COPD is a chronic pulmonary disease that affect millions of americans with many new cases diagnosed every day.(National heart,lung and blood institute). COPD commonly refers to two seperate types of illnesses, chronic bronchitis and emphysema. This paper will focus on the emphysema side of the illness. COPD is develops slowly, often from cigarette abuse in particular. COPD is a major cause of disability and currently there is no cure available, many people have the disease and do not evene know…
did not improve and she was transferred to emergency department. Upon her arrival, she was hypotensive to 96/54 mmHg with a heart rate of 101 beats per minute. Respiratory rate was 10 per minute, Oxygen (02) saturation was 99% on 6L of 02 via nasal cannula. Temperature was 96.8 F rectally. Initial assessment revealed unresponsive patient with pinpoint pupils bilaterally. Arterial blood gas (ABG) was reported as pH of 7.35, pC02 of 36 mmHg, p02 of 65 mmHg and bicarbonate of 19.9 mmol/L. Her…
Margot Robbie does a fantastic job as the former figure skater Tonya Harding in a comedic biopic directed by Craig Gillespie who, despite the spirited tones engendered to dissect this polemic story, didn’t surpass his 2007 comedy “Lars and the Real Girl”. If the cited Australian actress got our eye through a fine performance, the Ohio-born Allison Janney, who plays her mother, LaVona, is absolutely insuperable. Curiously, Janney aspired to become a champion skater at a younger age, but an…
resources or protocols to help drive them. In terms of neonatal non-invasive ventilation, there are several methods of helping ventilate or fix an oxygenation issue to prevent the need for an artificial airway. Traditionally you will find a lot of nasal continuous positive airway pressure (NCPAP) in your standard special care nursery or neonatal intensive care unit, to help give…
When the geriatric patient first showed signs of decreased level of consciousness and difficulty breathing, the nurse should assess airway and administer oxygen, either through oxygen mask or nasal cannula. The emergency room nurse also needs to continue to monitor vital signs after baseline vital signs have been recorded. When the patient’s status started to deteriorate, the emergency room nurse may enlist a certified nursing assistant or medical…
Diagnosis: Acute Pain Desired Outcome 1: Patients will have reduced pain from 8/10 rate to 4/10 for the duration of this shift. Desired Outcome 2: Patient will have no signs and symptoms of pain as evidenced by apical pulse between 60-100 beats/min, respiration rate between 12-20 breath/min, and temperature 97-100.4 F for the duration of this shift. Interventions: Response: 1. Assess patient’s vital sign and ask patient’s response to pain 2. Reposition patient every 1-2 hours to provide comfort…
Database and Assessment Table 1 – Physical Nursing Assessment Data GENERAL: Patient is an 88 year-old Caucasian male. Vital signs stable at 97.3°F, 82BPM, 22 breaths/min, 84/54mmHg, 100% on 1.5lL O2, 0/10 pain, patient weight 58kg. SKIN/HAIR/NAILS: Skin was thin and fragile, warm and moist, skin color slightly pale, skin tear on left upper arm measuring 3 inches, no bleeding or pain. Mucous membranes are moist. Fingernails trimmed and clean. Toenails were thick and had a yellowish color to…
Personal Objectives 1. I will be able to develop confidence in performing nursing/clinical tasks by receiving beneficial feedbacks from my preceptors and the staff in the pediatrics and NICU units. - I achieved this objective by having a lot of opportunities in this clinical practicum to improve my nursing skills and learn how to handle challenging situations. I was able to shadow a mother and baby RN. I was able to take newborn vitals, feed newborns, change diapers, learn how to give newborn a…
The patient was on 2 liters of oxygen via a nasal cannula and also had oxygen therapy at home. B.H. indicated that he did become SOA quickly with minimal exertion and this had become progressively worse in the last few years. The patient was compliant and very interested in learning about all of his medications…
The NICU is the sweetest and scariest place on Earth. It’s filled with amazing, tiny babies who were born too early to do things like breathe and eat on their own, but who have the spirit of a lion. It’s also filled with the most dedicated, passionate medical workers you can imagine! That winning combo of lion babies and miracle workers means lots of happy stories. Still, the days can be long! My baby spent 12 weeks and 1 day in the NICU, and here’s a checklist of what worked for me: tips for…