Which clinical manifestations are essential for the nurse to note at this time? 4. What additional assessment data should the nurse obtain? 5. What diagnostic findings differentiate meningitis from encephalitis?
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.
Clostridium Difficile Clostridium Difficile, often called C. difficile or C. diff, is a bacterium that can cause Symptoms ranging from diarrhea to life - threatening inflammation of the colon. Illness from C. difficile most commonly affects older adults in hospitals or in long term care facilities and typically occurs after use of antibiotic medications. In recent years, C. difficile infections have become more frequent, more severe and more difficult to treat. Each year, tens of thousands of people in the United States get sick from C. difficile, including some otherwise healthy people who aren’t hospitalized or taking antibiotics.
When a resident is observed to have a condition change, the nurse performs an assessment and makes a decision whether or not to notify the physician and the resident’s family or guardian. The most common symptoms that resulted in the transport of residents to a hospital emergency room were respiratory distress, altered mental status, gastrointestinal symptoms, and falls (Ackermann, Kemle, Vogel & Griffin, 1998). The changes in mental status could
3) Describe the common adverse reactions to medication, how each can be recognised and the appropriate action(s) required. Common adverse reactions are diarrhoea, skin rashes, sickness, facial swelling, blistering of the skin and wheezing. These can all be recognised by reading the side effects on medication packets or contacting a pharmacist. The appropriate action to take if a person supported is having an adverse reaction is to contact doctors/hospital so they can be treated appropriately. 4) Explain the different routes of medicine administration.
This goal targets the prevention of mortality from health care-associated infections caused by several different drug resistant organisms, surgical related infections, and infections of the bloodstream related to catheter insertion. Catheter insertion requires regular practices that include hand sanitation before catheter operation (Singleton, 2008). The concern of this goal is the prevention of infection. Utilization of hand cleaning guidelines that are provided by the World Health Organization and Centers for Disease Control and Prevention is required in hospitals. Hospitals must also submit reports of injury and death to patients that result from infections that were acquired while staying in the hospital (2009 Hospital National Patient Safety Goals, 2008).
3. List nursing priorities for monitoring & management of the patient with severe sepsis. 4. List the goals of therapy and priority interventions for severe sepsis & septic shock. Definitions •Colonization •Contamination •Infection •Bacteremia/Fungemia/Viremia •SIRS: •Sepsis •Severe Sepsis •Septic Shock •MODS: multiple organ dysfunction syndrome systemic inflammatory response syndrome Sepsis Sepsis: systemic inflammatory
The emergency department is a specialist department where patients come for their first point of care. The emergency nurse should have specialist expertise in assessing and identifying patients’ health care needs in crisis situations. In addition, an emergency nurse should establish priorities, monitor and continually assess acutely ill and or injured patients, they must support and attend to families and teach patients and families within a high pressure, time limited care environment. In the emergency department a fifteen year old girl presents with a head injury, laceration to her right thigh and grazing to her face. Her first point of contact with the emergency department is triage (Farrell, 2005, p.2158).
The most common cause of ascites is cirrhosis of the liver. Many of the risk factors for developing ascites and cirrhosis are similar. The most common risk factors include hepatitis B, hepatitis C, and long standing alcohol abuse. Other potential risk factors are related to the other underlying conditions, such as congestive heart failure, malignancy, and kidney disease. What are the symptoms of ascites?
Introduction Infective endocarditis (IE) is a life-threatening infection of cardiac valves and endomyocardial lining of the heart. IE remains a major health problem, and is associated with significant morbidity, disability, and mortality. Infective endocarditis is clinically manifested with diverse clinical pictures and syndromic diagnoses including heart failure, stroke, and febrile illness. Therefore, clinicians should maintain a high index of suspicion of IE , carry out prompt and appropriate work up, and initiate a management plan in order to prevent death and serious complications associated with IE. Historically, IE diagnosis is largely dependent on a combination of clinical features, microbiological studies, and imaging techniques mainly