Mr. Jones appeared to be in distressed. He is now using his accessory muscles to breathe, crackles are heard on auscultation and there is decreased air entry in the left and right bases. Chest X ray revealed consolidation on the left lower lobe and atelectasis in the right lower lobe.
After a series of investigation in the emergency department, Mr. Jones was commenced on Normal Saline at 125 mls/hr and he was given oxygen via non rebreather mask at 10L/min. He was then transferred…
Kelly’s GSC score is 15/15, no brain injury reported. Her cognitive function is normal. Her anxiety and restlessness is due to lack of enough blood supply to the brain.
Monitoring patient cognitive function regularly by using a simple nursing assessment scale such Glasgow Coma Scale (GCS) used to describe the level of consciousness and to assess any brain problem or cognitive impairment.
Patient with heart attack can suddenly changes their cognitive function due to insufficiency of…
products and carbon dioxide from the cells and provide more oxygen for the working cells. This surge of extra energy that is needed requires the heart to pump faster and harder in order to increase the volume of blood being pumped there is an increase in beats per minute.
A redistribution of blood can be given out to supply the areas with a higher demand for oxygen and away from the…
The pulmonary circulation carries deoxygenated blood from the right ventricle to the lungs where oxygen and carbon dioxide exchanges occur and the blood that leaves the lungs is now oxygenated and can be transported to the systemic circulation after traveling back through the heart and leaving the left ventricle. Within the systemic circulation, oxygenated blood is not only transported systemically, but wastes are removed from tissues and then returned…
A. AIRWAY– Maintaining a clear airway is always considered a high priority because the airway is essential for gas exchange. However, the patient has a patent airway (Ramkumar, 2011).
The nursing strategy is to conduct an airway assessment “look, listen and feel” continuously to detect any changes. 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…
giddiness and associated with diaphoresis the same morning. While in the ED, he developed a sudden episode of shortness of breath. Mr. ABC has nil past medical or surgical history and has an allergy to Enalapril.
His parameters taken are as follows:
• Blood pressure: 112 /60 mmHg
• Pulse rate: 42 beats/min
• Temperature: 35.9°C
• Spo2: 97% on room air
• Respiration rate: 17 breaths/min
An echocardiogram (ECG) was ordered stat to view the electrical activities of the heart at different angle by…
We discussed breaking bad news to parents in our feedback session where we talked about how important it is for doctors to be able to break bad news, and that it is a vital skill to have. In my opinion, the conversation with the parents will be to say that there is little hope for survival and no hope for survival without serious handicap in this child as I’ve highlighted above, and that the resuscitation should be abandoned.
The process of therapeutic hypothermia involves the baby being cooled…
All organisms, vertebrates and invertebrates, must have necessary nutrients to maintain life. In invertebrates, either a transport system or diffusion provides nutrients to the body. For vertebrates, a closed transport is used to transport blood away from the heart. Both of these scenarios are key to an organism 's health.
Some invertebrates do not require a circulatory system. While these organisms do not require a circulatory system, they require certain nutrients to be readily available.…
cultures on September 21st showed moderate
growth of gram positive bacilli and gram positive cocci with some gram negative bacilli
and yeast cells. Therefore, throughout her ICU stay, her body was continuing to fight
infection, and so her white blood cell count was often elevated. The two biggest
laboratory indicators of acute and chronic renal failure are elevated urea and creatinine
levels.14 Mrs. E’s urea levels were high 100 percent of the time she was in the ICU.
Permissive hypotension, hemostatic resuscitation and damage control surgery are the tools used in trauma-bay resuscitation. Hemostatic resuscitation is further subdivided in massive transfusion, targeted warming, near patient coagulation testing and arterial blood gas analysis. The target is to achieve as soon as possible normothermia,…