SulSieg#B102: A patient with chronic obstructive pulmonary disease (COPD) reports to the fourth outpatient pulmonary rehabilitation session complaining of nausea, gastric upset, and feeling jittery. The patient reports no change in pulmonary symptoms. The PT records the following set of vital signs: temperature 98.6°F, HR 110 beats/min and irregular, BP 150/86 mmHg, respiratory rate 20cpm. Breath sounds show no change from baseline. The therapist checks the medical record and finds that the patient has no history of gastric disease. The patient is presently taking theophylline, albuterol sulfate (Ventolin), and triamcinolone diacetate (Amcort). The PT should:
A. Call the patient's physician and report signs of theophylline toxicity
B. Have the patient increase use of Ventolin to improve respiratory status
C. Have the patient stop use of Amcort until he/she schedules an appointment with the physician
D. Send the patient home and notify the physician of current symptoms
***
012816, Thursday, 00:37
God,
Thank you very much today. I don't know where to begin in thanking you for a wonderful day.
I guess I already said it all sa prayer kanina. Hehe. At madaming thoughts to consider akong na-encounter today... things I will just be having biases on kaya kayo na talaga bahala God.
Do what you want with me, Father. Osteotomy, muscle release, double cup arthropathy (hehe)-- any spiritual and literal life's surgical procedures you want me to go through in becoming more and more like you. I entrust to you my everything, Lord. Do your will in me. Use me, Father. Make me do things that will give you honor and glory. I may stumble along the way but thank you for I know that you will lift me up.
I just wanna share the passage that helped me pass this day:
♡Matthew 5:3-12, KJV
5:3 Blessed are the poor in spirit: for theirs is the kingdom of heaven.
5:4 Blessed are they that mourn: for they shall be comforted.
5:5 Blessed are the meek: for they shall inherit the earth.
5:6 Blessed are they which do hunger and thirst after righteousness: for they shall be filled.
5:7 Blessed are the merciful: for they shall obtain mercy.
5:8 Blessed are the pure in heart: for they shall see God.
5:9 Blessed are the peacemakers: for they shall be called the children of God.
5:10 Blessed are they which are persecuted for righteousness' sake: for theirs is the kingdom of heaven.
5:11 Blessed are ye, when men shall revile you, and persecute you, and shall say all manner of evil against you falsely, for my sake.
5:12 Rejoice, and be exceeding glad: for great is your reward in heaven: for so persecuted they the prophets which were before you.
Thank you so much for these implied promises Lord! At sa pagpapalakas at sa lahat-lahat! Thank you very much! And most of all, thank you for JESUS!
Good night po!
Mimie :)
00:45, 012816, Thursday
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