Pulse oximetry

Implementation Plan The solution proposed by this author includes, the use of risk assessment and implementation of interventions based on risk stratification to prevent readmissions. Interventions include, care coordination, home health care and remote monitoring as needed. Three presentations will be engaging senior leadership and associates to ensure an effective implementation. Initially, the recommended process will be presented during a one to one meeting with the Senior Vice President…

1. Identify actual and potential medical conditions involved; include complete differential diagnoses Actual medical Conditions: Impaired Mobility and Gait (2.) Recurrent fall (3). Unexplained emotional outburst (4.) Caregiver Fatigue (5.) Gout (6.) Hypertension Potential Medical Conditions: Dementia (2) Depression(3) Delirium (4) Chronic Pain (5) Osteoarthritis (6) Syncopal Episode (7) Transient Ischemic attack (8) Anemia Complete Differential Diagnosis: 1) Unspecified abnormalities of gait…

1941 Rees and Abajian utilized the epidural space for thoracic anesthesia. The progression of epidural anesthesia finally peaked with continuous infusion of an anesthetic in thoracic surgeries in 1953 (Blas, 1996). Hemodynamic complications associated with epidural anesthesia include the possible development of severe bradycardia or asystole. According to Hines and Marschall, this is most likely to occur an hour after the epidural is used for injection (2012). Approximately half of the…

NURS1006 Written Assignment Asthma is a condition of the airways that affects millions of Australians and while the incidence is increasing, management strategies such as the written asthma action plan allow individuals to take control of their condition (Australian Asthma Handbook, 2016). This assignment will look at asthma’s common risk factors, the pathophysiology of the disease, while exploring the recent research in management of acute exacerbations and developing an asthma action plan for…

Business Quality: Improving PCA Pump Safety Historically, pain has been underreported and undertreated, specifically in acute care settings. According to by Tran, Ciarkowski, Wagner, and Stevenson (2012), nearly half of post-surgical patients experience insufficient pain relief while using a more conservative intramuscular (IM) opioid therapy. With the 1963 discovery of intravenous (IV) pain relief as a better option for controlling pain, patient-controlled analgesia (PCA) technologies…

He continues to smoke cigarettes (reports one pack a day). His current medications include theophylline, albuterol inhaler, beclomethasone dipropionate inhaler and a chewable aspirin 81 mg once a day. His lung sounds are diminished bilaterally. Pulse oximetry reading is 90%. He is receiving oxygen at 2 liters per nasal cannula. He complains of shortness of breath with exertion. Critical Thinking 1. Discuss COPD and explain which of his medications are prescribed for his COPD. Discuss how these…

As an emergency room nurse, pneumonia is a common diagnosis seen on an ordinary basis. The Mayo Clinic defines pneumonia as "infection that inflames the air sacs in one or both lungs" (www.mayoclinic.org). Pneumonia can occur at any age. Frequent causes of pneumonia are bacteria, fungi, and a virus. Aspirating food and liquids can also cause pneumonia. This type of pneumonia is common in the elderly population due to dysphasia. The American Lung Association (2016) states that pneumonia is not…

Ventricular Septal Defects (VSD) Ball & Bindler (2008) describes this condition as an opening in the ventricular septum, which causes an increase in pulmonary blood flow. VSD is a hole in the wall separating the two lower chambers of the heart (AHA, 2016). The blood is shunted from the left ventricle artery, across the open septum into the pulmonary artery without any impediment (Ball & Bindler, 2008). The opening may cause a higher pressure in the heart or reduced oxygen to the body (AHA, 2016)…

Case study 1 Mr I is suffering from seasonal influenza as he shows symptoms including sneezing, headache, muscle ache, malaise, dry, chesty cough, fever, fatigue and weakness because he can hardly sit up. These are all the symptoms of seasonal influenza (NICE, 2015). Although symptoms of colds and influenza are very similar, but his symptoms developed within two days which is relatively fast, proving that he suffers from influenza instead of cold. As symptoms of influenza develop a lot faster…

Introduction Noticeable indications of deterioration have been shown in numerous patients few hours prior to a critical condition (Ludikhuize, Smorenburg, de Rooij, & de Jonge, 2012). Critical condition can be prevented by recognizing and responding to early indications of clinical and physiological deterioration (kyriacosu, jelsma,& jordan (2011). According to NPSA (2007) delay in responding to deteriorating vital signs have been defined as an complication resulting in prolonged length of stay,…