Mrs. Kendall is an 81-year-old female from
nursing home brought in by ambulance to ED
at 0500hrs.Ventolin nebulisers given enroute.
Severe SOB, productive cough. Denies any
urinary or bowel symptoms, fever or chest pain.
Appears unwell. Pleasantly confused, thinks
she is 42 years old.
• Poor historian? Due to confusion.
• Past Medical History: IHD – multiple
NSTEMI’s, Previous ICU admissions for
exacerbation of asthma, Atrial Fibrillation, DM,
dementia, HFpEF- previous admission for APO
last year.
• On anticoagulation- Apixaban. On digoxin.
• Spirometry 3 months ago demonstrated
restrictive defect.
• Fully vaccinated against COVID
ASSESSMENT
Airway. – Patent, unable to speak in full sentences.
Breathing. – Spontaneous, RR-30/mt, SPO2-95% on 4L NP, was on 15L NRB weaned, bi-basal crepts,
widespread wheeze, moderate work of breathing.
Circulation- Appears flushed, tepid peripheries, BP-195/155 mmHg, HR- 120/mt, irregular,
b/l pitting pedal edema+++, peripheral edema- upto 2/3 shins b/l
Disability – GCS-14 E4V4M6, not oriented to time, place or person, PEARL- 2mm.
Exposure – Temperature 37.8 deg Celsius. Abdomen soft and non-tender, b/l pitting pedal edema+++,
peripheral edema- up to 2/3 shins b/l,
Fluids – Unable to tolerate oral fluids, on 1.2 L fluid restriction
Glucose – BGL- 13.7
INVESTIGATIONS
• ABG: pH: 7.34, PaO2- 66 mm Hg, PaCO2- 32 mmHg, HCO3: 16 mmol/L, Base Excess: –
(minus)8.1mmol/L, Lactate: 1.5 mmol/L
• Bloods: Hb- 120 gm/L, WCC: 10.3×10^9/L, digoxin level: <0.1 μg/L, Troponin I: 96 ng/mL
• CXR: wet, APO, upper lobe diversion
• ECG: some p waves visible, irregularly irregular, ?ST with premature atrial complexes
• Diagnosis: Acute Pulmonary Edema due to exacerbation of CCF, acute exacerbation of asthma
• A MET call was activated at 0630hrs.
Assessment requirement
Discuss TWO diagnostic results and relate them to the underlying pathophysiology. My choice EXRAY AND ABG RESULTS.
500 words
Peer reviewed articles from 2021-2026.
Intext reference apa7
Apa7 reference list
Minimum 3 references.
PLEASE NO AI. TURNIT IN CHECK. Thanks
Email:
Quantitative Methods for Business
/in /byHeat exchanger
/in /byNo need to do the solidworks part and we have chosen a counterflow/opposite design, what needs to be done is matlab and the report, I dont really understand how to do the assignment which is why I require this assistance so if I dont know how to answer any confused questions please be aware
HEALTH ASSESSMENT
/in /byThe purpose of this assessment is to demonstrate your ability to apply advanced health assessment knowledge, clinical reasoning, and evidence-based decision-making in managing a deteriorating patient. Using the provided video case study, you will interpret assessment findings and diagnostic data to identify priorities of care and appropriate escalation. This assessment requires you to synthesise information, apply advanced pathophysiology, and justify nursing interventions within your scope of practice. Students not currently in acute care will apply these principles to the simulated case. Academic writing, referencing, and presentation standards will be assessed.https://moodle.federation.edu.au/pluginfile.php/1/core_h5p/content/149227/audios/files-6930e9e353305.wav
case study question
/in /byMrs. Kendall is an 81-year-old female from
nursing home brought in by ambulance to ED
at 0500hrs.Ventolin nebulisers given enroute.
Severe SOB, productive cough. Denies any
urinary or bowel symptoms, fever or chest pain.
Appears unwell. Pleasantly confused, thinks
she is 42 years old.
• Poor historian? Due to confusion.
• Past Medical History: IHD – multiple
NSTEMI’s, Previous ICU admissions for
exacerbation of asthma, Atrial Fibrillation, DM,
dementia, HFpEF- previous admission for APO
last year.
• On anticoagulation- Apixaban. On digoxin.
• Spirometry 3 months ago demonstrated
restrictive defect.
• Fully vaccinated against COVID
ASSESSMENT
Airway. – Patent, unable to speak in full sentences.
Breathing. – Spontaneous, RR-30/mt, SPO2-95% on 4L NP, was on 15L NRB weaned, bi-basal crepts,
widespread wheeze, moderate work of breathing.
Circulation- Appears flushed, tepid peripheries, BP-195/155 mmHg, HR- 120/mt, irregular,
b/l pitting pedal edema+++, peripheral edema- upto 2/3 shins b/l
Disability – GCS-14 E4V4M6, not oriented to time, place or person, PEARL- 2mm.
Exposure – Temperature 37.8 deg Celsius. Abdomen soft and non-tender, b/l pitting pedal edema+++,
peripheral edema- up to 2/3 shins b/l,
Fluids – Unable to tolerate oral fluids, on 1.2 L fluid restriction
Glucose – BGL- 13.7
INVESTIGATIONS
• ABG: pH: 7.34, PaO2- 66 mm Hg, PaCO2- 32 mmHg, HCO3: 16 mmol/L, Base Excess: –
(minus)8.1mmol/L, Lactate: 1.5 mmol/L
• Bloods: Hb- 120 gm/L, WCC: 10.3×10^9/L, digoxin level: <0.1 μg/L, Troponin I: 96 ng/mL
• CXR: wet, APO, upper lobe diversion
• ECG: some p waves visible, irregularly irregular, ?ST with premature atrial complexes
• Diagnosis: Acute Pulmonary Edema due to exacerbation of CCF, acute exacerbation of asthma
• A MET call was activated at 0630hrs.
Assessment requirement
Discuss TWO diagnostic results and relate them to the underlying pathophysiology. My choice EXRAY AND ABG RESULTS.
500 words
Peer reviewed articles from 2021-2026.
Intext reference apa7
Apa7 reference list
Minimum 3 references.
PLEASE NO AI. TURNIT IN CHECK. Thanks
case study question
/in /byMrs. Kendall is an 81-year-old female from
nursing home brought in by ambulance to ED
at 0500hrs.Ventolin nebulisers given enroute.
Severe SOB, productive cough. Denies any
urinary or bowel symptoms, fever or chest pain.
Appears unwell. Pleasantly confused, thinks
she is 42 years old.
• Poor historian? Due to confusion.
• Past Medical History: IHD – multiple
NSTEMI’s, Previous ICU admissions for
exacerbation of asthma, Atrial Fibrillation, DM,
dementia, HFpEF- previous admission for APO
last year.
• On anticoagulation- Apixaban. On digoxin.
• Spirometry 3 months ago demonstrated
restrictive defect.
• Fully vaccinated against COVID
ASSESSMENT
Airway. – Patent, unable to speak in full sentences.
Breathing. – Spontaneous, RR-30/mt, SPO2-95% on 4L NP, was on 15L NRB weaned, bi-basal crepts,
widespread wheeze, moderate work of breathing.
Circulation- Appears flushed, tepid peripheries, BP-195/155 mmHg, HR- 120/mt, irregular,
b/l pitting pedal edema+++, peripheral edema- upto 2/3 shins b/l
Disability – GCS-14 E4V4M6, not oriented to time, place or person, PEARL- 2mm.
Exposure – Temperature 37.8 deg Celsius. Abdomen soft and non-tender, b/l pitting pedal edema+++,
peripheral edema- up to 2/3 shins b/l,
Fluids – Unable to tolerate oral fluids, on 1.2 L fluid restriction
Glucose – BGL- 13.7
INVESTIGATIONS
• ABG: pH: 7.34, PaO2- 66 mm Hg, PaCO2- 32 mmHg, HCO3: 16 mmol/L, Base Excess: –
(minus)8.1mmol/L, Lactate: 1.5 mmol/L
• Bloods: Hb- 120 gm/L, WCC: 10.3×10^9/L, digoxin level: <0.1 μg/L, Troponin I: 96 ng/mL
• CXR: wet, APO, upper lobe diversion
• ECG: some p waves visible, irregularly irregular, ?ST with premature atrial complexes
• Diagnosis: Acute Pulmonary Edema due to exacerbation of CCF, acute exacerbation of asthma
• A MET call was activated at 0630hrs.
Assessment question
Discuss TWO diagnostic results and relate them to the underlying pathophysiology. My choice EXRAY AND ABG RESULTS.
500 words
Peer reviewed articles from 2021-2026.
Intext reference apa7
Apa7 reference list
Minimum 3 references.
PLEASE NO AI. TURNIT IN CHECK. Thanks
case study
/in /byMrs. Kendall is an 81-year-old female from
nursing home brought in by ambulance to ED
at 0500hrs.Ventolin nebulisers given enroute.
Severe SOB, productive cough. Denies any
urinary or bowel symptoms, fever or chest pain.
Appears unwell. Pleasantly confused, thinks
she is 42 years old.
• Poor historian? Due to confusion.
• Past Medical History: IHD – multiple
NSTEMI’s, Previous ICU admissions for
exacerbation of asthma, Atrial Fibrillation, DM,
dementia, HFpEF- previous admission for APO
last year.
• On anticoagulation- Apixaban. On digoxin.
• Spirometry 3 months ago demonstrated
restrictive defect.
• Fully vaccinated against COVID
ASSESSMENT
Airway. – Patent, unable to speak in full sentences.
Breathing. – Spontaneous, RR-30/mt, SPO2-95% on 4L NP, was on 15L NRB weaned, bi-basal crepts,
widespread wheeze, moderate work of breathing.
Circulation- Appears flushed, tepid peripheries, BP-195/155 mmHg, HR- 120/mt, irregular,
b/l pitting pedal edema+++, peripheral edema- upto 2/3 shins b/l
Disability – GCS-14 E4V4M6, not oriented to time, place or person, PEARL- 2mm.
Exposure – Temperature 37.8 deg Celsius. Abdomen soft and non-tender, b/l pitting pedal edema+++,
peripheral edema- up to 2/3 shins b/l,
Fluids – Unable to tolerate oral fluids, on 1.2 L fluid restriction
Glucose – BGL- 13.7
INVESTIGATIONS
• ABG: pH: 7.34, PaO2- 66 mm Hg, PaCO2- 32 mmHg, HCO3: 16 mmol/L, Base Excess: –
(minus)8.1mmol/L, Lactate: 1.5 mmol/L
• Bloods: Hb- 120 gm/L, WCC: 10.3×10^9/L, digoxin level: <0.1 μg/L, Troponin I: 96 ng/mL • CXR: wet, APO, upper lobe diversion • ECG: some p waves visible, irregularly irregular, ?ST with premature atrial complexes • Diagnosis: Acute Pulmonary Edema due to exacerbation of CCF, acute exacerbation of asthma • A MET call was activated at 0630hrs. Assessment requirement Discuss TWO diagnostic results and relate them to the underlying pathophysiology. My choice EXRAY AND ABG RESULTS. 500 words Peer reviewed articles from 2021-2026. Intext reference apa7 Apa7 reference list Minimum 3 references. PLEASE NO AI. TURNIT IN CHECK. Thanks
validation literature, critically discuss the elements of reliability and validity of the Visual Infusion Phlebitis Score Tool in the haematology cohort using 5 primary research articles
/in /byWith reference to validation literature, critically discuss the elements of reliability and validity of your previously chosen assessment tool Visual Infusion Phlebitis Score Tool in the haematology cohort. 5 primary research articles must be included (you should include a brief justification for your choice of articles, e.g., Publication date, match with your clinical population, aim of paper). Systematic reviews or meta-analysis articles are encouraged. Additionally, for your research articles, there is a balance between recency and quality. For this assessment, it is permissible to include older literature as the original validation study may be the most comprehensive. Where possible, include some recent studies, and studies specific to your own patient population. 5 articles should be included – I will provide. If there are limited available articles, you should discuss this as a limitation in your essay. Try to discuss as many of the elements of reliability and validity (covered in course content) as you can. Where these reliability/validity elements have not been measured in included studies you should note/discuss this. it is recommended that you discuss one element of reliability or validity from your research articles before presenting the next element (rather than presenting the entirety of a research article before presenting the second, etc). 1500words
A Contemporary Issues in Mental Health
/in /byA Contemporary Issues in Mental Health
/in /byWritten Report 1 – Evidence Mapping
/in /by