Case Study: Hypersensitivity Reactions

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Week 5 Case Study: Hypersensitivity Reactions

Required Resources

Read/review the following resources for this activity:

  • Textbook
  • Weekly Concepts
  • Minimum of 1 scholarly source

Scenario/Summary

Manuel loved the outdoors and loved playing softball. There was no better way to spend a weekend than on the diamond hitting the ball and cooking burgers on the park grill.

“Hey Jose, great game this afternoon,” Manuel said to his friend.

“Yep,” Jose replied. “I loved how you hit the ball over that right fielder’s head. I think he is still running after it.”

“That was a lucky hit. I couldn’t do that again if I tried,” said Manuel.

“When is soup on? I’m getting hungry for one of your ¾ pound hamburgers with all of the fixings,” asked Jose.

“Soon brother, real soon,” said Manuel. “Can you hand me my Coke can on the bench other there?”

“Sure thing amigo,” replied Jose while handing the Coke can to Manuel.

“Yikes!” exclaimed Manuel after he spit out the Coke. “There was a bee in the can and it stung the roof of my mouth.”

Within a few minutes, Manuel developed generalized hives on his face and upper body and experienced shortness of breath and chest pains. The paramedics were called and quickly transported Manuel to the local emergency room where he was treated with epinephrine.

Deliverables

Answer the following questions and save your responses in a Microsoft Word document. Provide a scholarly resource to support your answers.

  1. Manuel is experiencing a hypersensitivity reaction. What are hypersensitivity reactions?
  2. Briefly describe the different types of hypersensitivity reactions.
  3. What type of hypersensitivity reaction is Manuel likely experiencing and how do you know?
  4. Is this an antibody or T-cell mediated response? What class of antibodies or type of T-cells are involved?
  5. Why was epinephrine administered and how does epinephrine work in this case?

Submit your case study document.

Required Software

Microsoft Office: Word

Grading

This activity will be graded based on the Case Study grading rubric. You can view the rubric below.

Course Outcomes (CO): 4

Due Date: By 11:59 p.m. MT on Sunday of Week 5

Documentation Of Complete Head To Toe Physical Assessment

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module 11 content

You completed your full head-to-toe assessment skills demonstration last week and now will document your results. Continue to document only the objective findings for this section without bias or explanation. Remember if you can’t feel something then it is “nonpalpable,” if you can’t hear something just state they were not heard such as no bowel sounds heard (unless you listened for the full five minutes which we wouldn’t want to do for our purposes – then you could document absent bowel sounds). Be descriptive if necessary but at the same time be brief.

p.s use my provided word doc I uploaded to answer the above assesment.

Complete Head to Toe Assessment

 

 

General Survey (mental status & appearance):

 

 

Head:

 

Eyes:

 

 

Ears:

 

 

Nose:

 

 

Mouth:

 

 

Neck:

 

 

Thorax/Lung/Back Assessment:

 

 

Cardiac/Central Vessel Assessment:

 

 

Gastrointestinal:

 

 

 

Genitourinary:

 

 

 

Musculoskeletal/Neuro/PV Assessment:

 

 

 

Other: (Add any additional findings here)

Case Study: Carbon Monoxide Poisoning

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Week 7 Case Study: Carbon Monoxide Poisoning

Required Resources

Read/review the following resources for this activity:

  • Textbook
  • Weekly Concepts
  • Minimum of 1 scholarly source

Scenario/Summary

Adam and his family decided to take a trip to the mountains for the weekend in late February. They had a small cabin and looked forward to a weekend away from the big city. The family had a wonderful time together on Saturday morning hiking in the woods and enjoying nature. However, Saturday afternoon a storm rolled in bringing snow and subfreezing temperatures.

Since the heater in the cabin wasn’t working well, Adam’s mother and sister decided to drive into the nearest town to spend the night. Adam and his father, not being sissies, stayed at the cabin where they started a gas heater to keep them warm.

The next morning Adam’s mother and sister returned to find both Adam and his father unconscious. An ambulance was called and they were both transported to the nearest hospital. Adam had arterial blood gases drawn with the following results:

  • pH 7.2
  • PaCO2 31.4,
  • PaO2 40.7 mmHg

His oxygen saturation was 72%. Adam was diagnosed with carbon monoxide poisoning.

Deliverables

Answer the following questions and save your responses in a Microsoft Word document. Provide a scholarly resource to support your answers.

  1. With respect to hemoglobin loading, please explain the relationship between binding of oxygen (O2) and carbon monoxide (CO) to the hemoglobin molecules.
  2. During the ambulance ride, a pulse oximeter showed 100% O2 saturation. Why is that different from the 72% measured at the hospital?
  3. One course of treatment is a hyperbaric oxygen treatment. How does a hyperbaric chamber work?
  4. Adams blood work shows him to be in an acidosis (normal blood pH is 7.35-7.45). Explain how this will shift the hemoglobin dissociation curve and why.

Submit your case study document.

Required Software

Microsoft Office: Word

Grading

This activity will be graded based on the Case Study grading rubric. You can view the rubric below.

Course Outcomes (CO): 5

Due Date: By 11:59 p.m. MT on Sunday of Week 7

Evidence-Based Practice Project Proposal: Evaluation Plan

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In 750-1,000 words , develop an evaluation plan to be included in your final evidence-based practice project proposal. You will use the evaluation plan in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.

Provide the following criteria in the evaluation, making sure it is comprehensive and concise :

1. Discuss the expected outcomes for your evidence-based practice project proposal.

2. Review the various data collection tools associated with your selected research design and select one data collection tool that would be effective for your research design. Explain how this tool is valid, reliable, and applicable.

3. Select a statistical test for your project and explain why it is best suited for the tool you choose.

4. Describe what methods you will apply to your data collection tool and how the outcomes will be measured and evaluated based on the tool you selected.

5. Propose strategies that will be taken if outcomes do not provide positive or expected results.

6. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

You are required to cite a minimum of five peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

APA style and formatting criteria and general guidelines for academic writing.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin