HNB2003 Assessment 2 Clinical Reasoning Cycle Case Study Mohamed…HNB2003 Assessment 2 Clinical Reasoning CycleCase StudyMohamed Salah, a 48 year old male who is a recent immigrant from the Middle East is admitted with a history of epigastric pain, vomiting and occasional black bowel movement for further investigation. He is scheduled for an upper endoscopy this morning.On admission, Mr Salah appears pale and reports of increasing substernal pain, especially 2- 3 hours after eating. He currently avoids alcohol and is taking over-the-counter (OTC) antacids. He complains of increasing fatigue with exercise and has a smoking history of 1 packet of cigarettes per day for 20 years.Physical examinationHeight 165 cm tall; weight 63.5 kgHis vital signs are: HR: 102 beats per minute BP: 135/90 mmHg RR: 18 breaths per minute Temp: 37°C SpO2 99% on room air Pain scale: 6/10 Temp: 37°CDiagnostic study Endoscopy reveals a duodenal ulcer Hb 10.2 g/dL; Hct 30% Histology of biopsied tissue reveals Helicobacter pylori infectionTreatment plan Omeprazole 20 mg bd × 10 days Clarithromycin 500 mg bd × 10 days Amoxycillin 1 g bd × 10 daysYou receive Mr Salah after his endoscopy. He asks you if the procedure will work and this will be the end of his problems.Question start:: this is a clinical reasoning cycle.. write CONSIDER THE PATIENT: Describe or list facts, context, objects or people COLLECT CUES: Review current information (eg patient Hx Gather new information (eg patient Ax) Recall knowledge (eg physiology, pathophysiology and medications): References needed here Specific cultural considerationPROCESS INFORMATION Interpret the information. Ask yourself WHY…why am I seeing these signs and symptoms? Why are these blood results and vital signs abnormal? Why are these medical orders requested? Health ScienceScienceNursing NURSING HNB2104
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