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Case Study
J.D., an 83-year-old Caucasian male patient in the hospital, has been diagnosed with pneumonia. The patient has a history of chronic bronchitis and had a thoracotomy 2 weeks ago. He lives in a home infested with cockroaches. At his most recent visit to the health center, his ABGs come back as:
pH = 7.31, pCO2 = 49, and HCO3 = 23.
1. What do you know about J.D. without receiving any further information?2. What further information would you need to care for J.D.?3. What is the initial intervention you would use for J.D.?4. Why have you chosen the aforementioned intervention as the priority?5. What teachings should you provide for J.D.?6. What are safety considerations for this patient? 7. What specific type of acid-base imbalance does this patient have?8. What is the most probable origin of the acid-base imbalance?9. What treatments would you anticipate providing for this patient? Why?
It is a very curcial concept to understand how the immune response is mounted against viruses, bacteria, protozoans and helminthes. For an effective immune response, both innate and adaptive immunity should work together.
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Prepare an essay on nosocomial infection.
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