Checking ventilator functions ,such as tubing connections ,water in the tubing ,the water trap or filter,ventilator settings -mode appropriate to clinical status and size(neonatal,paediatric or adult),trigger,rate,volumes and alarms is useful to exclude causes of changes. (Hazinski,1999) Changes in ventilation can also be induced by increases or decreases in resistance and compliance. Reference: * Davies, J and Hassell,L (2003) : Children in intensive care -A nurse's survival guide London :Churchill Livingstone *Hazinski, M
Circulation refers to the flow of blood around the body from the heart to vital organs. In order to ensure adequate circulation, the patient may require the use of one or more intravenous (IV) tubes (Berniker). Through the IVs the patient receives fluids, drugs, and blood transfusions as needed to support circulation. When vital organs fail, the body cannot regulate these components, and must be quickly restored to a normal state by a doctor. Preserving the body’s internal equilibrium requires careful monitoring of innumerable indicators of the patient’s well-being.
The first one is the Heimlich device, which consists in a rubber one-way flutter valve connected to a standard bottle. It has been noticed that their management of fluid can be rather difficult for nurses. The second type of drain is the water-sealed device which uses an underwater seal to prevent air from being drawn back into the chest cavity. In the management of the chest drains the nursing factor holds an important position. The nurse has an implication in the process, from the decision of insertion until the decision of removal.
SPC Kimberly West SGT Monika Woodard The Importance of the Proper Documentation of Biological’s in the Sterilization Department A question that often comes up in discussions about record keeping is “What type of documentation do we need to keep for our steam sterilization process, and how should information be recorded?” It is important to know not only what to document, but also the purpose for retaining pertinent information. Record keeping or documenting the biologicals is an essential component of an effective sterile processing department’s quality assurance program. Whether the sterilization process is being done in a hospital’s SPD or Operating Room, essential information needs to be documented. Documentation, also commonly referred to as record keeping, documents materials that have been processed and the results of the sterilization process monitoring. While this might sound easy, proper documentation requires diligence by everyone involved as this data provides critical information for tracking processed instruments to the patient and assessing the reliability of the sterilization process.
Picoult continues on this theme of “saving” by using Suzanne as Sara’s crutch, as she makes her coffee each morning and informs her of any missed phone calls. While in the hospital, Sara receives a call from Jesse’s principal informing her of Jesse’s suspension. On the car ride home she notices a bruise on his arm from a needle and assumes he has been using drugs. Jesse angrily explains how he has been donating blood that gave Kate platelets behind the family’s back, in order to “save” his sister. After two weeks in the hospital, Kate developed an infection that placed her in a coma on a respirator, which is “saving” her for the time being.
Acute Renal Failure NU270 Assignment 6.1 7/26/2012 Patients that are in acute renal failure have many obstacles that they are faced with. The nurse should follow evidence based interventions when caring for them. Electrolyte imbalance, blood loss, infection, and nutrition are just a few of the issues the nurse must be educated about. It is important for the nurse to impose every intervention available to reduce the risk of infection in the patient experiencing acute renal failure. “Make sure appropriate hand hygiene is used.
The nurse recognizes which of the following medications are most commonly prescribed for acute pyelonephritis Select all that apply. Question 19 options: |Phenazopyridine (Pyridium)| |Ceftriaxone (Rocephin)| |Ciproflaxin (Cipro)| |Nitrofurantoin (Macrodantin)| |Tobracycin (Nebcin)| Question 1 (5 points) The client recently presented to the Emergency Room exhibits bluish discoloration in the left flank area upon physical examination. The competent nurse documents this as Question 1 options: |Negative Grey-Turner's sign | |Positive Grey-Turner's sign| |Negative Cullen's sign| |Positive Cullen's sign| Save Question 2 (5 points) A married female client has a history of repeated urinary tract infections (UTIs). Which of the following should the nurse include while assessing this client? Question 2 options: |Preferred method of birth control| |Height and weight| |Employment status| |Activity status| Save Question 3 (5 points) A client asks the nurse for ways to prevent recurrent urinary tract infections.
L E A R N I N G O B J E C T I V E S On completion of this chapter, the learner will be able to: 1 Describe the structures and functions of the upper and lower respiratory tracts. 2 Describe ventilation, perfusion, diffusion, shunting, and the relationship of pulmonary circulation to these processes. 3 Discriminate between normal and abnormal breath sounds. 4 Use assessment parameters appropriate for determining the characteristics and severity of the major symptoms of respiratory dysfunction. 5 Identify the nursing implications of procedures used for diagnostic evaluation of respiratory function.
The question is what role do nurses play when it comes to medication safety? Nurses play many different roles in the world of medicine; however the most important role is to assure that patients are receiving their medication safely. One of the recommendations to reduce medication errors and harm is to use the “Five rights: the right patient, the right drug, the right dose, the right route, and the right time” (Choo, Hutchinson & Bucknall, 2010, p.854). Verifying the patient’s identity ensures that the correct patient is receiving the medication, confirming that the medication written on the order is the same medication being prepared, ensures the right drug, dose and route is given. Some medications must be given at specific time, so it imperative to provide the medication to the patient at the correct time.
How to Handle Emergencies SHOCK | | | |Symptoms |First Aid | |Patient pale, weak moist skin, rapid pulse and breathing, may be restless, |Improve circulation by elevating legs to about one foot. Maintain body | |anxious, nausea and vomiting. |temperature by proper covering. Ensure oxygen supply by artificial | | |respiration. Maintain I/v line, call the doctor.