Pneumothorax

atelectasis, increased shunt fraction, decreased diffusion, decreased functional residual capacity, interstitial fibrosis, and increased dead space ventilation” (p. 522). Refectory hypoxemia is due to pulmonary shunting. Pulmonary shunting can result in pneumothorax, atelectasis, and pulmonary edema (White, 2013, p. Resp12). The nurse would evaluate diagnostic tests and clinical notes in addition to assessing the patient for findings of pulmonary shunting indicative of refractory hypoxemia. 4.…

septic shock. Patient was intubated and had to be maintained on a positive end-expiratory volume pressure of 20 to maintain an appropriate oxygenation level. This is a very high level to be placed on and put the patient at risk for developing a pneumothorax. Many lab levels had reduced after 2 days of treatment; however, many remained unfavorable. A lactic acid level of 6.1 mmol/L was reduced to 4.2 mmol/L (reference range from 0.4-2.0 mmol/L). Glucose levels ranged from 370 to 560, even with…

metabolized. Added to this, Izabella struggles with her status in school as a special education student. Her cognitive disorders are believed to have been a result of her earlier hospitalizations (severe thrombocytopenia, severe sepsis, kidney failure, pneumothorax, and many more problems). Also, she had an oxygen saturation of only 20% due to the three times that she coded and needed CPR, which lead to her brain damage. From this, we have to spend extra on everything from special food…

Thailand studying electrical engineering at the university. He was ejected from a moving vehicle, which was traveling at 70 mph. His injuries include a severe closed head injury with an occipital hematoma, bilateral wrist fractures, and a right pneumothorax. 1. Define the term primary head injury and describe the mechanism of injury for the student in this case study (how it occurs). (4 points) A primary injury is the initial damage to the brain as a result of an accident (Hinkle &…

At 2:49 pm on April 15, 2013, two improvised explosive devices (IEDs) detonated near the finish line of the 117th Boston Marathon, immediately killing three bystanders and injuring hundreds (Singh et al., 2016). Prior to the rise in terrorist attacks, most explosive injuries occurred in combat zones. Each blast injury comes with different injuries or a combination of injuries depending on the severity. The injuries have several negative effects on the body. Certain radiologic imaging can be used…

Some neurological defects like hydrocephaly, lissencephaly, partial agenesis of the corpus callosum are also reported with the Proteus syndrome. 112 It may cause paraspinal hamartoma. 110 Protuberance of the skull, 113 structural and functional asymmetry of the central nervous system, 114 hydrocephalus and mental retardation are also some features of proteus syndrome. 113 Epilepsy and ohtahara syndrome is diagnosed in children affected by Proteus syndrome associated with infantile spasms,…

angulated transverse fracture of the 5th proximal phalanx on the left and a questionable fracture of the left radial head. In addition, and significantly more troubling, the diagnostic tests revealed a splenic laceration with adjacent blood, a pneumothorax in the left lung, and multiple bilateral pulmonary lacerations. Due to concerns regarding the severity of his “Level I trauma” injuries along with the possibility of internal bleeding, Nicholas was immediately airlifted to Ministry St.…

These were my tenth (11/12) and eleventh (11/13) shifts following Meagan on the medical/surgical floor at Rady Children’s Hospital. On Thursday, November 12th, I followed Meagan from 0930 to 2230 while she worked as the resource nurse. This was a new and different experience compared to following her as a normal nurse on the floor and even as the charge nurse. For most of the day, we watched other nurses’ patients so that they could go on break or accomplish other major tasks for their patients,…

In the book, The Kite Runner, by Khaled Hosseini, and the film, the author/director showed a few similarities and differences of the plot of the story. A similarity between these two is that the root of the events in the book/film is Amir not saving Hassan when he was being raped by Assef. Another occurrence that is alike is Amir’s task of taking care of Sohrab in America and experiencing injuries along the way. Although there are a lot of identical events in the book and film, there are also…

Mechanical Ventilator is a life support system that mechanically assist patient in the exchange of oxygen and carbon dioxide. It can also be called as artificial respiration system. Mechanical ventilation can help or support complete breathing, depending on the patient’s condition. Anyone who have problem in breathing normally, or having chronic diseases may require mechanical ventilator. It also includes patients suffering from spinal cord injury, stroke or any other disorders. Rapid growth in…