Aug. 2012. 1. DETERMINATION OF BLOOD PRESSURE AIM To record and interpret the systolic and diastolic BP using Sphygmomanometer. PRINCIPLE The cuff of the sphygmomanometer is wrapped around the arm of the subject. The bag is then inflated until the air pressure in the cuff overcomes the arterial pressure and obliterates the arterial lumen.
5 Identify the nursing implications of procedures used for diagnostic evaluation of respiratory function. G L O S S A R Y apnea: temporary cessation of breathing bronchophony: abnormal increase in clarity of transmitted voice sounds bronchoscopy: direct examination of larynx, trachea, and bronchi using an endoscope cilia: short hairs that provide a constant whipping motion that serves to propel mucus and foreign substances away from the lung toward the larynx compliance: measure of the force required to expand or inflate the lungs crackles: soft, high-pitched, discontinuous popping sounds during inspiration caused by delayed reopening of the airways diffusion: exchange of gas molecules from areas of high concentration to areas of low concentration dyspnea: labored breathing or shortness of breath egophony: abnormal change in tone of voice that is heard when auscultating lungs fremitus: vibrations of speech felt as tremors of chest wall during palpation hemoptysis: expectoration of blood from the respiratory tract hypoxemia: decrease in arterial oxygen tension in the blood hypoxia: decrease in oxygen supply to the tissues and cells obstructive sleep apnea: temporary absence of breathing during sleep secondary to transient upper airway obstruction orthopnea: inability to breathe easily except in an upright position oxygen saturation:
Basic Procedures-Surgical Case Study Format Specialty: Procedure Name: General or ENT Bilateral Myringotomy with tubes Procedure Definition: An incision into the tympanic membrane for removing accumulated fluid, accompanied by the insertion of polyethylene ventilation tubes or pressure equalizing tubes to maintain pressure equalization. This process is preformed on both the left and right ears. Relevant Surgical Anatomy: ear canal, tympanic membrane, ottis media, mallus, incus, and stapes Relevant Physiology: Equalizes pressure with the air pressure outside the head, part of the anatomical structure that transports vibrations that are then turned into nerve signals, also assists with balance and facial expressions. Pathophysiology/indication: Preformed to treat otitis media, an infection of the middle ear. Persistent blockage of the ear, chronic ear drainage, equal librium problems, facial weakness, headache, ear ache, sleepiness, inflammation or drainage behind the ear.
Life support may begin with basic CPR. Subsequently, the most common technique to secure an airway is by the insertion of an endotracheal (ET) tube through the mouth or nose into the windpipe. If an ET airway cannot be established then a tracheotomy is performed, which is a surgical procedure in which a tube is inserted into the windpipe through an incision made in the base of the throat (Berniker). When the patient cannot breathe sufficiently on his or her own, the physician will use a ventilator, a machine that pumps air in and out of the patient’s lungs to aid in respiration. Circulation refers to the flow of blood around the body from the heart to vital organs.
An external defibrillator was used to shock the patient into sinus rhythm, a total of 10 shocks was administered and cooling measures were also started. The patient arrived with an IV access and intubated. Physical exam upon arrival to emergency department reported the patient to be tachycardic, normal blood pressure and unresponsive. Patient was then transferred emergently to cardiac catheterization lab for Artic sun and cardiac stenting. An echocardiogram was performed prior to the patient being sent to the cardiac catheterization lab.
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).
3-qualtiative platelet disorders. 4- Hypofibrinogenaemia. 4- vWD. Lab 2 Prothrombin time Introduction: The prothrombin time (PT) test is ordered to help diagnose unexplained bleeding, often along with a partial thromboplastin time (PTT) test. The PT test evaluates the extrinsic and common pathways of the coagulation cascade, while the PTT test evaluates
NURSING MANAGEMENT OF PATIENTS WITH CHEST DRAINS Chest drains are one-way draining medical devices that allow fluid or air accumulations to be drained from the chest cavity. Normally the chest drains are inserted following an x-ray report that confirms the presence of air or fluid in the chest cavity. The rationale for the chest drain insertion is that the drain will help restore the normal function of the lungs, by allowing the drainage of the air or fluid collected in the pleural space. There are a number of indications for drains insertions such as: pneumothorax, pleura effusions, haemothorax or post cardio-thoracic surgery. To understand completely the importance of inserting chest drains, when required, we have to look closely at the entire mechanism of breathing.