Priority 1. Impaired gas exchange r/t altered blood flow to alveoli secondary to pulmonary embolus -Patient’s c/c -Patient has difficulty answering questions because of dyspnea and pain. -Patient is pale which demonstrates lack of oxygenation. - She is restless, agitated, slightly disoriented; decrease LOC. -Sputum is blood streaked; damage to lung tissue. -Respiratory rates in order; 28,30,36 showing that his body is not receiving enough oxygen. - ABG: Uncompensated respiratory alkalosis with…
and radiotherapy, as small changes can escalate quickly. Evidence indicates that a clinical cardiovascular examination and a 12-lead echocardiogram (ECG) should be used in all patients suspected of having a stroke as cardiac arrhythmias and atrial fibrillation can occur concurrently among patients who have had a stroke (Jauch et al., 2013). This is relevant to Mr. C as he has T2DM and HT, in which both conditions can affect the cardiovascular system and should have been assessed. Educating and…
pulmonary and/ or systemic congestion and edema helping with the dyspnea associated wit h the congestion. e. Heparin infusion is indicated as patients with heart failure are at greater risk for developing venous thromboembolism, stroke and atrial fibrillation. This anticoagulant therefore is needed and is part of a guideline on the use of thromboprophylaxis for John. f. ECG and cardiac enzymes (CK, CKMB, Troponin) every six (6) hours. ECG is a test that records the rhythm and electrical…
According to Schouten et al (2008), sepsis involves the activation of the coagulation cascade coupled with down-regulation of anticoagulation and fibrinolysis. An intricate link between inflammation and coagulation exists within the body (Neligan, 2006). When a pathogen is present in the bloodstream or when tissue injury occurs, an inflammatory response occurs. The response causes a stimulation of the immune system to produce interleukin-1 (IL-1), interleukin-6 (IL-6) and tumor necrosis…
Pros and cons towards Improving the Pre Preparation for Exercise Stress Test in Ischemic Heart Disease Patient. Option B: Practice Based Reflective Account. There is pro and cons towards improving the pre preparation for exercise stress test in Ischemic Heart Disease patient whether is necessary for them or not. Pros and cons is an arguments in favour and against certain decision, motion or course of action of the patients examiners. The pros and cons will determine the critical routine before…