In this essay I will walk through a clinical assessment of a geriatric patient that has presented to the ED with MODS. I will make special consideration to address pain, electrolyte imbalance, homeostasis and oxygenation. Assessment of a Geriatric Patient with MODS Upon transfer of Mrs. Baker to the emergency room the initial report from the transport personnel will be received and the initial ED assessment starts. This is concurrent, while receiving the report we are able to look at the patient’s general appearance. We are able to determine form the report that her general complaints are an episode of confusion prior to collapsing in the back yard, respiratory distress and tachycardia.
1. A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient? A) Complete a full physical examination to determine the systemic effect of the respiratory distress. B) Obtain a comprehensive health history to determine the extent of any prior respiratory problems.
The jobs specifically to anesthesiologists are to make sure the patient is safe and comfortable during operation and post operation (What Does An Anesthesiologist Do?). "The anesthesiologist always monitors your heart rhythm, blood pressure, the amount of oxygen in your blood, temperature and your level of consciousness. When patients are completely asleep (under a general anesthetic), the anesthesiologist monitors each breath by measuring the volume of breath exhaled and the amount of carbon dioxide in each breath." (What Does An Anesthesiologist Do?) They must
Call for the senior registered nurse to access the severity of the injury they will judge whether a paramedic needs to be called. Cardiac arrest – if someone goes into cardiac arrest you must obtain medical help as a matter of urgency. The procedure for this would be the following: • If you have someone with you send them to dial 999 if on own dial 999 but go straight back to the person. • Give 30 chest compressions. (place the heel of your hand in the centre of the chest place the other hand on top and interlock fingers, keeping arms straight and your fingers of the chest, press down by four to five centimetres, then release the pressure, keeping your hands in place.
A cardiologist is a medical professional who concentrates on the state of the patient's heart and other areas which may be connected to it. The treatment of this organ as well as the study and research or its function, is often applied by the doctors to their patients for better results. Equipment and Paraphernalia Doctors of the heart often use medical equipment and other medical paraphernalia to help them pinpoint the closest possible factor that may be affecting the patient. The electrocardiogram is one of the most commonly used equipment that supports the cardiologist in finding what may be wrong with the patient. The electrocardiogram is just one instrument among many that can help distinguish the issues of a certain patient concerning his cardiologic health.
Upon arriving at the scene emergency medical technicians (EMT’s) would have assessed Mr. J and placed him in a cervical collar before doing anything else. A tourniquet would be placed two inches above the crush injury before attempting to extricate the arm. This would likely be on the joint so the tourniquet would go two inches above the elbow. After extricating the arm and placing him on a spine board he would be rushed to the ED. Due to Mr. J being unconscious with a head injury a computed tomography (CT) scan was rushed to assess
To improve knowledge about how to do the ideal nursing intervention for clients with Strangulated Hernia. To do the necessary nursing intervention in hospital for client with Strangulated Hernia. To observe and understand the behavior of client having Strangulated Hernia. To develop our nursing responsibilities. To give the proper care and build a genuine nurse-patient relationship conducive to good health Etiology * congenital weakening of the abdominal wall, * traumatic injury, * aging, * weakened abdominal muscles because of pregnancy, or * increased intra-abdominal pressure (due to heavy lifting, exertion, obesity, excessive coughing, or straining with defecation).
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.
I came to know how the system works while people are seeking health care services from ER. When patients arrived in ER, they are categorized based on their acuity level from 1 to 5 by triage nurse at triage room. Triage level 1 are the patients who need immediate care and doctor must see them immediately. Triage level 2 are the patients who needs immediate care and doctor and nurses must see them with in 15 minutes of their arrival. Triage levels 3 are patients who need care soon and doctor and nurses should see them within next 30 minutes or so.
Hemodialysis process to take place when an access has to be created which is an artificial vein on either arm that transports blood from the body to a dialyzer. A dialysis facility is an outpatient center that provides dialysis treatments for patient suffering from end stage renal disease. Dialysis treatments are usually done three to four times per week for two to four hour per treatment. (Davita, 2004-2012) The facility is responsible for the care and safety of the patients while on premises. In an effort to maintain safety in a dialysis facility many prevention methods are set in place.