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You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : sub county hospitals and nursing homes
- Years of Experience: 18.0
- Nursing Specialty: p... | summary a 4 year old with 5 superficial burns no other injuries immediate management paracetamol analgesics to to ensure child has minimal or no pain cleaning and frosting of wound with silver sulpha fizika topical prophylactic can be considered in this case good nutrition high protein diet |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 17.0
- Nursing Specialty: child health... | summary 6 year old present with vomiting and abdominal pains known diabetic on insulin but doesn’t take it as scheduled due to lack of funds he is confused kussmaul breathing fruity scented breath dry tongue blurry vision vitals temp n pulse ↑ 120 bp ↓ 48 rapid laboured spo₂ 90 diagnosis diabetic ketoacidosis dka in kn... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : sub county hospitals and nursing homes
- Years of Experience: 12.0
- Nursing Specialty: genera... | summary a 47 year old man presents with severe persistent upper abdominal pain in the gastric area that started the previous night he has a history of peptic ulcer disease vitals are normal patient is in distress problems severe pain history of peptic ulcer disease distress and inability to sleep management administer ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 12.0
- Nursing Specialty: critical car... | summary 72 year old female with inability to walk abdominal pain generalized body malaise and history of fecal impaction on exam gcs is 14 15 and low oxygen saturation dx constipation altered mental status management assess airway breathing and circulation initiate oxygen therapy if necessary intravenous fluids if hypo... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 16.0
- Nursing Specialty: adult health... | a 22 year old female presents with headache dizziness weakness and vomiting the patient is also confused she was using a charcoal jiko in a poorly ventilated room before developing the above symptoms on examination is pale and disoriented desaturating and tachypneic how do i manage the patient the case is one of carbon... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : sub county hospitals and nursing homes
- Years of Experience: 12.0
- Nursing Specialty: matern... | summary a 40 year old para 3 0 g4 at 38 weeks on intensive phase antitbs differentials pulmonary tb investigations baseline full hemogram renal function tests liver function tests to assess for complication from anti tbs management counsel mother on adherence to medication ensure patient is taking pyridoxine to prevent... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 20.0
- Nursing Specialty: general emer... | summary a 33 year old male with tooth pain broken teeth swelling and bleeding involved in a motorbike accident clinical examination shows lacerations on the gums he was hypertensive with other normal vital signs priority management admit the patient clear the airway and mobilize the c spine remove the teeth if present ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: nan
- Nursing Specialty: child health
... | a 10 year old presenting with lump fever and limited range of motion in his left hip after minor trauma x rays reveal lytic lesions on examination febrile and tachypneic laboratory investigation i erythrocyte sedimentation rate to check for inflammation ii c reactive protein iii full hemogram to check for sepsis what i... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 16.0
- Nursing Specialty: general emer... | summary 21 year old male with chest pain tightness and shortness of breath for the last 6 hours he is asthmatic and uses an inhaler labored breathing and wheezing febrile slightly tachycardic spo2 86 on room air tachypneic and hypertensive 141 78 mmhg patient unable to complete sentence management administer high flow ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : sub county hospitals and nursing homes
- Years of Experience: 8.0
- Nursing Specialty: gener... | summary a patient with burns on chest and face develops difficulty in breathing spo2 89 respiratory rate 24 other vitals normal 1 why is the patient having difficulty in breathing inhalation injury may occur when burns affect the face causing difficulty in breathing 2 what is the appropriate position for this patient p... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : health centres
- Years of Experience: nan
- Nursing Specialty: general emergency
- Clini... | summary 19yr old boy involved in rta on examination swollen right leg rt hand cut wound swollen head with severe headache whether to refer for ct scan or just stitch wound treat with antibiotics discharge patient should be stabilized wound stitched to arrest bleeding give initial analgesia and medication immobilize the... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : sub county hospitals and nursing homes
- Years of Experience: 14.0
- Nursing Specialty: a... | summary 43 yr old female with history of high bp anxiety vitals bp 155 95 pr 22 rr 120 management can be managed with oral anti hypertensive calcium channel blockers can be initiated as they are recommended as first line in the african population e g amlodipine nifedipine baseline investigations should be done e g u e ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 16.0
- Nursing Specialty: general emer... | a 20 year old male with a history of bee stings generalized body swelling sick looking gcs of 7 15 febrile spo₂ 90 hypotensive 100 11 bradycardia management of patient 1 assess and ensure patent airway 2 intubate patient 3 oxygen administration for ventilation support 4 administer antipyretics for the fever 5 administe... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : dispensaries and private clinics
- Years of Experience: 15.0
- Nursing Specialty: adult health... | summary 3 year old male c o severe headache gbw stiff neck 3 7 hob o e vitals bp 130 85 temp 39 7 rr 26 pr 98 stiff neck red eyes difficulty in movement awaiting lab works newly diagnosed hiv ddx meningitis bacterial or viral cryptococcal meningitis q1 why did this patient seek medical attention late health seeking beh... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : health centres
- Years of Experience: 20.0
- Nursing Specialty: emergency care mental hea... | 16 yr old with hiv experiencing stigma and is now suicidal vitals stable 1 diagnosis hiv associated depressive disorder differential major depressive disorder x0001 x0001 bipolar disorder depressive episode 2 how can stigma be reduced controlled a client patient level extensive psychological counselling group therapy m... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: elgeiyo marakwet
- Health level : county hospitals
- Years of Experience: 1.0
- Nursing Specialty: adult health
- ... | summary a 65 year old male presents with severe chest pain radiating to the back described as tearing in nature along with shortness of breath his blood pressure is 200 110 mmhg in the right arm and 180 100 mmhg in the left arm investigations perform a ct angiogram to confirm aortic dissection obtain an ecg to rule out... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : health centres
- Years of Experience: nan
- Nursing Specialty: sexual and reproductive he... | summary a 26 year old female with complaints of painful urination swollen vagina pain during sexual intercourse itchy vulva heavy yellowish vaginal discharge with fishy odour for one week she has three sexual partners with whom she sleeps with with no protection the vulva and vagina are tender and painful vitals respir... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : dispensaries and private clinics
- Years of Experience: 23.0
- Nursing Specialty: general... | summary this is a 2 year old child with a history of passing loose bloody stool hotness of body and refusal to feed child is sick and irritable febrile 38 4 the child is underweight and blood test for malaria is negative diagnosis infective gastroenteritis management admit for stabilization the child is malnourished an... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : health centres
- Years of Experience: nan
- Nursing Specialty: emergency care gbv
- Clin... | summary a 32 year old reports being in abusive marriage management of the patient as a healthcare provider you are required to assist the client by reporting to the appropriate social and child support services healthcare workers have the duty of protecting individuals who are vulnerable they are also advocates of pati... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : dispensaries and private clinics
- Years of Experience: nan
- Nursing Specialty: maternal and ... | summary 1 month old baby wet umbilical cord dx omphalitis ddx q1 risks of septic umbilical cord include sepsis peritonitis counsell the mother on good hygiene methods for umbilical cord care promote health education on the risks involved the treatment outcome is good if treated effectively with antibiotics |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 9.0
- Nursing Specialty: neonatal care... | summary a neonate admitted to the kangaroo room weighing 1 8kg presented a sudden onset of difficulty in breathing with a wet chest baby found to have aspirated while ngt feeding normal vitals immediate care oxygen supplementation prophylactic via nasal prongs suction incase of secretions to open airway give intravenou... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : sub county hospitals and nursing homes
- Years of Experience: 31.0
- Nursing Specialty: woun... | summary a 47 year old man with a wound on the right lower limb for 2 months he has no history of being treated for diabetes mellitus and random blood sugar levels are within normal he usually attends the clinic for dressing on alternate days q some of the factors that could be contributing to a delayed healing of the w... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 12.0
- Nursing Specialty: adult health... | 18 year old male presents with chest pain headache fever abdominal pain he was diagnosed with aplastic anemia a month ago o e examination shows pale and bleeding vitals hypotensive what acute care should be given analgesia for pain fluid resuscitation for hypotension antibiotics for superimposed infection after blood c... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : health centres
- Years of Experience: 31.0
- Nursing Specialty: maternal and child health
... | summary a mother at 33 weeks gestation presents with per vaginal bleeding tenderness and no fetal movements after history of fall in the bathroom blood pressure is normal she is tachycardic no fetal heart rate differential diagnosis intrauterine fetal death due to placenta abruption is made management prompt delivery i... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: nan
- Nursing Specialty: adult health
... | summary 48 year old with easy fatigability left leg swelling weakness and early satiety vitals hypotension tachycardia laboratory anemia high white blood cell count dx sepsis anemia management investigation liver function tests to check on albumin indicator of sepsis chronicity take samples for blood microscopy and sen... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: nan
- Nursing Specialty: general emerg... | summary a 70 year old male has difficulty swallowing weight loss and regurgitation of food over three months he also reports episodes of aspiration next steps in management perform endoscopy to evaluate the esophagus and obtain biopsies collaborate with oncology for diagnosis staging and initiating treatment provide gu... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : community health centers
- Years of Experience: 24.0
- Nursing Specialty: adult health
... | summary 24 year old diabetic on mixtard 8iu am and 4iu pm but missed meds vitals rbs 23 mmol l tachycardia otherwise normal diagnosis hyperglycemia management 1 insert catheter to monitor input output 2 take samples for full hemogram urea electrolyte creatinine hba1c and urinalysis 3 start iv hydration |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 10.0
- Nursing Specialty: child health... | summary 5 year old boy fever night sweats unexplainable weight loss fatigue poor feeding and swollen lymphadenopathy for 3 weeks temp 39°c pulse 126 bpm rr 26 spo2 94 weight 14 kg immediate management admit antibiotic oxygen therapy – tachypnea and monitor oxygen saturations history of poor feeding – establish iv acces... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : health centres
- Years of Experience: 9.0
- Nursing Specialty: general emergency
- Clini... | summary a man who is middle aged presents with inability to talk and reduced level of consciousness on examination he has a low gcs low blood sugars and is smelling alcohol concern for alcoholic coma can d5 help boost blood sugars d5 has very low glucose concentration therefore d50 is better in the management of hypogl... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 16.0
- Nursing Specialty: child health... | summary a 6 year old male presented with severe bone pain and weight loss on assessment he is anemic hypocalcemic and has vitamin d deficiency with various bruises on arm and back he is tachypneic diagnosis rickets work ups full hemogram reticulocyte count peripheral blood film urea electrolyte and creatinines imaging ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : health centres
- Years of Experience: 22.0
- Nursing Specialty: general emergency
- Clinic... | summary a 23 year old with history of epistaxis she is hypersensitive bp 180 105 differential diagnosis nasal trauma hypertension infections how to stop epistaxis advise the patient to lie forward pinch her nose with the thumb and index finger to control the bleeding apply cold compression over the nasal bridge causing... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : dispensaries and private clinics
- Years of Experience: nan
- Nursing Specialty: adult healt... | summary a 40 year old patient presented with body rashes itching he was found to be positive after hiv testing with a low cd4 count of 180 tests requested start with baseline tests 1 full haemogram to check white cell count 2 urea electrolytes and creatinine to check kidney function before starting antiretrovirals and ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 17.0
- Nursing Specialty: maternal and... | summary a 5 month old male presents with diarrhea and vomiting for 3 days was weaned on porridge 4 days ago on assessment he is lethargic pr 30b m bp 60 40 sunken eyes and cold extremities this is most likely a case of gastroenteritis with differentials of malaria and urinary tract infection which can also present with... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 20.0
- Nursing Specialty: surgical car... | summary a 27 year old female admitted after acdf surgery with stable vitals hb done 7g dl blood ordered and transfused after 15 minutes she reported itching in the whole body hotnesso f body and palpitations what is the immediate action to be taken stop the transfusion immediately give antihistamine intravenously stat ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : health centres
- Years of Experience: 8.0
- Nursing Specialty: adult health
- Clinical P... | a seropositive presented with a high viral load patient is complacent on antiretroviral therapy causes of high viral load a drug resistance to one or more of the agents b suboptimal antiretroviral regime c drug drug interactions that reduce efficacy of antiretroviral agents d co infection e progression of disease f non... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : sub county hospitals and nursing homes
- Years of Experience: 12.0
- Nursing Specialty: child ... | summary a four year old preschooler presents with complaints of not behaving like the age mates and seems low and disinterested in most of the environmental activities on assessment a diagnosis of mental retardation is made the causes of mental retardation include genetic conditions such as down syndrome prenatal cause... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 12.0
- Nursing Specialty: emergency ca... | summary 10 year old boy at ed with accidental poisoning reported to have ingested battery acid during visit to a car garage 3 hours ago history has burns from mouth down to throat skin peeling off has difficulty breathing and severe pain no history of hospital admission or any treatment temp normal immediate management... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : dispensaries and private clinics
- Years of Experience: 14.0
- Nursing Specialty: child health... | summary child with persistent cough and fever for 3 days baby has not been feeding well and looks lethargic no history of chronic illnesses immunization status upto date recently has had a runny nose and a cough rr 28 hr 110 spo2 98 baby looks tired but is alert concerned for severe pneumonia i would manage the patient... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : sub county hospitals and nursing homes
- Years of Experience: 12.0
- Nursing Specialty: child ... | a baby was brought to hospital with complaints of cough running nose and hotness of the body for 2 days the baby also has chest wall indrawing on examination ddx pneumonia upper respiratory tract infection such as rhinitis flu allergy the management of pneumonia involves monitoring of oxygen saturations with supplement... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 30.0
- Nursing Specialty: adult health... | summary 32 year old male with abdominal pain vomiting constipation brownish urine following a semi annual area visit 3 52 ago o e weak dehydrated jaundice dark palms vitals bp 130 70 pr 90 temp 38°c spo₂ 96 rbs 4 7 priority care optimizing patient’s fluid status rehydrate with ivf stopping vomiting to limit losses pain... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : sub county hospitals and nursing homes
- Years of Experience: nan
- Nursing Specialty: general... | a 21 year old male with a history of drug induced poisoning he confirms overdose of lorazepam he has heavy tongue headache confused with gcs 13 15 blood pressure 123 78 pulse pressure 78 respiratory rate 24 spo2 96 antidote for lorazepam flumazenil is an antidote for lorazepam should i do gastric lavage or dialysis dep... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : health centres
- Years of Experience: 27.0
- Nursing Specialty: adult health
- Clinic... | summary 79 year old presents with chest pain body weakness and tiredness for 1 month overall examination temperature 36 6°c respiratory rate 19 pulse rate 68 blood pressure 140 70 spo2 90 random blood sugar 5 79 engorged neck veins impression congestive heart failure ddx leukemia cll given the age and presentation of g... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 10.0
- Nursing Specialty: general emer... | summary burns patient in burns unit for 1 year on esose pcm and flagyl o o confusion hallucination but can ambulate unconscious and desaturating 1 52 vitals spo2 75 x0001 investigations · cbc to rule out infections · blood culture · wound swab culture · lumbar puncture · crp · uecs · blood gas analysis to check on meta... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : health centres
- Years of Experience: 10.0
- Nursing Specialty: child health
- Clinical ... | summary 15 year old with a history of abdominal distension breathlessness and pains that worsened after last night supper has a full tender abdomen with vomiting should this be obstruction or poisoning intestinal obstruction would be the most probable diagnosis in this scenario due to abdominal distension associated wi... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : sub county hospitals and nursing homes
- Years of Experience: 14.0
- Nursing Specialty: m... | summary the patient is a 36 year old female para 1 0 g 2 she was brought to the hospital by her husband because she had a seizure she also reports having a headache before the seizure her blood pressure is high 160 110 and her pulse is 100 other vitals are normal management 1 admit the patient 2 lower the bp with iv an... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: nan
- Nursing Specialty: maternal and ... | summary 26 year old multiparous admitted in active labour on examination cervical os 8cm dilated fhr 138 b min how will this mother be managed monitor the fetal status monitor material vitals check of frequency and adequacy of maternal contractions check for fetal engagement check for cervical ripening and dilation wha... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : sub county hospitals and nursing homes
- Years of Experience: 12.0
- Nursing Specialty: genera... | a 60 year old female fainted and was brought in pr 130 bpm bp stable history of heart condition what tests complete blood count urea creatinine and electrolyte liver function test coagulation profile blood culture troponins creatinine kinase c reactive protein echocardiogram electrocardiogram management definitive mana... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 19.0
- Nursing Specialty: adult health... | summary an elderly man brought in by his sons was confused with complaints of not being able to pass urine for 12 hours and excruciating pain 66 years old and is a known diabetic on metformin had a history of abdominal surgery 20 years ago quit smoking over 20 years ago patient is confused with a gcs of 13 15 not pale ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 30.0
- Nursing Specialty: adult health... | summary 32 year old male with a headache that is unrelieved by paracetamol on off especially in the temporal region o e holding his head tied with a tie diagnosis primary headache disorder e g migraine ddx subarachnoid hemorrhage cluster headaches temporal arteritis intracranial mass lesions hypertension priority care ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : sub county hospitals and nursing homes
- Years of Experience: 14.0
- Nursing Specialty: a... | a 25 year old male with extreme lower abdominal pain which escalates daily history of abdominal surgery 2 weeks ago with no bowel movements ever since o e abdomen is tender and swollen immediate management abcs check airway patency assess for respiratory distress shock iv access with 2 large bore lines for fluid resusc... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : sub county hospitals and nursing homes
- Years of Experience: 12.0
- Nursing Specialty: genera... | summary female sob 3 7 t 39 4 bp 122 80 spo2 80 oxygen is empty how do i manage this patient assess for life threatening conditions administer antipyretics and monitor vitals start fluid therapy perform the following laboratory tests full hemogram liver and renal functions esr and procalcitonin abg and blood culture ra... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : sub county hospitals and nursing homes
- Years of Experience: nan
- Nursing Specialty: mater... | summary a mother comes to the maternity ward and successfully goes through labour and gives birth to a premature live infant with 1750 grams since the infant is active and shows normal somatic movement a decision to admit the mother in the kmc room is reached at number one considerations for admission to the kmc low bi... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : sub county hospitals and nursing homes
- Years of Experience: nan
- Nursing Specialty: adult h... | summary a 45year old man has a history of confusion and has a high blood sugar he is a known diabetic there is a concern for diabetic ketoacidosis with a differential of hyperglycemic hyperosmolar state the immediate management involves the assessment of his vital signs to determine the need for oxygenation give intrav... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : sub county hospitals and nursing homes
- Years of Experience: 15.0
- Nursing Specialty: adult ... | summary a 75 year old presenting with inability to pass urine for one day patient is in pain and sweating has been treated for benign prostatic hyperplasia urethral catheterization attempted but failed management x0001 • x0001 suprapubic catheterization ± referral x0001 • x0001 pain management non opioid analgesic x000... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 15.0
- Nursing Specialty: general emer... | summary a 66 year old male with diabetes mellitus dm and hypertension htn on follow up presented with severe pain radiating to the back and severe respiratory distress diagnosis myocardial infarction hypertension diabetes immediate medical treatment 1 assess saturations and put the patient on oxygen if needed 2 vital s... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : sub county hospitals and nursing homes
- Years of Experience: 20.0
- Nursing Specialty: a... | 40 year old with complaints of severe joint pains has been treated in different facilities with no improvement investigations already done ast negative rheumatoid factor negative serum calcium normal vitals temp 36 9°c bp 120 70 pulse 78 bpm spo₂ 80 note possible case of early osteoarthritis or autoimmune disease with ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : sub county hospitals and nursing homes
- Years of Experience: 15.0
- Nursing Specialty: emerge... | summary 1 year old baby presenting with ingestion of jik dx jik poisoning management ensure the baby has a patent airway normal breathing and stable vitals do not induce vomiting to prevent further damage to the esophagus and oropharynx do not use milk and vinegar to avoid further damage place the child on the side to ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : health centres
- Years of Experience: 24.0
- Nursing Specialty: adult health
- Clinic... | 60 year old female seen in outpatient with complaints of diarrhoea she is a known diabetic and hypertensive on treatment on examination she is weak and had not taken any meal for a day vitals bp 149 89 pr 60 rr 16 rbs 20 mmol started on intravenous fluids but diarrhoea didn t stop diagnosis gastroenteritis what is the ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 10.0
- Nursing Specialty: general emer... | summary a 44 year old male patient presenting with anal pain and engorged vessels in the anal area bp 140 64mmhg investigations to be carried out full haemogram per rectal examination keynote cause of the severe pain is due to the presence of nerve endings below inferior to the dentate line which cause pain when the re... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : health centres
- Years of Experience: nan
- Nursing Specialty: general emergency
- Clinica... | a 42 year old man brought in unconscious with no further history on him he is well kept and had no obvious cut or bruise how do i manage the patient this is an unconscious patient and thus stabilization is key ensure the airway is patent and is breathing adequately assess for presence of an adequate pulse additionally ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : sub county hospitals and nursing homes
- Years of Experience: nan
- Nursing Specialty: mater... | a child presents with a 1 day history of being sick hb 5g dl diagnosed with severe anemia of unknown cause transfused 3 units hb still at 5 6 g dl impression ddx malaria as possible sickle cell causes of leukemia severe anemia blood disorder coagulopathy e g hemophilia malnutrition investigations as per the possible ca... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 15.0
- Nursing Specialty: emergency ca... | summary 9 yrs old girl was brought to the emergency department with a burn injury on the left palm upon examination she is withdrawn dehydrated with 2nd degree burns on palms and other old injuries mother discloses that child has been subjected to abuse by stepfather problems dehydration suspicion of ongoing abuse phys... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 17.0
- Nursing Specialty: emergency ca... | summary a 2yr old is brought in with burns after the explosion of a gas cylinder on assessment she is awake crying and vitals are temperature 36 pulse 150b min resp rate 40 on physical exam 20 burn surface area after 30 minutes of arriving the child develops stridor and respiratory distress and drowsy abg shows normal ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : sub county hospitals and nursing homes
- Years of Experience: nan
- Nursing Specialty: child h... | summary 3 month old infant presents with a history of inability to feed lethargy body weakness and vomiting sunken fontanels dry mucous membranes possible electrolyte imbalance → severe dehydration management initial management assess abcs ensure airway patency and breathing adequacy circulation – iv access assess f e ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 18.0
- Nursing Specialty: child health... | summary a 10 year old female was brought in hospital accompanied by mother with complains of pain when passing urine and bruises around the perianal area temp 36 4 pr 100 b min rr 21 b min q1 what might have caused the bruises since the patient is a 10 year old the likelihood cause of the bruises is a streptococcal inf... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 17.0
- Nursing Specialty: emergency ca... | summary 13yr male brought to opd with hx of unconsciousness a bottle of an acaricide found next to him o e unconscious patient pupils dilated has epistaxis vitals temp 40°c hr 198 bpm rr 38 bpm spo2 95 on room air q1 what is the immediate treatment stabilize set up an iv line large bore get blood samples for bga full h... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : sub county hospitals and nursing homes
- Years of Experience: 15.0
- Nursing Specialty: adult ... | 55 year old with diabetes high hypertension pre existing with high bp and high sugars how to manage the high bp and regulate the blood sugars hyperglycemia administer soluble insulin administer intravenous fluids monitor blood sugars hourly with a target random blood sugar 14 mmol l then continue with oral medications ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : sub county hospitals and nursing homes
- Years of Experience: 15.0
- Nursing Specialty: neonat... | summary a baby 2 weeks day of life is dehydrated and has yellowness of eyes cord is also infected key concerns dehydrated patient jaundice infected cord diagnosis neonatal sepsis source is the cord late ddx hyperbilirubinemia resulting from hemolytic anemia as a result of the infection explains the jaundice treat as fo... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 10.0
- Nursing Specialty: adult health... | a case of a 10 year old female complaint history of hotness of body generalized body weakness no travel history to malaria endemic zones no signs of flu vital signs febrile 39°c otherwise normal complete blood count count raised white blood cell immediate management 1 admit 2 ensure intravenous access 3 give intravenou... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : dispensaries and private clinics
- Years of Experience: nan
- Nursing Specialty: general eme... | summary patient presents with pale skin looking like a burn 2 day history reports that that appearance started after amoxicillin was taken impression severe drug reaction immediate management stop the medication and refer to the patient to a facility where a physician or dermatologist can review the patient if the faci... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : dispensaries and private clinics
- Years of Experience: nan
- Nursing Specialty: maternah and ... | summary a 2 year old baby was brought to the hospital with complaints of difficulty in breathing had nasal flaring refused to feed since 2 weeks ago on examination the baby’s temp was 37°c she had rhonchi spo₂ of 75 and mother says that the baby had been treated was given drugs from the chemist for the last 5 days the ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : dispensaries and private clinics
- Years of Experience: nan
- Nursing Specialty: maternal an... | college girl had amenorrhea missed menses suspected pregnancy wanted to terminate took misoprostol now presents with pv bleeding 3cm cervix dilated diagnosis incomplete abortion should i admit and allow expulsion admit iv antibiotics iv fluids analgesia do obstetric ultrasound to ascertain transfer of anemic take sampl... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : sub county hospitals and nursing homes
- Years of Experience: nan
- Nursing Specialty: ad... | summary a 48 year old female presents with painless growth in the left eye for the last 6 months on assessment growth on the conjunctiva is noted vision unaffected infections granulomatous disease papilloma 1 this patient should be referred to a hospital with an ophthalmologist for diagnosis and treatment 2 prevention ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : dispensaries and private clinics
- Years of Experience: nan
- Nursing Specialty: emergency c... | summary a 30 years old woman presents with a history of being assaulted by her husband dx gender based violence management involvement of gender based violence advocates psychological counseling |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : dispensaries and private clinics
- Years of Experience: nan
- Nursing Specialty: maternal an... | summary a client is admitted in the labour ward with low vision severe headache and convulsions bp 180 140 protein plus plus q1 how will i administer magnesium sulfate giive 4g intravenous loading dose immediately followed by 10g intramuscularly and then by 5g intramuscularly every four hours in alternating buttocks st... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : dispensaries and private clinics
- Years of Experience: nan
- Nursing Specialty: adult healt... | summary x0001 x0001 x0001 x0001 a 36 year old male comes to the out patient department after tb treatment with no improvement has chest pain night sweats and weight loss has repeated sputum microscopy gene xpert ve for rifampicin resistance bmi 15 9 does a nurse start on mdr treatment no because the patient is resistan... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: nan
- Nursing Specialty: child health
... | summary 2 year old with hotness of body known chemotherapy patient with fever unresponsive to paracetamol on examination irritable febrile a what other antipyretic can be given nsaids like ibuprofen b admit patient as management of neutropenic fever needs close monitoring isolation iv medication and white blood cell co... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : dispensaries and private clinics
- Years of Experience: 22.0
- Nursing Specialty: adult h... | a 38 year old male presents in a dispensary with a history of bloody stool during bowel movement pain and itching around anus and a small lump in the anus has a history of taking a lot of processed food all vital signs are normal a cause of blood in stool hemorrhoids anal fissure colorectal cancer b immediate managemen... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : health centres
- Years of Experience: 12.0
- Nursing Specialty: maternal and child health
... | summary a 32 year old pregnant woman presents with the onset of labor pain radiating to the back vitals stable on examination the cervix is fully dilated with ruptured membranes and clear liquor fetal heart rate is 140 bpm cephalic presentation with active labor differential diagnosis active labor management prepare fo... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 16.0
- Nursing Specialty: adult health... | a 58 years old female patient who reportedly came in hypertension diaphoretic initially admitted with lower limb edema fatigability blood stained cough and chest pain had gastroenteritis which had been rectified has been unwell for 2 12 when she developed the above complaints which are progressively worsening no histor... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 10.0
- Nursing Specialty: adult health... | 3 year old male with complaints of undescended testis or palpation testicle are absent what s the management for cryptorchidism definitive orchidopexy bilateral requires urologists expertise investigations to confirm scrotal ultrasound to confirm absence of scrotal sac abdominopelvic ultrasound to locate testis dx cryp... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 12.0
- Nursing Specialty: emergency ca... | summary a 24 year old male presents with fever altered mental status and generalized seizures lasting two minutes on examination he is febrile and lethargic with a positive kernig’s sign no rash or focal neurological deficits are observed investigations perform a lumbar puncture for cerebrospinal fluid analysis to conf... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 10.0
- Nursing Specialty: emergency ca... | summary a 15 year old female presents with burn wound after an accident while cooking the wound has redness and blisters covering the arm posteriorly vitals bp 110 60 other vitals are within normal ranges management of the patient admit give iv fluids 4mls kg total burn surface area to prevent shock give analgesics do ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 20.0
- Nursing Specialty: emergency ca... | summary 34 year old lady brought at emergency with a stab wound on the chest stabbed by husband with a knife o e in pain not pale profuse bleeding from stab site bp 100 60 pulse 116 spo2 normal q1 what is the emergency management of this patient give oxygen give analgesics apply pressure dressing to the wound site give... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : sub county hospitals and nursing homes
- Years of Experience: 9.0
- Nursing Specialty: ge... | summary a 40 year old male brought to the hospital for dialysis weak and sick looking vitals bp 60 40 mmhg hypotension pulse 120 tachycardic temperature 36 20c normal the patient collapsed q1 what could be the cause of death q2 what is the immediate care that could have been given before dialysis oxygen via non rebreat... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : health centres
- Years of Experience: 13.0
- Nursing Specialty: emergency care gbv
- Cli... | summary a 13 year old girl a suspected victim of sexual based violence by someone known to her lower abdominal pain per vaginal discharge for 2 months now problems lower abdominal pain per vaginal bleeding psychologic tauma management start broad spectrum antibiotic anti fungal pessaries take samples for pregnancy test... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : sub county hospitals and nursing homes
- Years of Experience: 2.0
- Nursing Specialty: ad... | summary a 65 year old female presents to the sub county hospital with complaints of difficulty in breathing for the past 2 days hx of smoking for the past 40 years and hypertension on exam appears mildly distressed with tachypnea rr 22 pr 82 bp high at 140 90 other vitals are normal a what could be the diagnosis of the... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kiambu
- Health level : sub county hospitals and nursing homes
- Years of Experience: nan
- Nursing Specialty: general... | summary a 35 year old male patient presents with pain in the left lower limb bruising on the knee following a road traffic accident there is an open wound on the left tibia fibula bone on exam patient is tachycardic tachypneic other vital signs are normal a x0001 diagnosis tibiofibular fracture b immediate management ·... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : health centres
- Years of Experience: 27.0
- Nursing Specialty: maternal and child health... | summary a 29 year old female came to the clinic with a history of giving birth 7 weeks ago presents with a history of behaving funny has mood swings not wanting to breastfeed the child and abnormal sleep pattern vital signs are normal at what stage does puerperal psychosis set in immediately post delivery up to 6 weeks... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : dispensaries and private clinics
- Years of Experience: nan
- Nursing Specialty: emergency c... | 6 month old brought after being choked by cooked bananas the infant is crying and irritable diagnosis dx foreign body aspiration aspiration pneumonia management assessment of airway to ensure it is secure and patent maneuvers to remove the foreign body – young infant’s back blows and chest thrusts educate the mother or... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : county hospitals
- Years of Experience: 1.0
- Nursing Specialty: maternal and child healt... | summary a 28 year old para 2 0 gravida 3 comes into the labor ward in the second stage of labor she was delivered via spontaneous vaginal delivery to a male infant the baby did not cry immediately apgar score 6 a how do you resuscitate this baby 1 clear the airway by removing secretions 2 pat the baby 3 put on oxygen b... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: nan
- Nursing Specialty: child health
... | patient summary 8 year old male symptoms generalized weakness painful joints headaches abdominal pain loss of appetite growth failure third admission with the same complaint appears wasted with growth failure family history of chronic obstructive pulmonary disease vitals temperature 39 9°c pulse rate 104 spo₂ 94 1 diag... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 15.0
- Nursing Specialty: emergency ca... | summary 8 year old boy with right hand pain following a snake bite on examination there are visible fang marks and mild edema around the area of the wound vital signs are normal part i acute management insert intravenous cannula take samples for full haemogram urea creatinine and electrolytes liver function tests give ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 20.0
- Nursing Specialty: sexual and r... | 53 year old woman presenting with complaints of a left breast wound which is painful and fungating and it started 1 1 2 yrs ago and has been increasing in size progressively she sought herbal medication which she has been using for the last 6 months with no improvement on examination in fair general condition not pale ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : sub county hospitals and nursing homes
- Years of Experience: nan
- Nursing Specialty: child... | a 15 year old male presents with a history of fever hotness of the body dizziness diarrhea and vomiting for the past two days along with convulsions and a history of a fall from a tree on examination bp is 120 60 pulse rate is 98 bpm and temperature is 36 2°c based on this scenario can we do a malaria test there is con... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : health centres
- Years of Experience: nan
- Nursing Specialty: adult health
- Clinica... | case summary a 20 year old male presents with complaints of inflamed joints scaly skin itching and peeling for the last two weeks vitals stable on exam skin is dry and scaly diagnosis reactive arthritis differential diagnosis psoriatic arthritis eczema management 1 corticosteroid creams for inflammation 2 nsaids for in... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : health centres
- Years of Experience: nan
- Nursing Specialty: maternal and child health
... | summary a primigravida who sustained a tear after delivery and on assessment the extent of the tear is noted as second degree concern second degree perineal tear anemia uterine rupture hypotension management give iv fluids correct possible hypotension analgesics pain management antibiotics prevent infections transfuse ... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : health centres
- Years of Experience: 2.0
- Nursing Specialty: general emergency
- Clini... | summary a 1 yr old baby brought to hospital after ingesting paraffin from a drinking bottle upon examination baby has a distinct paraffin odor problems paraffin poisoning gastrointestinal tract irritation management avoid inducing vomiting due to risk of aspiration start oxygen therapy if there are signs of respiratory... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: kakamega
- Health level : sub county hospitals and nursing homes
- Years of Experience: nan
- Nursing Specialty: menta... | summary a 45 year old male brought to the facility with complaints of being violent in the past 3 weeks there is positive history of schizophrenia in the family unkempt hallucinations and illusions present although vital signs are within normal what treatment should i administer to calm the patient benzodiazepines shou... |
You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:
- County: uasin gishu
- Health level : national referral hospitals
- Years of Experience: 16.0
- Nursing Specialty: adult health... | summary a patient known to be on cardiology follow up presented with complaints of lower limb edema easy fatigability and general malaise the patient has a history of several admissions and is currently decompensated vital signs show an elevated respiratory rate 25 min and a blood sugar level of 6 2 the patient has a h... |
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