| Evidence-Based Practice & Applied Nursing Research Performance Task: 1 | Article | Rarey, K., Shanks, R., Romanowski, E., Mah, F., & Kowalski, R. (2012). Staphylococcus aureus Isolated from Endophthalmitis are Hospital-Acquired Based on Panton- Valentine Leukocidin and Antibiotic Susceptibility Testing. Journal of Ocular Pharmacology and Therapeutics, 28 (1), 12-17. Retrieved from http://ehis.ebscohost.com | Background or Introduction | The researchers addressed the introduction by detailing the most frequent cause of bacterial endophthalmitis after penetrating trauma to the eye, or after ocular surgery, which is Staphylococcus aureus. It was noted that Staphylococcus aureus can be divided into 2 groups
Neurohumoral activation in preclinical heart failure. Remodeling and the potential for intervention. Circulation. 1993;87:IV90–IV96. Kajstura J, Leri A, Finato N, et al.
Hfsa 2010 comprehensive heart failure practice guideline. Journal of Cardiac Failure, 16(6), 475-539. doi: 10.1016/j.cardfail.2010.04 Smeltzer, EdD, RN, FAAN, S., Hinkle, PhD, RN, CNRN, J., Bare, RN, MSN, B., & Cheever, PhD, RN, K. (2010). Brunner & suddarth's textbook of medical- surgical nursing. (12th ed.). Philadelphia: Wolters Kluwer Health/ Lippincott Williams & Wilkins.
CBC- may show elevated WBC count * 4. Test after the acute stage- Exercise tolerance test, thallium scans, cardiac catheterization Nursing Interventions 1. Provide Oxygen at 2 lpm, Semi-fowler’s 2. Administer medications * Morphine to relieve pain * nitrates, thrombolytics, aspirin and anticoagulants * Stool softener and hypolipidemics 3. Minimize patient anxiety * Provide information as to procedures and drug therapy 4.
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.
47 Administer Medication to Individuals, and Monitor the Effects | | | Assessment criteria | 1.1 Identify current legislation, guidelines policies and protocols relevant to the administration of medication (Planned: 0 , Completed:0) | 2.1 Describe common types of medication including their effects and potential side-effects (Planned: 0 , Completed:0) | 2.2 Identify medication which demands the measurement of specific physiological measurements (Planned: 0 , Completed:0) | 2.3 Describe the common adverse reactions to medication, how each can be recognised and the appropriate action(s) required (Planned: 0 , Completed:0) | 2.4 Explain the different routes of medicine administration (Planned: 0 , Completed:0) | 3.1 Explain the types, purpose and function of materials and equipment needed for the administration of medication via the different routes (Planned: 0 , Completed:0) | | | 4.2 Explain the appropriate timing of medication eg check that the individual has not taken any medication recently (Planned: 0 , Completed:0) | | | | | | 5.3 Describe how to report any immediate problems with the administration (Planned: 0 , Completed:0) | | 5.5 Explain why it may be necessary to confirm that the individual actually takes the medication and does not pass the medication to others (Planned: 0 , Completed:0) | | 5.7 Describe how to dispose of out-of-date and part used medications in accordance with legal and organisational requirements.Current legislation relevant to the administration of medication are,Health and Social Care Act 2012The Medicines Act 2012The Misuse of Drugs Act 1971Common types of medication and there effects could be Aspirin, Senacot and ibuprofen.Aspirin is a salicylate drug, often used as an analgesic to relieve minor aches and pains, as an antipyretic to reduce fever, and as an anti-inflammatory
Case Study – Vital Signs Glen Glines Learning Objectives: 1. Identify abnormal vital signs (T, P, RR, BP, O2Sat, Pain) 2. Identify factors that affect body temperature, pulse, and respirations 3. Discuss possible rationales for altered vital signs (T, P, RR, BP, O2Sat, Pain) 4. Identify sites where a pulse may be taken in the hospitalized patient 5.
to a disease that exists simultaneously with and worsens or affects a primary disease) such as impaired eyesight, tremor, arthritis, and cognitive problems that can aggravate effective use of the inhaler device. Inhaler devices available to deliver inhaled medications are COPD 6 Pressurized metered-dose inhalers (pMDIs); Breath-activated pMDIs; Dry-powder inhalers (DPIs); and Soft mist inhaler (SMIs) (Kaufman, G., 2013, p. 37). The nurses in primary care have an important role in helping patients with this disease. That is where device selection and patient education comes in. Primary care nurses should know the following: * For the prescribed drug/s what devices are available and what number of device types can be used?
A case study on the effect of oropharyngeal secretion and subglottic suctioning in prevention of ventilator associated pneumonia (VAP). The purpose of this case study is to analyze the significance of subglottic suction in prevention of ventilator associated pneumonia .The case study is linked to the competency no1(Respiratory). This study aims to assess the evidence available to prove the need of frequent subglottic suction of oropharyngeal secretion to prevent VAP in mechanically ventilated patients. Mr. M was admitted to Intensive care Unit with multiple traumas to the head, face and lower limbs. The management consisted neurological for severe head injury, maxillofacial for facial injuries, orthopedics for fractured lower limbs.