Case Study: Cardiogenic Shock and Anterior Wall Myocardial Infarction 1. What is the clinical presentation of a client having an acute myocardial infarction (AMI)? Identify Mrs. Sutton’s clinical presentation in the ED. Pressure, tightness, pain, or a squeezing or aching sensation in your chest or arms that may spread to your neck, jaw or back, Nausea, indigestion, heartburn or abdominal pain, Shortness of breath, Cold sweat, Fatigue, and Lightheadedness or sudden dizziness. Q waves and ST elevation.
Pneumonia is the inflammation of the parenchymal structures of the lung, such as the alveoli and bronchioles (Porth, 2011). According to Porth, the setting, which the infection occurs, whether the pneumonia was caused by typical or atypical agents, and the distribution of the infection, lobar pneumonia or bronchopneumonia classifies pneumonia. This research paper puts focus on the pathophysiology of hospital-acquired ventilator-associated pneumonia or VAP, 3 effective methods to reduce and prevent the occurrence of ventilator associated pneumonia, and the financial impact of reducing the incidence of VAP. An incident of VAP can extend the amount of time a patient resides in the ICU as well as significantly increase the cost of the visit (Speroni, 2011). In March, 2004 the Center for Disease Control and Prevention or CDC, re-published guidelines for the prevention of ventilator-associated pneumonia which includes recommendations to educate the hospital staff about the epidemiology and infection control procedures and performance-improvement tools and techniques (Tablan, 2004).
Therapeutic Hypothermia in Post Cardiac Arrest Patients Anderson,RN, MSN, CCRN, Rhonda. "Ask The Experts." CCN.AACN JOURNALS.org 27.5 (2007): 61-62. Web. The Article talks about what the criteria for inducing hypothermia in patients that are post cardiac arrest.
CRITICAL REFLECTION ON FACTORS INFLUENCING A CLINCAL DECISION. The purpose of this assignment is to critically reflect on factors influencing a clinical decision based on one of the experiences I have witnessed during my clinical placement. The clinical decision will be focusing on the care of a client and involves a nursing input. The episode of care I will be examining what happened in a recovery theatre following orthopaedic surgery for the removal of screws to the left ankle. The clinical decision which I witnessed involves bringing pain under control by administration of 1mg of midazolam intravenously to a 12year old patient who said she was in crucial pain after administration of 10mg Morphine.
· Suction appropriately Patients receiving positive-pressure mechanical ventilation have a tracheostomy, endotracheal, or nasotracheal tube. Most initially have an endotracheal tube; if they stay on the ventilator for many days or weeks, a tracheotomy may be done. Tracheotomy decisions depend on patient specifics. Controversy exists as to when a tracheotomy should be considered; generally, patients have tracheotomies before being managed on a med-surg unit. Although specific airway management guidelines exist, always check your facility’s policy and procedure manual.
If this it the case, you need to take steps to first regain total asthma control prior to resuming your exercise program. The inability to exercise without symptoms is a sign of poor asthma control. Talk to your doctor about this. Once you have total control, you will be able to exercise without asthma symptoms. Man coughing If your asthma is under control and you experience asthma symptoms five or 10 minutes after exercising, this is probably due to exercise-induced asthma.
These include the heels, toes, knees, buttocks, shoulders, elbows and ears. Factors which might put an individual at risk of pressure sores are: not moving for long time, slipping down the bed and trying to sit back up again, low blood pressure, low blood oxygen level, poor nutrition and urinary incontinence. In my daily practise, there is a range of interventions that can reduce the risk of skin breakdown and pressure sores. The main method of preventing a pressure sore is to move the resident into a different position on a regular basis. Usually, every two hours when in bed, and every four hours when sitting in a chair.
Although the process begins in the womb, the infant usually appears to be normal for the first three to four months. After this, muscle atrophy, lung infections, seizures, increased startle reflex, vision and hearing loss, mental retardation and inability to swallow begin to occur (Schoenstadt, 2008). Education on supportive care would include proper hydration and nutrition. As the disease progresses, this will be accomplished through a feeding tube to maintain adequate caloric intake and prevent dehydration. Antispasmodic and anticonvulsant medications will help control muscle spasms and seizures.
In the hospital it well be through a catheterization, venipuncture, fingersticks, and heel puncture. The susceptible host is someone with a decreased ability to resist infection for example elderly or a new born because a newborns immune system is still forming and an elderly because they are too old and they become weaker by the years. There are many procedures that can break the chain and they are effective
* Ensure that open wounds are well covered after cleaning. * Ensure patient personal hygiene and oral care is done daily. * Change patient linen and underwear when moist to prevent skin breakdown. * Ensure that patient is constantly repositioned to prevent skin breakage. (C) Self Care Assessment Data: * Patient has a risk for fall related to prior fall * Patient has limited mobility * Patient lives alone and is at risk of ineffective ADL’s * Patient is at risk of nutritional deficiency NANDA