Thursday, October 2, 2008

Mga kalokohan sa Nursing

FAKE lang to a.. it's a JOKE only
I stole this from tsups ^-^
NURSING HISTORY

Patient's Name- Vhulva Black
Person obtaining History- Perry Cairre, RN

Age- 18

Sex- others

Civil status- single, NBSB

Religion- Catholic

Hospital/Patient #- 1408

Room #- 210

Address- book 1, Health Sciences Street, Library Village, Lesson City

Occupation- UST student nurse (UST-SN)

Race/nationality- Smartan



CHIEF COMPLAINT
- headache, loss of weight, moodiness, antisocial, nose bleeding, hallucinations, hears "lubb-dupp" sounds, low grades, cough, edema, varicose veins, lethargic, loss of books in the locker



>what do you think caused you to get sick? studying for 8 straight hours since evening 'til dawn for 1 whole prelim week



>was there a change in your usual way of life? if so, how? "Yes. I never slept, transformed to a geek, and ate books"



>with whom do you live? with my stethoscope



>pastime- studying



>self-treatment: sleep



>were your problems relieved by the treatment? not at all



>effect of treatment- low grades, unfinished homework, wasted time, 3 in MP



>difficulty in hearing? always hear "lubb-dupp" sounds everywhere, everytime



>fluid intake- decreased



>fluids you prefer- water, water, coffee, coffee, coffee, coke, coke, shake, shake



>weight- underunderwight



>food intake- decreased



>foods you prefer to eat- anything



>usual source of food- medicine cafeteria, hospital canteen, hospital cafeteria, hospital, hospital, hospital........and classroom



>bowel movement- contipated, due to stress



>urination- seldom



>breathing- hyperventilating



>lung sounds- "waaaaa-shhhhh"



>heart sounds- "lag-got"





VITAL SIGNS :
37.5°C, 110/70, RR=21, PR=71



LABORATORY RESULTS

1. fecalysis- positive for Malabacterium famadicens (causative agent of Grabe's disease)

-positive for pages of books

color- dark brown

consistency- formed

form: star-shaped



2. Guiang test (test for visible blood)- positive in epistaxis



3. urinalysis- positive for crystallized brain cells

nimbus, cloudy urine

color- sunny yellow

pH- 5.55



4. CBC- low RBC count, low Hgb, high WBC



5. Sputum test- positive for Microphonella peňa (causative agent of Chewing Cough)



6. encephalography- observed overabundant brain cells



DIAGNOSIS

1. Epistaxis- nose bleeding during lecture hours (ex. Ana-Phy)

2. Chewing Cough- persistent coughing on the microphone

3. Grabe’s disease- characterized by trauma, stress, increased blood pressure, dramatic decline in grades

4. Nerdiasis/ Bookiasis- higher than normal number of brain cells

- characterized by abnormally high IQ and being grade-conscious

5. edema- related to standing for hours in RLE

6. Korotkoff’s syndrome- strange hearing of “lubb-dupp” sounds

7. Sleepylis- falling asleep during classes

- characterized by nightmares

8. Cram-Panic’s disorder: screaming lung sounds and panic state of the heart

9. Rectoman Fever- loss of books in the locked locker



INTERVENTIONS/TREATMENTS

1. Shiftendazole – nursing isn’t for you

2. Sleepiotic- have enough sleep

3. Rectoman Toxoid- remove all your things in the locker

4. increase food and fluid intake

5. high-fiber diet

6. close monitoring of VS

7. stay away from M. famadicens habitat

8. study…..normally

9. pray before sleeping and taking exams

10. take multivitamins


EVALUATION: (*wait for the results, come this 2nd sem)

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