insistence to prevent any delays to the start of the case. In spine cases, patients are intubated on the stretcher before being flipped into prone on the bed. Typically, after the nurse anesthetist intubated the patient, I would secure the endotracheal tube, tape the eyes,…
a successful defibrillation, shocking the patient’s heart out of the lethal rhythm, decreases drastically over time. Advanced Life Support interventions such as an endotracheal tube, also known as an ET tube that is placed down the throat and into the trachea. This tube is very helpful to deliver oxygen to the lungs directly. An ET tube can also be used to deliver lifesaving cardiac medications. One of the medications is epinephrine. Epinephrine is used to jump start the heart. Cardiac Arrest is…
through the esophagus. To prevent these risks from occurring, management of the patient’s airway is vital to keep them safe. Maintenance of the patient’s airway is facilitated by the use of items such as a facemask, laryngeal mask airway, or an endotracheal tube (Frey K. B., & Ross, T., 2014, p. 231). Besides using the items listed above, aspiration can also be reduced by using cricoid pressure on the…
1. On presentation, this patient’s overdose has resulted in the following symptoms: bradycardia, bradypnea, hypotension, hypothermia, hypoxia, and non-responsive to pain. For this patient, an endotracheal tube would be placed to protect the airway and start mechanical ventilation, since the patient is having difficulty maintaining spontaneous ventilation. This will also protect the airway from potential aspiration. Continuous oxygen therapy at 100% to help improve the patient’s hypoxia.…
Incorrect nasogastric tube placement is becoming a major problem in healthcare. This is evident due to about 1.9% of feeding tubes are misplaced (Sparks et al, 2011) and commonly leads to pneumothorax in one in five people and death in one in thirty-nine. (Taylor, 2014). These errors directly affect the patient causing him or her to accrue a larger bill and longer hospital stay. Neither of which is good. There are several factors that attribute to these errors such as old practices of…
Analyse Heath Information Define Hypertension and arteriosclerosis. How are they often related? hypertension is defined as elevation of the arterial blood pressure above the normal range expected in a particular age group. In other words, it refers to HIGH BLOOD PRESSURE. On the other hand, arteriosclerosis refers to any of several conditions affecting the arteries. The term is often used interchangeably with atherosclerosis, a disease of the arteries caused by deposition of fatty plaques in…
Critical thinking in nursing is a critical element of professional responsibility and excellence nursing care; it is a self-focused, self-controlled, self-supervised, and self-educative thinking. The ability of a nurse to analyze and process arrays of information related to a critically ill patient requires critical thinking which comes with experience as a seasoned nurse. It is imperative for a nurse to understand a root cause and consequence of any action related to a patient care treatment.…
Dr. Salvatore Silvestri passed suddenly Sunday, February 26, 2017. As many of his colleagues and loved ones know, Sal was passionate about EMS and his community's wellbeing. This great man, Dr. Sal Silvestri. Sal served as an Associate Medical Director for Orange County EMS and was the Program Director for the Orlando Regional Medical Center Emergency Medicine residency. He was an amazing physician, teacher, and mentor and always had a warm and unforgettable smile. The world lost an amazing…
Adaptive Maneuvers Kamen, R. S., & Watson, B. C. (1991). Effects of long-term tracheostomy on spectral characteristics of vowel production. Journal of Speech, Language, and Hearing Research, 34(5), 1057-1065. Kamen and Watson (1991) completed a study on the effects long-term tracheostomy has on spectral characteristic of vowel production for children aged 39 to 60 months who underwent a tracheotomy in which they were cannulated between 15 to 42 months. Kamen and Watson (1991) examined 8…
CHAPTER 1 PROBLEM STATEMENT To assess the effectiveness of video-assisted teaching regarding the knowledge on Prevention of Ventilator-Associated Pneumonia in the Intensive Care Unit among staff nurses of selected hospitals. OBJECTIVES 1. To assess and compare the knowledge of staff nurses before and after video assisted teaching on prevention of ventilator associated pneumonia. 2. To find an association between the level of knowledge regarding prevention of ventilator associated pneumonia and…