The Clot Plot

Vonda C. Underwood March 29, 2012 A venous Thromboembolism A berth break down For Clinical Application NRSG-550 Advanced Pathophysiology grey Adventist University School of Nursing A venous Thromboembolism L. M. is a 62-year-old African American female admitted to the hospital for a post-operative abdominal herniation repair in the Left impose Quadrant (LLQ). Her operating room also involved reducing legion(predicate) adhesions that had developed from a preceding(prenominal) hysterectomy, and resecting a 3mm x 4 mm tumor proximal to her left ovary that was discovered during the procedure. Upon removal of the tumor, it was sent to pathology and the results are pending. L. M.s past medical account statement (PMH) is she has significant high blood pressure (HTN), Diabetes II (DM II), hyperlipidemia and hashimotos thyroiditis. She has had a partial hysterectomy in previous years, a cholecystectomy, and a carpel turn over release. Her topical medications that she is prescribed and takes at home are as follows: 1) a perfunctory multivitamin, 2) hormone replacement therapy (HRT), 3) Lisinopril 20 mg daily, 4) Avandia 4 mg daily, 5) Metformin 100 mg double daily, 6) Synthroid 0.125 mg daily, and 7) Lovastatin 40 mg daily at bedtime. L. M. admits to Nicotine abuse: 1 pack per day (PPD) for to a greater extent that 30 years.

She also acknowledges to one eight troy ounce of vino daily, but denies any illicit drug use. She is a widow woman of three years, resides in a footling apartment downtown, and has a daughter who rarely comes to visit her. On post-operative day three, L. M. reports shortness of breath (SOB) wi! th chest pain (CP) that worsens on inspiration. Upon close examination, L. M.s right calf is warm, erythematous, and tender to unmediated palpation. After undergoing a Computed Tomography (CT) of the chest with/without contrast, she is diagnosed with a pulmonic embolism (PE). Venous thromboembolism (VTE) is the third most common ailment after cracking coronary syndrome and cerebrovascular accident (CVA) disdain evidence-based...If you want to get a full essay, order it on our website: BestEssayCheap.com

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