Buy ready-to-submit essays. No Plagiarism Guarantee
Note: Every paper is crafted by human writers to ensure authenticity and originality.
Case Study Discussion Chapter 7 The Nervous System – See Case
Study: Acute Seizures Discharge Summary Topic 7.1
Read the case, then read the Chapter, Interact with the ebook
content, and then discuss the following:
1. What did the patient’s expressive dysphasia affect?
2. What were endarterectomy, cholecystectomy, and
hysterectomy surgeries of?
3. What are the abbreviations CAD, CABG, and CHF are all
abbreviations related to?
CHIEF COMPLAINT: Mental status changes and
expressive aphasia.
HISTORY OF PRESENT ILLNESS: This is an
elderly white female who presented to the hospital
with expressive aphasia and mental status
changes. She has a history of multiple
hospitalizations in the past with the same
complaint.
PAST MEDICAL HISTORY: Past medical history
significant for the patient having similar episode
with seizures, CVA, hypertension, CAD, CABG,
CHF, atrial fibrillation, hypothyroidism, TIAs,
respiratory arrest, UTI, right carotid
endarterectomy, cholecystectomy, hysterectomy,
CABG, and peripheral vascular disease.
HOSPITAL COURSE: On admission to the
hospital, the patient had expressive aphasia. The
whole time, she was alert and oriented x1. She
could move all four extremities well. She was seen
by the neurologist, who recommended that we
discuss with her outpatient neurologist, who
recommended to maintain her Dilantin 100 mg tid.
She cannot tolerate more than 300 mg a day of
Dilantin. Also recommended increasing the Lamictal to 200 mg bid. She tolerated the
increase of the Lamictal with no problems. Her expressive aphasia improved while she
was in the hospital. She continued to mentate well and was alert and oriented x1.
Also, on admission, she was noted to have atrial fibrillation, RVR. She was seen by a
cardiologist, who recommended increasing her sotalol and decreasing the metoprolol.
Her heart rate came down. She was also continued on Coumadin while she was in the
hospital.
She was running a low-grade temperature on admission. UA was positive for UTI, and
she was put on Macrobid. Her fever subsided.
The EEG was positive for seizure disorder. Again, we felt that her expressive aphasia
and mental status changes were probably secondary to acute seizures. She had no
evidence of any tonic–clonic seizures. At this point, she is alert and essentially back to
baseline.
The family wants to take her home. At this point in time, I think she could be home,
because her daughter cares for her at home. The daughter is fully aware of her
symptoms of seizures. Again, she is also made aware of the risks of falling and is to
monitor her at home and to watch her closely.
DISCHARGE DIAGNOSES: Acute seizures, history of cerebrovascular accident, atrial
fibrillation, rapid ventricular response, hypertension, coronary artery bypass graft, and
urinary tract infection.
DISCHARGE MEDICATIONS: Take sotalol 80 mg twice a day, Macrobid 100 mg bid for
seizures, metoprolol 50 mg once a day, Lamictal 100 mg 2 tablets twice a day for
seizures, Dilantin 100 mg tid, Macrobid twice a day. She is also to continue her Lasix,
Lipitor, Cozaar, Coumadin as before, and Synthroid and Trental.
FOLLOW-UP CARE: See the doctor in 1 week. Have a Coumadin check once a week.
WE WRITE ESSAYS FOR STUDENTS
Tell us about your assignment and we will find the best writer for your project
Write My Essay For MeTOO MANY ASSIGNMENTS? Let our professional Essay Writers help you!
The art of writing is far from simple; even experienced writers can face challenges. This led to the inception of WriterCentre.com. Comprising a team of writers, we offer comprehensive essay, dissertation, and thesis writing services to students. Our mission at WriterCentre.com is to provide unparalleled quality to clients pursuing undergraduate, Masters, or PhD studies.
Our writers are committed to assisting you through every project phase, from conception to completion. Whether you require topic selection or comprehensive project support, our writers work diligently to ensure your essay, thesis, dissertation, or other projects are delivered punctually. Adhering to your instructions is second nature to our highly trained writers. We understand the stress of impending deadlines, having experienced it ourselves. Hence, we strive to meet even the most challenging timeframes. Do not hesitate to reach out, even when the timeline appears insurmountable. Your academic journey is our concern.
We write essays from scratch and within your selected time frame.
