Fever, BP 88/59, HR 129, RR 26. RN anticipates initial orders for: 1. 2. Antipyretics and dopamine infusion CT scan of head & arm and drug screen Blood cultures, antibiotics, and rapid IV infusion IV fluids with MVI, thiamine, monitoring for signs of withdrawal, antipyretics Antipyretics and dopamine infusion CT scan of head & arm and drug screen 3. 4.
Abstract Ventilator-associated pneumonia is an infection acquired in the hospital after 48 hours of being intubated. This research paper will explain the cause and pathophysiology of VAP, the effective methods to decrease the incidence by semmirecumbent positioning, oral hygiene, and the use of continuous subglottic suctioining endotracheal tubes. The financial impact on hospitals will be discussed, and the implications for clinical practice. Nursing role in the prevention of hospital-acquired ventilator associated pneumonia What is hospital-acquired ventilator associated pneumonia? Pneumonia is the inflammation of the parenchymal structures of the lung, such as the alveoli and bronchioles (Porth, 2011).
Chest x-ray will directly image blood clots causing blockages in the pulmonary arteries. 12-lead ECG will monitor heart rhythm and detect heart dysrhythmias. (Goldhaber & Morrison, 2010). The physician orders ABGs on room air instead of with supplemental O2 in order to get a more accurate lab result of the patient’s condition without supplemental oxygen. Case Study Progress.
Unit 7: Anatomy and Physiology for Health and Social Care Activity P6: Identify the routine care given for each malfunction Cardiovascular system Heart Attack If a person is having a heart attack then they need to make sure that 999 are called immediately. Once an ambulance is called the person who is having a heart attack must be sat in a W position, this position is made by the person having their legs up bent and having their back straight up. Once the person has been positioned appropriately then they will need reassurance, they may need to be told that everything is going to be okay or that the ambulance will not be long. If the person has aspirin on them then it is important to get them to take it, only 300mg should be given. When the ambulance turns up they will immediately put an oxygen mask on the person and then do an ECG on them.
Mercury thermometers should not be thrown in the trash because mercury is toxic. Reference: p.522. Question 2: Which of the following is an accurate guideline to follow when assessing blood pressure using a Doppler ultrasound? You selected: If using a mercury manometer, check to see that the manometer is in the horizontal position and that the mercury is within the zero level. Correct response: Center the bladder of the cuff over the artery, lining up the artery marker on the cuff with the artery.
1. Discuss the nursing management of the postoperative patient who has undergone a total abdominal hysterectomy with bilateral salpingo-oophorectomy. * Determines patient’s immediate response to surgical intervention. * Monitor patient’s physiologic status. * Assess patient’s pain level and administers appropriate pain relief measures.
Pathology report reviewed w/ patient that confirmed cancer of breast. Patient referred to oncology. The range of codes that would be used for this patient would be Codes 140-239 because of the diagnosis of breast cancer. These particular codes are Neoplasms which are abnormal growths in normal tissue. 4.
The risk assessment plan should involve regular skin inspection of all patients who are bedridden for long periods (Hoeman, 2008; Carpenito-Moyet, 2009). Different risk assessment scales will be used to determine the patients who are at a higher risk of pressure ulcers. The Modified Norton Scale will be used to assess the mental state, mobility, physical state, and general health of patients. A score of 31 and below will indicate the possibility of developing pressure ulcers. The Braden Scale will be used to evaluate the sensory perception, friction and shearing.
Respiratory Care, 58(10), 1704-1706. This article addresses the reluctance of healthcare facilities to change their practices even thought there are evidence based practice studies showing things that can prevent VAP. Also it shows that in their study, the single most important change a facility can make is the implementation of use of the ETT which provides continuous suctioning of subglottic secretions. Also discussed is the fact that some patient populations will not allow VAP to be prevented, such as Trauma ICU’s where the patient was intubated in an unsterile setting or likely aspirated on intubation since this population has rarely been kept NPO prior to
Rationale: When caring for a patient with severe dyspnea, the nurse should use the ABCs to guide initial care. This patient's severe dyspnea and cough indicate that acute decompensated heart failure (ADHF) is occurring. ADHF usually manifests as pulmonary edema, which should be detected and treated immediately to prevent ongoing hypoxemia and cardiac/respiratory arrest. The other assessments will provide useful data about the patient's volume status and should also be accomplished rapidly, but detection (and treatment) of fluid-filled alveoli is the priority. Cognitive Level: Application Text Reference: pp.