Intubation

because I really love helping people and I would love to experience the feeling of maybe even saving a life one day in my future. Job requirements for pursuing becoming a ER Nurse are, the worker has to be able to perform various procedures such as; intubation, tracheotomies, suturing, setting broken bones, first aid, transfusing blood, starting IV lines, administering medication, etc. Educational requirements include taking the necessary steps to become a registered nurse, meaning earning a…

Patient a 30-year-old male was at hospital after the assault and he was brought to hospital. The injury was described by the Doctor to the author as concussion and the author has to do the patient examination and continuous assessment and transport the patient to tertiary hospital. The other presenting sign was loss of reflexes. The Traumatic Brain Injury was a result of head injury where the skin and the bone of the skull penetrated but closed injury. Concussion is the most common injury in…

apneic oxygenation should be considered in standard practice. In research conducted by Miguel-Montanes and colleagues (2015) and Sakles and colleagues (2016), use of apneic oxygenation was found to decrease the incidence of oxygen desaturation during intubation when compared to a non-rebreather mask for pre-oxygenation alone. These were both single-center observational studies conducted at teaching hospitals. Despite the study designs, diversity of the patient populations studied, and the…

team to come up with a satisfactory solution that addresses the requests of the doctors and resident physician. She also implemented her process without consulting with the doctors about the repercussions of moving the patient to the ICU without intubation (Finnerty v. Board of Registered Nursing, 2008). The nurse also failed to add her ideas to the points that the other practitioners raised. The doctors may have missed a vital point about the standards, timing, and requirements which make it…

of disease. PROCEDURE IN DETAIL Timeout was called. Consent signed. Examination of the perineum and rectum were normal. The preparation was adequate. IV sedation administered. The forward-viewing colonoscope was advanced to the cecum with intubation of the terminal ileum. Upon withdrawal, the following findings were noted. FINDINGS Ileum: The distal ileum was normal. No ileocolitis. Crohn disease seen. Biopsies were taken for confirmation of benign pathology. Cecum and ascending…

patients need mechanical ventilation.2 TACO results in pulmonary edema, hypoxemia, and congestive heart failure, causing mortality in 2% to 15% of patients.2 Overall, these pulmonary complications are associated with respiratory failure, longer intubation times, and increased frequency of postoperative reintubation in patients undergoing…

vomiting. The reflux of gastric contents causes acute epigastric pain, usually after a meal. Common causes are: food, alcohol, or cigarettes, hiatal hernia, increased abdominal pressure (such as with obesity or pregnancy), medications, nasogastric intubation for more than four days, and a weakened esophageal sphincter. Typically, the LES maintains enough pressure around the lower end of the esophagus to close it and prevent reflux. The sphincter relaxes after each swallow to allow food into the…

chest compressions and early defibrillation, and that the evidence supporting these two interventions leads to higher survival rates (Pozner, 2015). Minimizing CPR interruptions is also highlighted, meaning that delaying or interrupting CPR for intubation or intravenous access is discouraged (Pozner, 2015). The guidelines go on to indicate that there…

Coma Scale (GCS) of six during my morning assessment. The patient had been off sedation for over twenty-four hours. I notified the intensivist and gave him the patient’s current situation, the patient’s background of pneumonia that resulted in intubation in the ED, the patient’s current assessment (GCS, lungs, vent settings, and labs) reported, and I recommended neurologic diagnostics to evaluate the brain, and asked the physician to advise on the patient’s plan of care. The…

The nonrebreather mask delivers 10 to 15 L/minute; this is the highest oxygen concentration possible by means other than intubation or mechanical ventilation. One way valves separate the mask from the reservoir bag, which prevent room air and exhaled air from entering so only oxygen in the bag is inspired. Sometimes one of the side valves is removed to allow room air inhalation…