secondary to dehydration. Also /c Hx of non-Hodgkins lymphoma, and here's the string of events: non-Hodgkins lymphoma --> Tx (treatment) --> esophageal striction (from the treatment) --> aspirating food, etc --> aspiration pneumonia --> Tx /c balloon esophageal & vancomycin x2 weeks via PICC line.  I don't really remember anything about this pt b/c I didn't do my careplan on this one, and I was helping the nurse /c his other pts too. But this one was definitely Contact Precautions.

However, one I do remember a bit better was the man who came in /c aspiration pneumonia d/t esophogeal stricture as result of radiation for non-Hodgkins lymphoma. He also had a PE (Pulmonary Embolism - a blood clot in the leg, usually, that dislodges and goes to your lungs. Not good.) He also happened to be an IV drug user, so he had lots of advice for the nurse as how to best administer his IV meds.

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