Identify priority nursing care to prevent potential complications following this type of surgery. * Maintain respiratory function * Maintain circulatory function * Promote elimination and adequate nutrition * Promote urinary elimination * Promote wound healing * Achieve rest and comfort 3. Discuss treatment modalities for potential complications as identified above * Push fluids to promote elimination * Hemorrhages may need surgical correction * Apply O₂ 4. Discuss the standard of nursing care when transfusing any blood product. * Verify that an order for the transfusion exists.
Aided mechanical respiration can be invasive, bypassing the upper airway through a tracheotomy, an endotracheal tube or a laryngeal mask. Providing respiratory support through a nasal or a face mask is noninvasive ventilation (Baudouin and other members of the British Thoracic Society, BTS, Standards of Care Committee, 2002). The aim of this work is to review noninvasive ventilation, when to use it and how to note the progress of patients put on noninvasive ventilation. Types of noninvasive ventilation A pressure difference has to develop, phasically, across the lung for ventilation to occur. Thus creating a negative pressure in the pleural space; or creating a positive pressure within the upper airway can help patients with failing respiration (Corrado and Gorini, 2002).
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.
Nursing Plans and Interventions: The nurse applies a sterile nasal drip pad and initiates interventions to prevent increased intracranial pressure (ICP). 3. Which nursing intervention should be initiated to prevent increased ICP? A) Apply a hyperthermia blanket. B) Administer a prescribed stool softener as needed (PRN).
•If chest pain is present, have client lie down, monitor cardiac rhythm, give oxygen, run a strip, medicate for pain, and notify the physician. These actions can increase oxygen delivery to the coronary arteries and improve client prognosis. •Place on cardiac monitor; monitor for dysrhythmias, especially atrial fibrillation. Atrial fibrillation is common in heart failure. •Watch laboratory data closely, especially arterial blood gases and electrolytes, including potassium.
The ethical issue of the wrong food tray will be addressed by using the appropriate referrals and resources. Nursing-Sensitive Indicators A CNA is called into the patients’ room to assist the patient to the bathroom, when the patient’s daughter notices and points out a red, depressed area over the patient’s lower spine and the CNA tells the daughter that the red area should go away on its own. The nursing sensitive indicator of pressure ulcer should be used in this case. The CNA needs to be educated in identifying what the preventative steps for avoiding pressure ulcers are by using the Braden Scale which should of been implemented upon this patient being admitted (Fosco, 2012). When the scale is used it can trigger the appropriate interventions before a pressure ulcer forms or gets worse, for example the CNA can pass on to other care team members if this pressure ulcer was prior to admission or formed during the patients hospital stay (Fosco, 2012).
When the ductus arteriosus refuses to close, the oxygenated blood in the aortic arch passes into the left branch of the pulmonary artery and produces pulmonary hypertension. B. Draw a diagram outlining blood flow related to this clinical complication. C. Be prepared to discuss complications and treatments of this clinical conditional. In infants, complications that may occur are risks of developing heart failure, pulmonary artery hypertension, or infective endocarditis, which is an infection of the inner lining of the heart.
*Cor pulmonale is an enlargement of the right ventricle Check what ya know (Answers at end) 6.) ER nurse is caring for pts exposed to a chlorine leak. The nurse would closely monitor these pts for A.) Pul edema B.) Anaphylactic Shock C.) Resp Alkalosis D.) Acute tubular necrosis Answer: 6.
What methods can the nurse use to determine if the drainage is CSF? C) Observe for a "halo" around a spot of drainage. Nursing Plans and Interventions: The nurse applies a sterile nasal drip pad and initiates interventions to prevent increased intracranial pressure (ICP). 3. Which nursing intervention should be initiated to prevent increased ICP?
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?