Patient one was a donna powers archive

justinsimoni, debi mazar, edie falco, sandra bullock, videos, kinky, power, freemp3s, group hug, archive, kirk taylor, libya, danny, crash(2 disc director's cut edition), cameron, stupid, thesopranos, When donna powers I came in at around 8am, his hemoglobin(Hgb) was at 11g/dL. Normal adult values range from about 12-17g/dL. At around 1pm after new bloodwork came back, his Hgb was 8g/dL. Not good. donna powers Hemoglobin, for those unaware, is a complex on red blood cells responsible for carrying oxygen from your lungs to the tissues in your body. Without enough of it, you're not getting enough oxygen. Here's a wiki entry for a deeper explanation. Anyhow, no explanation why. The doctor donna powers discontinued his heparin and asked me to put SCuDS on his legs. SCuDS are sequential compression devices, basically these cuffs that go around your calves and periodically inflate and deflate. The idea is that they promote return of venous blood to the heart and prevent thrombus (clot) formation. Heparin also tries to prevent clot formation in the blood, especially for those spending lots of time in bed who are most at risk, but through pharmaceutical means. That was it for the resident's orders so I suggested perhaps we reduce the rate of fluid he's getting a little bit.
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Patient one was a mid-40s man with HIV/AIDS archive who'd been admitted for unexplained N/V/D (nausea, vomiting and diarrhea) for the last couple weeks. He was admitted overnight before my shift started. A very thin man, it was clear the disease was taking its archive toll. His labs show his viral load in excess of 700,000 and his CD4 is at about 95. He's on multiple cocktails but as you can see, it's not helping archive much. One good infection and he won't be with us any longer.He was extremely pleasant with me and chatty. There wasn't a lot of psych stuff in his chart since he was just admitted so I sat and asked a few questions to get a better idea of him for my own benefit. He apparently contracted HIV, he states, from "a very loose woman" he had an affair with about 11 years ago - the length of time he's tested positive. "She was like that sign at McDonalds. Billions served." Breaks my heart to see and listen to him.
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