According to the journal article The
According to the journal article The
1. Dr. Baker spends a long time listening to (auscultating) Caleb’s heart. a. Where on the thoracic surface do you auscultate to the tricuspid, mitral (bicuspid), pulmonary, and aortic valves? The tricuspid valve is between the right atria and right ventricle.…
S The patient is a 19-year-old gentleman who tells me he has been having a sore throat and congestion for the past two weeks. He was also having a cough that would wake him at night. He states the cough now is better but he continues with copious rhinorrhea and postnasal drip.…
O: Patient is not in respiratory distress. Vital signs: RR 14 bpm, HR: 62, Increased AP diameter, mild productive cough, moderate amount of frothy sputum, no accessory muscle use, so excessive diaphragmatic breathing, skin temperature is warm and dry to the touch (afebrile), skin color is pale in color as well as his eyes. breathing pattern is eupneic, no pursed lip breathing, no nasal flaring, unable to access for JVD, no edema, no digital clubbing, AUS: diminished breath sounds in bases with rhonchi in upper lobes of lungs. A: Moderate airway secretions (COPD Hx, rhonchi, moderate amounts of frothy sputum), severe anemia (pale skin and eye color, Hb value of 6.3, pt. is weary), Air trapping (increased AP…
Subjective: Dr. Makkar has expressed an interest in participating in the Multi-Disciplinary Thoracic Clinic. Background: To participate, Dr. Makkar is asking for payment to keep him “whole.” Summit Pulmonology participates at Barberton and are payed as an extension of their Medical Group Critical Care contract. I appears they are payed approximately 2.5 hours per pay period to cover the 5 hours per month of clinic time.…
Endothon is a market cultured organization, focused on the external, such as, customer satisfaction, productivity, and profits just as it states in the report. With this culture the focus is on setting and achieving goals which will lead to positive organizational outcomes as well as innovation and quality. Techfite however, is employee- focused and values flexibility.…
Chest tube thoracostomy or chest tube placement may be indicated for chest traumas that include pneumothorax or hemothorax. A pneumothorax occurs when the resting negative pressure in the pleural space is lost leading to lung collapse. Pneumothoraces can occur spontaneously (primary pneumothorax) or because of penetrating or blunt trauma (secondary pneumothorax). In penetrating trauma, the open wound allows air to enter the pleural space from the atmosphere.…
In the case study, the question is asking about how the removal of a pulmonary arterial catheter influences…
A pneumothorax is when air is present in the pleural space which results in a partial or complete collapse of a lung (Crimlisk, 2010). There are three classifications of a pneumothorax which include open, closed, and tension. An open pneumothorax occurs when an opening in the chest wall allows air to enter into the pleural space which occurs from chest traumas like stabbings and gun shots, or surgical thoracotomies (Crimlisk, 2010). A closed pneumothorax is when air accumulates in the pleural space without any external wounds, and is known as a spontaneous pneumothorax. This commonly occurs from ruptured blebs or bullae in the lung, most commonly seen in patients with Chronic Obstructive Pulmonary Disease.…
A pneumothorax is a condition in which air gets trapped between the lungs and the chest wall. This pressure causes the lung to collapse inward onto itself. As member of both the Army National Guard and Army ROTC, I am very interested in this topic since it is a serious injury that can occur due to traumas on the battlefield. In army lingo, this injury is referred to as a sucking chest wound. We are instructed to treat it during basic combat lifesaving courses.…
Response # 2 Hello Tracie Eilerman, Great post on x-ray # 1. This is actually a difficult one especially for someone with limited knowledge. I concur with you that it is essential for the advanced nurse practitioner to be skillful to discern amongst normal and aberration chest image. While the x-ray # 1 depicted aberration, understanding the patient’s symptomatic physiology in vital to aid necessary clue for prompt medical intervention.…
Total Anomalous Pulmonary Venous Return Total anomalous pulmonary venous return (TAPVR) is a heart condition that children are born with (congenital). The blood vessels that are supposed to carry blood from the lungs to the left side of the heart go to the right side instead. In a normal heart, blood returns to the right side of the heart from all over the body. The right side of the heart pumps blood to the lungs, where the blood picks up oxygen.…
Per Reporter: A total of five children where in the vehicle when it crashed on 8/5/17. Reporter stated at the time of the accident, the current information was not known. Kevis is currently in the pediatric intensive care center in Room 501.…
Have you ever had to tell someone a difficult truth? Yes, when my grandmother came to the United States to visit us and it was the happiness moments of my life. After a month, she became ill from the flu, so I took her to the ER. The problem was that she did not speak English, so I translated for her. When we arrived to the ER, the doctor did many medical exams, as an example blood test, X-ray, and magnetic resonance imaging (MRI).…
In these studies, they found that x-rays are being used and causing misdiagnoses. Patients are being treated for pneumonia that is a viral infection. To treat bronchiolitis properly supportive care is the key. Based on the patient’s condition and respiratory effort, low flow oxygen will be used to improve oxygen saturations or to try and improve respiratory effort and lower the respiratory rate. If this does not improve the patient’s condition then a high flow…
This is to provide immediate respiratory care if the patient’s airway is compromised (Higginson, Jones & Davies, 2011). This is a low priority. B. BREATHING – Respiration is altered due to left ventricular failure. The patient is tachypnoeic due to an increased pressure in the pulmonary veins that will lead to pulmonary congestion that lessens pulmonary compliance, which raises the respiratory rate.…