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in 5-7 paragraph explain why Extreme blood lost can lead to hypovolemic shock. Please describe what hypovolemic shock is. Explain how it will impact virtually all systems and how some systems will try to compensate for this blood loss. include citation

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Collen Von
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9 Apr 2018

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Related questions

According to the patient's previous medical history, it is possible that he has cirrhosis of the liver? Why? Can cirrhosis of the liver be a cause of upper digestive bleeding? What is the prognosis? Explain.

Personal Information

Name: Mr. Christopher Franklin

Age: 60 years old

Gender: Male

Description

Mr. Franklin is a 60-year-old patient with a history of a thrombotic cerebrovascular accident two years ago. After the stroke, he started with seizure attacks. He has been suffering from hypertension for the last ten years and ulcerative colitis since last year. He currently takes lisinopril, hydrochlorothiazide, aspirin, carbamazepine, and a low dose of prednisone.

Mr. Franklin has been suffering from epigastric pain, the sensation of fullness, and occasional nausea for the last six months. This time, he was brought to the ER because, while he was talking to his son, he had a dizzy spell and fell to the floor. He is conscious and is complaining of severe epigastric pain. He began with mild abdominal pain two days after he started taking a new cycle of prednisone for his colitis, around seven days ago. The pain increases when he eats or drinks something. He is also complaining of suffering from pyrosis, malaise, and dizziness, and he has noticed that his feces are dark.

The patient was a heavy alcohol drinker until he had the stroke. He is a cigarette smoker since he was 20 years old. His mother suffered from Alzheimer’s disease and died of colon cancer, and his father died of cirrhosis of the liver.

On physical examination we found:

Remarkable Signs on Physical by Regions

Abdomen: Pain on palpation on epigastric region

SOMA: Right hemiplegia and hyperreflexia

Remarkable Signs on Physical by Systems

Integumentary system: Pallor, diaphoresis, coldness

Cardiovascular system: Tachycardia. Blood pressure 70/50 mmHg. Radial pulse 110.

Digestive system: Tenderness of epigastric region. A rectal exam showed melena.

Neurologic system: The patient is conscious and well oriented to time, place, and person. Right hemiplegia and hyperreflexia.

Lab Tests

Complete blood count (CBC)

Metabolic panel

Lipid panel

Abdominal CT scan

Esophagogastroduodenoscopy

Main Diagnosis

Upper digestive bleeding due to drug-induced gastritis

Hypovolemic shock

Acute anemia

Other Diagnoses

Stabilized thrombotic cerebrovascular accident

Epilepsy

Essential hypertension

Ulcerative colitis

Based on the following case study respond to these questions:

1. The patient in our case study, Mr. Franklin, had dizziness and was found on the floor. What traumatic brain injuries do we have to rule out?

2. How do we clinically know if the patient was having a seizure attack?

3. Is it probable that he has a new cerebrovascular accident? Explain

4. What risk factors does Mr. Franklin have of suffering from dementia in the future?

Personal Information

Name: Mr. Christopher Franklin

Age: 60 years old

Gender: Male

Description

Mr. Franklin is a 60-year-old patient with a history of a thrombotic cerebrovascular accident two years ago. After the stroke, he started with seizure attacks. He has been suffering from hypertension for the last ten years and ulcerative colitis since last year. He currently takes lisinopril, hydrochlorothiazide, aspirin, carbamazepine, and a low dose of prednisone.

Mr. Franklin has been suffering from epigastric pain, a sensation of fullness, and occasional nausea for the last six months. This time, he was brought to the ER because, while he was talking to his son, he had a dizzy spell and fell to the floor. He is conscious and is complaining of severe epigastric pain. He began with mild abdominal pain two days after he started taking a new cycle of prednisone for his colitis, around seven days ago. The pain increases when he eats or drinks something. He is also complaining of suffering from pyrosis, malaise, and dizziness, and he has noticed that his feces are dark.

The patient was a heavy alcohol drinker until he had the stroke. He is a cigarette smoker since he was 20 years old. His mother suffered from Alzheimer’s disease and died of colon cancer, and his father died of cirrhosis of the liver.

On physical examination we found:

Remarkable Signs on Physical by Regions

Abdomen: Pain on palpation on epigastric region

SOMA: Right hemiplegia and hyperreflexia

Remarkable Signs on Physical by Systems

Integumentary system: Pallor, diaphoresis, coldness

Cardiovascular system: Tachycardia. Blood pressure 70/50 mmHg. Radial pulse 110.

Digestive system: Tenderness of epigastric region. A rectal exam showed melena.

Neurologic system: The patient is conscious and well oriented to time, place, and person. Right hemiplegia and hyperreflexia.

Lab Tests

Complete blood count (CBC)

Metabolic panel

Lipid panel

Abdominal CT scan

Esophagogastroduodenoscopy

Main Diagnosis

Upper digestive bleeding due to drug-induced gastritis

Hypovolemic shock

Acute anemia

Other Diagnoses

Stabilized thrombotic cerebrovascular accident

Epilepsy

Essential hypertension

Ulcerative colitis

Show a concept map between splenectomy, hypothyroidism, diabetes, atrial fibrillation.

Endocrine Concept/Patho Map Ms. S is a 64 year-old retiree who was admitted to the hospital for an emergency splenectomy following a fall. Her medical history includes: Type II diabetes for the past 10 years, hypothyroidism, atrial fibrillation, and obesity. Until her fall, she had not had any problems related to her spleen. Her mother was also a diabetic and all of her siblings have atrial fibrillation. Mediations: Synthroid, Actos, atenolol, and a baby aspirin a day. It is now three days post op and the large abdominal wound from her surgery is red and draining yellow drainage. Her vital signs are 145/80; HR-90, R-20, T-100.8 F. In your concept/patho map be sure to include all the steps from the risk factors to the development of the diseases or problems following her splenectomy. The more details you can provide the better.

Here are the areas to be sure to include in your concept map:

Splenectomy: relationship among splenectomy and infectious processes; impact on red blood cells and oxygenation; stress related to surgery; impact on blood glucose.

Hypothyroidism: impact on cardiac system; blood glucose, skin, immunity, tissue perfusion

Diabetes: relationship among obesity, insulin resistance, changes in vessels, circulation, WBCs, relationship between blood glucose and pathogens

Atrial fibrillation: what happens to cardiac output, WBCs, oxygenation of tissues, impact on infection

Systems connectivity: indicate all relationships between and among the various systems

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